The Effect of Oral Nutritional Supplement on Nutritional Status of Hemodialysis Patients in a Military Hospital

Q3 Medicine Journal of Military Medicine Pub Date : 2021-03-19 DOI:10.30491/JMM.22.12.1222
A. Ebadi, A. Tayebi, E. Afaghi
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Abstract

Background and Aim: Malnutrition is a common problem for hemodialysis patients, leading to reduced quality of life, increased hospitalization, and increased mortality. Evaluation of nutritional status is one of the main determinants of the clinical status. The aim of this study was to investigate the effect of oral nutritional supplements (Iso Whey) on the nutritional status of hemodialysis patients. Methods: In this clinical trial, 44 hemodialysis patients during random allocation divided into two Iso-whey and control groups. In intervention groups, Iso Whey protein powder was consumed for two months. The control group continued their routine diet. In all groups, before and after the intervention, nutritional status was evaluated based on Dialysis Malnutrition Score (DMS) and Malnutrition-Inflammation Score (MIS) scale. Results: Both groups were matched in demographic variables and nutritional status before intervention (P>0.05). After the intervention, there was a significant difference between the groups in nutritional status based on DMS and MIS scale (P<0.05). Conclusion: The findings showed that the intake of oral nutritional supplements resulted in improving hemodialysis patients' nutritional status. Therefore, using oral nutritional supplements under the supervision of a nutritionist with an educational program and regular assessment of nutritional status can be recommended to improve the nutritional status.
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口服营养补充剂对某部队医院血液透析患者营养状况的影响
背景与目的:营养不良是血液透析患者的常见问题,导致生活质量下降,住院率增加,死亡率增加。营养状况的评估是临床状况的主要决定因素之一。本研究的目的是探讨口服营养补充剂(Iso乳清)对血液透析患者营养状况的影响。方法:将44例血液透析患者随机分为异乳清组和对照组。在干预组中,食用Iso乳清蛋白粉两个月。对照组继续他们的日常饮食。采用透析营养不良评分(DMS)和营养不良炎症评分(MIS)量表评估干预前后各组患者的营养状况。结果:两组干预前人口统计学指标及营养状况比较,差异有统计学意义(P < 0.05)。干预后,各组间以DMS和MIS量表衡量的营养状况差异有统计学意义(P<0.05)。结论:口服营养补充剂可改善血液透析患者的营养状况。因此,建议在营养学家的监督下使用口服营养补充剂,并进行教育计划和定期营养状况评估,以改善营养状况。
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来源期刊
Journal of Military Medicine
Journal of Military Medicine Medicine-Public Health, Environmental and Occupational Health
CiteScore
2.60
自引率
0.00%
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0
期刊介绍: Journal of Military Medicine is a Bimonthly peer-reviewed medical journal covering research and developments in the field of health and medicine in military and crisis settings. The journal was established in 1999. It publishes original research reports, editorials, letters to the editor, and reviews.
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