Does nutrition play a role in the quality of life of patients under chronic haemodialysis?
Background: In patients with chronic renal failure under haemodialysis, we investigated the inter-relationships and relative contributions of disease, haemodialysis and of nutrition related factors on the patients' Quality of Life. Methods: Collected data in 60 adult patients comprised: co-morb...
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| Format: | Article |
| Language: | English |
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Arán Ediciones, S. L.
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| Series: | Nutrición Hospitalaria |
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| Online Access: | http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112006000200003&lng=en&tlng=en |
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| author | P. Raimundo P. Ravasco V. Proença M. Camilo |
| author_facet | P. Raimundo P. Ravasco V. Proença M. Camilo |
| author_sort | P. Raimundo |
| collection | DOAJ |
| description | Background: In patients with chronic renal failure under haemodialysis, we investigated the inter-relationships and relative contributions of disease, haemodialysis and of nutrition related factors on the patients' Quality of Life. Methods: Collected data in 60 adult patients comprised: co-morbidities (multiple medicines, other chronic diseases), duration of renal failure and of haemodialysis (in months), % weight loss since haemodialysis, nutrient intake derived from diet history analysis (DIETPLAN5 2003, UK). The EuroQoL instrument that includes 5 dimensions, mobility, self-care, activities, pain/discomfort, anxiety/depression, and an overall health visual analogue scale evaluated QoL. Results: Estimates of effect size attributed to each variable included in the general linear model revealed that 47% of patients' mobility/self-care scores were worsened by deficient protein/energy intake and 30% by weight loss=10%. Poor performance of usual activities was attributed in 45% to duration of haemodialysis and of disease, 70% to protein/energy/vitamin B12/zinc/iron deficits, and 20% to weight loss =10%. Pain/discomfort were worsened in 45% by the duration of haemodialysis and of disease,and in 15% by co-morbidities. Higher anxiety/depression were related in 43% to protein/energy/selenium & vitamin C deficits, in 40% to the duration of haemodialysis and of disease, in 10% to weight loss =10%, and in 3% to co-morbidities. Likewise, 47% of poor overall health was determined by protein/energy/vitamin B12/zinc/selenium & vitamin C deficits, 25% by weight loss=10%, 10% by disease duration, and 7% by co-morbidities. Conclusion: Protein, antioxidants and key micronutrients involved in protein metabolism, did exert a major effect on patients' Quality of Life. Given the prevalence of nutrient deficits, the ensuing impaired functional capacity is likely to compromise QoL, timely nutrition is thus warranted. |
| first_indexed | 2024-04-14T02:12:55Z |
| format | Article |
| id | doaj.art-2cc8eba98b0b4fe394986782a74df5c5 |
| institution | Directory Open Access Journal |
| issn | 0212-1611 |
| language | English |
| last_indexed | 2024-04-14T02:12:55Z |
| publisher | Arán Ediciones, S. L. |
| record_format | Article |
| series | Nutrición Hospitalaria |
| spelling | doaj.art-2cc8eba98b0b4fe394986782a74df5c52022-12-22T02:18:20ZengArán Ediciones, S. L.Nutrición Hospitalaria0212-1611212139144S0212-16112006000200003Does nutrition play a role in the quality of life of patients under chronic haemodialysis?P. Raimundo0P. Ravasco1V. Proença2M. Camilo3University of LisbonUniversity of LisbonUniversity of LisbonUniversity of LisbonBackground: In patients with chronic renal failure under haemodialysis, we investigated the inter-relationships and relative contributions of disease, haemodialysis and of nutrition related factors on the patients' Quality of Life. Methods: Collected data in 60 adult patients comprised: co-morbidities (multiple medicines, other chronic diseases), duration of renal failure and of haemodialysis (in months), % weight loss since haemodialysis, nutrient intake derived from diet history analysis (DIETPLAN5 2003, UK). The EuroQoL instrument that includes 5 dimensions, mobility, self-care, activities, pain/discomfort, anxiety/depression, and an overall health visual analogue scale evaluated QoL. Results: Estimates of effect size attributed to each variable included in the general linear model revealed that 47% of patients' mobility/self-care scores were worsened by deficient protein/energy intake and 30% by weight loss=10%. Poor performance of usual activities was attributed in 45% to duration of haemodialysis and of disease, 70% to protein/energy/vitamin B12/zinc/iron deficits, and 20% to weight loss =10%. Pain/discomfort were worsened in 45% by the duration of haemodialysis and of disease,and in 15% by co-morbidities. Higher anxiety/depression were related in 43% to protein/energy/selenium & vitamin C deficits, in 40% to the duration of haemodialysis and of disease, in 10% to weight loss =10%, and in 3% to co-morbidities. Likewise, 47% of poor overall health was determined by protein/energy/vitamin B12/zinc/selenium & vitamin C deficits, 25% by weight loss=10%, 10% by disease duration, and 7% by co-morbidities. Conclusion: Protein, antioxidants and key micronutrients involved in protein metabolism, did exert a major effect on patients' Quality of Life. Given the prevalence of nutrient deficits, the ensuing impaired functional capacity is likely to compromise QoL, timely nutrition is thus warranted.http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112006000200003&lng=en&tlng=enHemodiálisis crónicaNutriciónMorbilidadCalidad de vida |
| spellingShingle | P. Raimundo P. Ravasco V. Proença M. Camilo Does nutrition play a role in the quality of life of patients under chronic haemodialysis? Nutrición Hospitalaria Hemodiálisis crónica Nutrición Morbilidad Calidad de vida |
| title | Does nutrition play a role in the quality of life of patients under chronic haemodialysis? |
| title_full | Does nutrition play a role in the quality of life of patients under chronic haemodialysis? |
| title_fullStr | Does nutrition play a role in the quality of life of patients under chronic haemodialysis? |
| title_full_unstemmed | Does nutrition play a role in the quality of life of patients under chronic haemodialysis? |
| title_short | Does nutrition play a role in the quality of life of patients under chronic haemodialysis? |
| title_sort | does nutrition play a role in the quality of life of patients under chronic haemodialysis |
| topic | Hemodiálisis crónica Nutrición Morbilidad Calidad de vida |
| url | http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112006000200003&lng=en&tlng=en |
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