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

doi:doi:10.11648/j.ajbls.20231105.11

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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

Published in American Journal of Biomedical and Life Sciences (Volume 11, Issue 5)

Received: 26 August 2023 Accepted: 12 September 2023 Published: 25 September 2023

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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.

Published in	American Journal of Biomedical and Life Sciences (Volume 11, Issue 5)
DOI	10.11648/j.ajbls.20231105.11
Page(s)	82-91
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Chronic Renal Failure, Hemodialysis, Protein-Energy Malnutrition, Dietary Habits

References

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Essognim Bitori, Mamatchi Melila, Kouévi Satchi, Akomola Kossi Sabi, Labité Komlan Mensah, et al. (2023). Dietary Habits and Nutritional Status of Hemodialysis Patients Seen in Some Hemodialysis Centers in Lomé (Togo). American Journal of Biomedical and Life Sciences, 11(5), 82-91. https://doi.org/10.11648/j.ajbls.20231105.11

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Essognim Bitori; Mamatchi Melila; Kouévi Satchi; Akomola Kossi Sabi; Labité Komlan Mensah, et al. Dietary Habits and Nutritional Status of Hemodialysis Patients Seen in Some Hemodialysis Centers in Lomé (Togo). Am. J. Biomed. Life Sci. 2023, 11(5), 82-91. doi: 10.11648/j.ajbls.20231105.11

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AMA Style

Essognim Bitori, Mamatchi Melila, Kouévi Satchi, Akomola Kossi Sabi, Labité Komlan Mensah, et al. Dietary Habits and Nutritional Status of Hemodialysis Patients Seen in Some Hemodialysis Centers in Lomé (Togo). Am J Biomed Life Sci. 2023;11(5):82-91. doi: 10.11648/j.ajbls.20231105.11

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@article{10.11648/j.ajbls.20231105.11,
  author = {Essognim Bitori and Mamatchi Melila and Kouévi Satchi and Akomola Kossi Sabi and Labité Komlan Mensah and Kou’santa Amouzou},
  title = {Dietary Habits and Nutritional Status of Hemodialysis Patients Seen in Some Hemodialysis Centers in Lomé (Togo)},
  journal = {American Journal of Biomedical and Life Sciences},
  volume = {11},
  number = {5},
  pages = {82-91},
  doi = {10.11648/j.ajbls.20231105.11},
  url = {https://doi.org/10.11648/j.ajbls.20231105.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajbls.20231105.11},
  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.},
 year = {2023}
}

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TY - JOUR
T1 - Dietary Habits and Nutritional Status of Hemodialysis Patients Seen in Some Hemodialysis Centers in Lomé (Togo)
AU - Essognim Bitori
AU - Mamatchi Melila
AU - Kouévi Satchi
AU - Akomola Kossi Sabi
AU - Labité Komlan Mensah
AU - Kou’santa Amouzou
Y1 - 2023/09/25
PY - 2023
N1 - https://doi.org/10.11648/j.ajbls.20231105.11
DO - 10.11648/j.ajbls.20231105.11
T2 - American Journal of Biomedical and Life Sciences
JF - American Journal of Biomedical and Life Sciences
JO - American Journal of Biomedical and Life Sciences
SP - 82
EP - 91
PB - Science Publishing Group
SN - 2330-880X
UR - https://doi.org/10.11648/j.ajbls.20231105.11
AB - 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.
VL - 11
IS - 5
ER -

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Author Information

Essognim Bitori

School of Medical Assistants, University of Lomé, Lomé, Togo
Mamatchi Melila

Department of Biochemistry and Nutrition, Faculty of Sciences, University of Lomé, Lomé, Togo
Kouévi Satchi

Department of Biochemistry and Nutrition, Faculty of Sciences, University of Lomé, Lomé, Togo
Akomola Kossi Sabi

Nephrology Department at the Sylvanus Olympio, University Hospital Center, Lomé, Togo
Labité Komlan Mensah

Department of Life Sciences, Faculty of Science and Technology, University of Kara, Kara, Togo
Kou’santa Amouzou

Department of Life Sciences, Faculty of Science and Technology, University of Kara, Kara, Togo

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APA Style

Essognim Bitori, Mamatchi Melila, Kouévi Satchi, Akomola Kossi Sabi, Labité Komlan Mensah, et al. (2023). Dietary Habits and Nutritional Status of Hemodialysis Patients Seen in Some Hemodialysis Centers in Lomé (Togo). American Journal of Biomedical and Life Sciences, 11(5), 82-91. https://doi.org/10.11648/j.ajbls.20231105.11

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Essognim Bitori; Mamatchi Melila; Kouévi Satchi; Akomola Kossi Sabi; Labité Komlan Mensah, et al. Dietary Habits and Nutritional Status of Hemodialysis Patients Seen in Some Hemodialysis Centers in Lomé (Togo). Am. J. Biomed. Life Sci. 2023, 11(5), 82-91. doi: 10.11648/j.ajbls.20231105.11

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Essognim Bitori, Mamatchi Melila, Kouévi Satchi, Akomola Kossi Sabi, Labité Komlan Mensah, et al. Dietary Habits and Nutritional Status of Hemodialysis Patients Seen in Some Hemodialysis Centers in Lomé (Togo). Am J Biomed Life Sci. 2023;11(5):82-91. doi: 10.11648/j.ajbls.20231105.11

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@article{10.11648/j.ajbls.20231105.11,
  author = {Essognim Bitori and Mamatchi Melila and Kouévi Satchi and Akomola Kossi Sabi and Labité Komlan Mensah and Kou’santa Amouzou},
  title = {Dietary Habits and Nutritional Status of Hemodialysis Patients Seen in Some Hemodialysis Centers in Lomé (Togo)},
  journal = {American Journal of Biomedical and Life Sciences},
  volume = {11},
  number = {5},
  pages = {82-91},
  doi = {10.11648/j.ajbls.20231105.11},
  url = {https://doi.org/10.11648/j.ajbls.20231105.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajbls.20231105.11},
  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.},
 year = {2023}
}

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