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Nutritional status and quality of life in diabetic patients on hemodialysis: a cross-sectional study from Palestine
BACKGROUND: End-stage renal disease (ESRD) is a leading cause of death and morbidity worldwide. Malnutrition is a common problem among hemodialysis (HD) patients that negatively impacts their prognosis and is linked to an increase in morbidity and mortality in these patients, as well as a decrease i...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8256194/ https://www.ncbi.nlm.nih.gov/pubmed/34225818 http://dx.doi.org/10.1186/s41043-021-00255-w |
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author | Hafi, Eba’a Soradi, Ro’ya Diab, Sarah Samara, Ahmad M. Shakhshir, Marah Alqub, Malik Zyoud, Sa’ed H. |
author_facet | Hafi, Eba’a Soradi, Ro’ya Diab, Sarah Samara, Ahmad M. Shakhshir, Marah Alqub, Malik Zyoud, Sa’ed H. |
author_sort | Hafi, Eba’a |
collection | PubMed |
description | BACKGROUND: End-stage renal disease (ESRD) is a leading cause of death and morbidity worldwide. Malnutrition is a common problem among hemodialysis (HD) patients that negatively impacts their prognosis and is linked to an increase in morbidity and mortality in these patients, as well as a decrease in their quality of life (QOL). In this study, we aimed to evaluate the QOL and to investigate factors that can influence it, including nutritional status, as well as socio-demographic factors, among Palestinian diabetic patients on HD therapy. METHODS: This was a cross-sectional study that occurred at a large hemodialysis center in Palestine. Malnutrition was assessed by the malnutrition-inflammation scale (MIS), and the quality of life was evaluated by using the EuroQoL five-dimensional instrument (EQ-5D). Multivariable linear regression analysis was carried out to look at the effect of multiple variables on QOL. RESULTS: A total of 118 diabetic patients on HD were included. Of these, 66.9% were male, and 60.2% were aged 60 years or higher. Having multiple comorbid diseases (p=0.004) and having been on HD for >4 years (p=0.003) were significantly associated with a higher MIS score, whereas living alone (p=0.037) and having been on HD for >4 years (p=0.002) was significantly associated with lower EQ-5D score. We also observed a significant association between the MIS score and the EQ-5D score(r=−0.616, p<0.001). Multiple linear regression analysis demonstrated that diabetic hemodialysis patients who lived within a family household were positively correlated with the QOL score (standardized coefficient, 0.178; 95% confidence interval (CI), 0.042 to 0.372; p = 0.015), and MIS score was significantly and negatively correlated with QOL scores (standardized coefficient, −0.587; 95% CI, −0.047 to −0.028; p < 0.001). CONCLUSIONS: We found that malnutrition was associated with a lower QOL score among diabetic patients on HD. We recommend general practitioners, dietitians, nephrologists, and nurses to make plans that pay more attention to this group of patients who show evidence of malnutrition. Patients on dialysis for ≥ 4 years, patients who live alone, and those suffering from multiple co-morbid diseases should receive special care due to their higher risk of being impacted by this problem. |
format | Online Article Text |
id | pubmed-8256194 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-82561942021-07-06 Nutritional status and quality of life in diabetic patients on hemodialysis: a cross-sectional study from Palestine Hafi, Eba’a Soradi, Ro’ya Diab, Sarah Samara, Ahmad M. Shakhshir, Marah Alqub, Malik Zyoud, Sa’ed H. J Health Popul Nutr Research Article BACKGROUND: End-stage renal disease (ESRD) is a leading cause of death and morbidity worldwide. Malnutrition is a common problem among hemodialysis (HD) patients that negatively impacts their prognosis and is linked to an increase in morbidity and mortality in these patients, as well as a decrease in their quality of life (QOL). In this study, we aimed to evaluate the QOL and to investigate factors that can influence it, including nutritional status, as well as socio-demographic factors, among Palestinian diabetic patients on HD therapy. METHODS: This was a cross-sectional study that occurred at a large hemodialysis center in Palestine. Malnutrition was assessed by the malnutrition-inflammation scale (MIS), and the quality of life was evaluated by using the EuroQoL five-dimensional instrument (EQ-5D). Multivariable linear regression analysis was carried out to look at the effect of multiple variables on QOL. RESULTS: A total of 118 diabetic patients on HD were included. Of these, 66.9% were male, and 60.2% were aged 60 years or higher. Having multiple comorbid diseases (p=0.004) and having been on HD for >4 years (p=0.003) were significantly associated with a higher MIS score, whereas living alone (p=0.037) and having been on HD for >4 years (p=0.002) was significantly associated with lower EQ-5D score. We also observed a significant association between the MIS score and the EQ-5D score(r=−0.616, p<0.001). Multiple linear regression analysis demonstrated that diabetic hemodialysis patients who lived within a family household were positively correlated with the QOL score (standardized coefficient, 0.178; 95% confidence interval (CI), 0.042 to 0.372; p = 0.015), and MIS score was significantly and negatively correlated with QOL scores (standardized coefficient, −0.587; 95% CI, −0.047 to −0.028; p < 0.001). CONCLUSIONS: We found that malnutrition was associated with a lower QOL score among diabetic patients on HD. We recommend general practitioners, dietitians, nephrologists, and nurses to make plans that pay more attention to this group of patients who show evidence of malnutrition. Patients on dialysis for ≥ 4 years, patients who live alone, and those suffering from multiple co-morbid diseases should receive special care due to their higher risk of being impacted by this problem. BioMed Central 2021-07-05 /pmc/articles/PMC8256194/ /pubmed/34225818 http://dx.doi.org/10.1186/s41043-021-00255-w Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Hafi, Eba’a Soradi, Ro’ya Diab, Sarah Samara, Ahmad M. Shakhshir, Marah Alqub, Malik Zyoud, Sa’ed H. Nutritional status and quality of life in diabetic patients on hemodialysis: a cross-sectional study from Palestine |
title | Nutritional status and quality of life in diabetic patients on hemodialysis: a cross-sectional study from Palestine |
title_full | Nutritional status and quality of life in diabetic patients on hemodialysis: a cross-sectional study from Palestine |
title_fullStr | Nutritional status and quality of life in diabetic patients on hemodialysis: a cross-sectional study from Palestine |
title_full_unstemmed | Nutritional status and quality of life in diabetic patients on hemodialysis: a cross-sectional study from Palestine |
title_short | Nutritional status and quality of life in diabetic patients on hemodialysis: a cross-sectional study from Palestine |
title_sort | nutritional status and quality of life in diabetic patients on hemodialysis: a cross-sectional study from palestine |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8256194/ https://www.ncbi.nlm.nih.gov/pubmed/34225818 http://dx.doi.org/10.1186/s41043-021-00255-w |
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