Improved nutrition after conversion to nocturnal home hemodialysis.
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.
Sikkes
M Ellen
ME
Dianet Dialysis Centers, 3524 BN Utrecht, The Netherlands. e.sikkes@dianet.nl
Kooistra
Menno P
MP
Weijs
Peter J M
PJ
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
D004044:Dietary Proteins; D010710:Phosphates; D011188:Potassium; D002118:Calcium