Dietary Habits and Nutritional Status of Hemodialysis Patients Seen in Some Hemodialysis Centers in Lomé (Togo)
Essognim Bitori,
Mamatchi Melila,
Kouévi Satchi,
Akomola Kossi Sabi,
Labité Komlan Mensah,
Kou’santa Amouzou
Issue:
Volume 11, Issue 5, October 2023
Pages:
82-91
Received:
26 August 2023
Accepted:
12 September 2023
Published:
25 September 2023
Abstract: Background: Chronic renal failure (CKD) is kidney damage defined by a permanent decrease in glomerular filtration rate (GFR) characterized by biological signs present for more than three months. Protein-energy malnutrition (PED) in hemodialysis is also a factor of morbidity and mortality in patients with a prevalence ranging from 15 to 75% worldwide. However, the care of hemodialysis patients often does not include nutritional care. This study aims to contribute to the promotion of the health of patients with chronic renal failure on hemodialysis, by evaluating their nutritional status and identifying the incriminating diets in the deterioration of their health. Materials and Methods: This is a cross-sectional, prospective and multicenter study, both descriptive and analytical over a period from May 05 to August 05, 2023. It focused on patients with chronic renal failure (CKD) treated with hemodialysis in the clinics “Unidial”, “Martin Luther King” and the CMS “Maison du Hadj”. Nutritional status was assessed using ISRNM 2008 criteria. Mantel Haenszel's Chi-square (χ2) test was used to compare proportions, relative risk (RR) to look for associations between variables, and Pearson's coefficient for correlations. It was included 32 patients whose average age was 53.13 ± 14.37 years. Results: The prevalence of protein-energy malnutrition varied from 53.13 to 65.63% depending on the indicator used. A correlation between various malnutrition indicators was found with two risk factors. First, insufficient protein intake: serum albumin was correlated with arm circumference (r = 0.93; p = 0.0001). Second, insufficient energy intake with a BMI strongly correlated with arm circumference (r = 0.96; p = 0.0000). Obesity was present in 6.25% of cases. Abdominal obesity was 43.75% in women and 25% in men. Conclusion: Protein-energy malnutrition is therefore a frequent problem in hemodialysis. It is therefore necessary to improve the hemodialysis program with the integration of adequate and effective nutritional support through lifestyle and dietary interventions in chronic hemodialysis patients.
Abstract: Background: Chronic renal failure (CKD) is kidney damage defined by a permanent decrease in glomerular filtration rate (GFR) characterized by biological signs present for more than three months. Protein-energy malnutrition (PED) in hemodialysis is also a factor of morbidity and mortality in patients with a prevalence ranging from 15 to 75% worldwid...
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Contribution to Phytotherapy Valorization of the Seed of Avocado, Persea Americana
Kwami Lumo Awaga,
Kosi Mawuéna Novidzro,
Bognam Kpensaga,
Koffi Apeti Gbogbo,
Et Kossi Honoré Koumaglo
Issue:
Volume 11, Issue 5, October 2023
Pages:
92-100
Received:
29 August 2023
Accepted:
13 September 2023
Published:
27 September 2023
Abstract: Plants represent an immense storehouse of biomolecules endowed with diverse biological properties. This study was carried out to analyze the phytochemical composition and evaluate the free radical scavenging and antioxidant activities of Persea americana seed. The dried avocado pit powder was first delipidated with hexane and the residue was successively extracted by maceration with ethanol-water mixture (50% -50%: v/v), and ethanol. Qualitative phytochemical analyses were carried out on the two extracts; and quantitative assays, to assess total polyphenol, flavonoid and condensed tannin contents. The free radical scavenging and antioxidant activities of the extracts were assessed. The results had revealed the presence of polyphenols, alkaloids, flavonoids, saponosides, anthocyanins, anthraquinones, steroids, cardiac glycosides, and condensed tannins in both extracts. In addition, total polyphenol, flavonoid and condensed tannin contents were: 70.427±0.113 mg GAEq/g DE and 194.986±2 mg GAEq/g DE; 19.667±1.732 mg QtEq/g DE and 23.111±0.509 mg QtEq/g DE; then 65.134±1.672 mg CEq/g DE and 203.616±4.931 mg CEq/g DE, respectively in the hydroethanolic and ethanolic extracts. The hydroethanolic extract showed a free radical scavenging activity evaluated as 13.84 ± 0.01%, whereas that of the ethanolic extract was 34.41 ± 4.70%; while measurement of antioxidant activity provided values of 24.30 ± 0.63 mg AAEq/g DE and 42.35 ± 1.20 mg AAEq /g DE, respectively. In conclusion, ethanolic extract showed better free radical scavenging and antioxidant activities, with higher contents of bioactive compounds. These results justified the common use of avocado seeds in phytotherapy in Togo for treatment of various pathologies.
Abstract: Plants represent an immense storehouse of biomolecules endowed with diverse biological properties. This study was carried out to analyze the phytochemical composition and evaluate the free radical scavenging and antioxidant activities of Persea americana seed. The dried avocado pit powder was first delipidated with hexane and the residue was succes...
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