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Renal Nutrition-Related Knowledge, Dietary Compliance and Malnutrition among Hemodialysis Patients in Lebanon

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dc.contributor.author El Nakouzi, Jana
dc.date.accessioned 2024-01-22T13:00:19Z
dc.date.available 2024-01-22T13:00:19Z
dc.date.copyright 2023 en_US
dc.date.issued 2023-12-04
dc.identifier.uri http://hdl.handle.net/10725/15281
dc.description.abstract Introduction: Patients with end stage kidney disease (ESKD) on hemodialysis should follow a strict diet during the interdialytic period. Compliance to treatment, including diet, is key for optimal disease management and health outcomes and to protect against malnutrition. The objective of this study was to assess the relationship between renal nutrition-related knowledge, renal dietary guidelines, compliance to treatment and risk of malnutrition among patients with ESKD in Lebanon. Methods: A convenience sample of 119 patients with ESKD was collected from the dialysis units of the Lebanese American University Medical Center-Rizk Hospital (LAUMC-RH) and Hammoud Hospital University Medical Center (HHUMC). Demographic characteristics, anthropometric measurements, bioelectrical impedance tests, biochemical data, nutrition knowledge and compliance were collected from the participants or from their medical charts. Results: 100 of the 119 participants were found to have malnutrition according to the Global Leadership Initiative on Malnutrition (GLIM) criteria. Weight loss was the most common phenotypic criterion among malnourished patients, while severe weight loss was significantly associated with poor compliance. Additionally, people with poor compliance tended to be younger (<55 years of age) and with lower levels of income and education (p<0.05) Conclusion and Recommendations: Malnutrition rates are alarmingly high among patients with ESKD in our sample and are significantly associated with poor treatment and dietary compliance. Future studies with a larger more representative cohort are required to confirm our results. Accordingly, intervention trials targeting compliance among ESKD patients in Lebanon are warranted to prevent malnutrition and to achieve better clinical outcomes. en_US
dc.language.iso en en_US
dc.subject Chronic renal failure--Diet therapy--Lebanon en_US
dc.subject Hemodialysis--Complications--Lebanon en_US
dc.subject Lebanese American University--Dissertations en_US
dc.subject Dissertations, Academic en_US
dc.title Renal Nutrition-Related Knowledge, Dietary Compliance and Malnutrition among Hemodialysis Patients in Lebanon en_US
dc.type Thesis en_US
dc.title.subtitle A Cross-sectional Study en_US
dc.term.submitted Summer en_US
dc.author.degree MS in Nutrition en_US
dc.author.school SAS en_US
dc.author.idnumber 201302158 en_US
dc.author.commembers Bassil, Maya
dc.author.commembers Abou Zeinab, Hilal
dc.author.commembers Abi Kharma, Joelle
dc.author.department Natural Sciences en_US
dc.description.physdesc 1 online resource (xii, 60 leaves) en_US
dc.author.advisor Mattar, Lama
dc.keywords End-stage kidney disease en_US
dc.keywords malnutrition en_US
dc.keywords weight loss en_US
dc.keywords compliance en_US
dc.keywords Lebanon en_US
dc.description.bibliographiccitations Includes bibliographical references (leaves 37-44) en_US
dc.identifier.doi https://doi.org/10.26756/th.2023.638
dc.author.email jana.elnakouzi@lau.edu en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/thesis.php en_US
dc.publisher.institution Lebanese American University en_US
dc.author.affiliation Lebanese American University en_US


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