The Relationship Between Hemodialysis Adequacy and Nutritional Status in Ibnu Sina Gresik Hospital, Indonesia

Abstract

Uremic malnutrition may happen to patients with kidney failure who underwent hemodialysis consistently. The aim of this study is to identify the adequacy of hemodialysis and its association with nutrition status. This was a cross-sectional study conducted in Ibnu SinaGresik Hospital. Of 96 hemodialysis patients recruited, nutritional status such as body mass index (BMI), fat mass, fat-free mass, skeletal muscle mass, extracellular water, and visceral adipose tissues was assessed by the Medical Body Compose Analyzer (mBCA). Hemodialysis adequacy (Kt/V) and nutrition status association was tested by bivariate and multivariate analysis. The respondents' mean age was 50.28±10.28 years. Hemodialysis adequacy was in the category of ≥1.8 (61.46%). Demographic characteristics had no relationship with hemodialysis adequacy (p>0.05), and there was a relationship between hemodialysis adequacy and waist circumference (p=<0.001). All indicators of nutritional status were not significantly related to hemodialysis adequacy (p>0.05), except the total body water (p = 0.030). The multivariate analysis showed that hemodialysis adequacy had no significant relationship with the nutritional status in Multivariate Analysis of Variance (MANOVA) after a predictor (the other independent variable) was added. Hemodialysis analysis was significantly related to the total body water. Future research should conduct a comprehensive evaluation of nutritional status to prevent increased morbidity and mortality factors.