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- W4312063731 abstract "Abstract Introduction : Malnutrition is very common and associated with adverse health outcomes among haemodialysis (HD) patients. In this study, we studied the nutritional intake and associated demographic, socio-economic characteristics among haemodialysis patients in Sri Lanka. Methodology : This is a descriptive cross-sectional study which was conducted in 305 HD patients at Nephrology and Transplant Unit, National Hospital, Kandy, Sri Lanka in 2018. Interviewer administered; semi-structured questionnaire was used to collect the data. Nutritional data was collected using 24-hour dietary recall method. Statistical analysis was performed via IBM SPSS version 20. Ethical approval was given from the Ethics Review Committee, Faculty of Allied Health Sciences, University of Peradeniya. Results : The mean age of the study participants was 50.45±13.063 years and majority were males (69.2%; n=211). Only 1.6% (n=5) of the patients fulfilled the recommended calorie intake per day (>30 Kcal/day). Majority of the patients had more than 60% of the calorie intake from carbohydrates (n=232; 76.1%). Overall, energy, protein and fat intakes in 98.4%, 96.1% and 91.8% of the participants were less than the recommended values. There were statistically significant differences found between age categories and blood urea ( p =0.023), urine output (UOP) ( p =0.000), inter-dialytic weight gain (IDWG) ( p =0.000) and dry weight ( p =0.015). The entire micronutrients intake was less than the recommended level and there were significant differences between micronutrients based on the monthly income. Such as, dietary PUFA ( p= 0.021), cholesterol (p =0.002), vitamin E ( p =0.018), vitamin B2 ( p =0.000), vitamin B6 ( p =0.008), folic acid ( p =0.004), sodium ( p =0.000), potassium ( p =0.010), calcium ( p =0.001), magnesium ( p =0.038), phosphorus ( p =0.000), iron ( p =0.042) and zinc ( p =0.003). High median values of the micronutrients were reported with the 30,000–50,000 LKR and 50,000 LKR earned groups. Discussion and Conclusion : There is a wide gap between recommended nutrient intake and the actual nutrient intake of the participants of this study. Nutritional status and other clinical measures were influenced by age of the patients and monthly income. Regular optimal nutritional counseling and monitoring is very important to improve their outcome. Introduction of socio-economically and culturally sensitive dietary guidelines can be warranted." @default.
- W4312063731 created "2023-01-04" @default.
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- W4312063731 date "2022-12-21" @default.
- W4312063731 modified "2023-10-11" @default.
- W4312063731 title "The significance of introducing socioeconomically sensitive therapeutic guidelines to end-stage renal disease patients in Sri Lanka as a practice in haemodialysis" @default.
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- W4312063731 doi "https://doi.org/10.21203/rs.3.rs-2371442/v1" @default.
- W4312063731 hasPublicationYear "2022" @default.
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