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Hemodiyaliz Hastalarının Nütrisyonel Parametrelerle Değerlendirilmesi

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Evaluation of Nutritional Parameters in Hemodialysis Patients

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16-20

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Abstract (Original Language): 
Hemodiyaliz hastalarının nütrisyonel durumu, bu hastalardaki morbidite ve mortaliteyi etkileyen Önemli bir faktördür. Protein-enerji alımının optimal olarak izlenmesi için çok sayıda parametrenin (Viseral protein, adale kitlesi, somatik protein ölçümleri gibi) toplu olarak değerlendirilmesine ihtiyaç vardır. Vücut kitle indeksi, serum albumin, transferrin ve ferritin düzeyleri 40 hemodiyaliz hastasında ölçüldü. Çalışmamızda serum albumin düzeyleri anlamlı ölçüde düşük bulundu (%95 vakada 4.0 g/d I' nin altında). Hemodiyaliz hastalarında protein malnütrisyonu yüksek oranda görülmektedir. İlk bir yıla kıyasla ikinci yılındaki hemodiyaliz hastalarımızda serum albumin düzeylerinin yükseldiği ortaya konmuştur.
Abstract (2. Language): 
Nutritional status is an important factor that affects morbidity and mortality of hemodialysis patients. The optimal monitoring of protein-energy nutritional status requires the collective evaluation of multiple parameters (i.e., assessment of visceral protein, muscle mass or somatic protein). Body mass index was calculated and serum albumin, transferin and ferritin levels were measured in 40 hemodialysis patients. In our study, serum albumin levels were significantly decreased (in 95% lower than 4.0 g/dl). Protein malnutrition is highly prevalent in hemodialysis patients. Our data suggest that serum albumin concentrations increase during the second year of maintenance hemodialysis.

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REFERENCES

References: 

1. İkizler TA, Hakim RM: Nutrition in end-stage renal disease. Kidney Int, 1996;50:343-357.
2. Pellet LP: Protein requirement in humans. Am J Clin Nuir. 1W0;51:723-737.
.3. World Health Organization: Energy and protein requirements. World I [ealth OrganizationTechnical Report Series. 1985;724.
4. National Kidney Foundation: K/DOQKI clinical practice guidelines for nutrition in chronic renal failure. Am J Kidney Dis, 2000;35(suppl 2):1-103.
5. Acchiardo SR, Moore LW, Latour PA. Malnutrion as the main factor in morbidity and mortality of hemodialysis patients. Kidney Int, 1983;24(suppl 16): 199-203.
6. İkizler TA, Wingard RL, Marvel! J ve arkadaştan Association of morbidity with markers of nutrition and inflammation in chronic hemodialysis patients: A prospective study. Kidney Int, 1999;55:1945-1951.
7. Pupim LB, Kend P, Cağlar K ve arkadaşları. Improvement in nutritional parameters after initiation of chr hemodialysis. Am .1 Kidney Dis 2002 .|ul;40(l): 143-51.
8. Panagoutsos SA, Yannatos EV, Passadakis PS ve arkadaşlar Effects of hemodialysis dose on anemia, hypertension, and nutrition. Ren fail 2002 Sep;24(5):6l5-21.
9. Roubenoff R, Kehayias JJ. Dawson-Hughes 11 ve Heymsfield SB. Use of dual-energy X-ray absorptiometry in body-composition studies: not yet a 'gold standard'. Anı J Clin Nutr, 199.3 58:589-591.
10. Stenver DI, Gotfredsen, llilsted J, Nielsen B. Body composition in hemodialysis patients measured by dual-energiy X-ray absorptiometry. Am J Nephrol, 1995:15:105—110,
11. Leavey SF, Strawderman RL, Jones CA ve ark. Simple nutritional indicators as independent predictors of mortality in hemodialysis patients. Anı J Kidney Dis. İ998;31<6):997-1006.
12. Jones MR. Preventing malnutrition in the long-term peritoneal dialysis patient. Semin Dial 1995;8:347-354.
13. Bergstrom J, Nutrition and mortality in hemodialysis. J Am Soc Nephrol, 1995;6:1329-1341.
14. Cioldwasser P ve Peldman J. Association of serum albumin and mortality risk. J Clin Epidemiol, 1997;S0 t0>:603-7()3.
13. Cliffe M, Bloodworth L ve Jibani M. Can malnutrition in pre-dialysis patients be prevented by dietetic intervention. J Renal nutrition, 2001 ;3:161-165.
16. Stenvinkel P, Barany P, Chung SH ve arkadaşları. A comparative analysis nutritional parameters as predicto outcome in male and female F.SRD patients. Nephrol Dial Transplant, 2002;17(7):1266-I274.

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