title: Improved nutrition after conversion to nocturnal home hemodialysis.
abstract: BACKGROUND
  Protein-energy malnutrition is a frequently observed problem in hemodialysis patients. Nocturnal home hemodialysis (NHHD; 6 x 8hours during the night) seems to improve patient outcomes, including nutritional state.
  
  
  METHODS
  In a single-center, prospective, nonrandomized study, the effects of NHHD on various aspects of nutrition in 14 hemodialysis patients during 1 to 2 years were investigated, using dietary records, appetite questionnaires, laboratory tests, and patient data.
  
  
  RESULTS
  Appetite, body weight, and energy and protein intakes improved. Patients could drink more. Serum phosphate, calcium, and potassium intake increased. Laboratory results remained excellent, without phosphate-binding agents or potassium-binding resins. However, fat intake also increased, with a risk for overweight status.
  
  
  CONCLUSIONS
  Nocturnal home hemodialysis has a positive effect on nutritional state.
authors.affiliation: Dianet Dialysis Centers, 3524 BN Utrecht, The Netherlands. e.sikkes@dianet.nl
authors.forename: M Ellen
authors.initials: ME
authors.lastname: Sikkes
authors.forename: Menno P
authors.initials: MP
authors.lastname: Kooistra
authors.forename: Peter J M
authors.initials: PJ
authors.lastname: Weijs
mesh_terms: D000328:Adult; D001066:Appetite; D001835:Body Weight; D002118:Calcium / Q000097:blood; D002940:Circadian Rhythm; D015930:Diet Records; D004044:Dietary Proteins / Q000008:administration & dosage; D002149:Energy Intake; D005260:Female; D005500:Follow-Up Studies; D006437:Hemodialysis, Home / Q000379:methods*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009752:Nutritional Status; D010710:Phosphates / Q000097:blood; D011188:Potassium / Q000097:blood; D011446:Prospective Studies; D011502:Protein-Energy Malnutrition / Q000517:prevention & control; D011788:Quality of Life; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
chemical_list: D004044:Dietary Proteins; D010710:Phosphates; D011188:Potassium; D002118:Calcium