Browsing by Author "Holmes, Rebecca"

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    Comparing Nutrition Status of In-Centre Nocturnal Hemodialysis Patients to Conventional Hemodialysis Patients: a Prospective Cohort Study
    (2017) Holmes, Rebecca; Fenton, Tanis; MacRae, Jennifer; Nelson, Carolanne
    Background: Malnutrition is prevalent in patients receiving hemodialysis (HD). Compared to conventional HD (CHD), in-centre nocturnal hemodialysis (ICND) has shown improvements in patients’ dietary intake, body composition and mortality risk. Methods: We assessed the feasibility of some nutrition assessment tools (MIS, dietary intake, and anthropometric, functional and biochemical measurements) among 10 CHD and 9 ICND patients for a future study to investigate whether ICND is associated with an improvement in nutrition status compared to CHD. Results: Lean tissue mass was higher at baseline (p=0.007), handgrip strength was higher at 6 months (p=0.04) among ICND patients. Dietary intakes were non-significantly higher at both time points and phosphate binder dosage non-significantly declined in the ICND group. The ICND group had a high attrition rate (44%) over 6 months. Conclusion: These potentially clinically important findings merit further investigation with a more comprehensive study to determine whether ICND offers a nutritional advantage over CHD.