Nutritional status in patients with chronic renal failure to investigate the effect on the development of renal osteodystrophy

This study in patients with chronic renal failure was carried out to investigate the effect of nutritional status on the development of renal osteodystrophy. This research has been done on Çerkezköy/Tekirdağ Country State hospital treated / seen 96 hemodialysis patients. Patients were measured by dual-energy x-ray absorptiometry (DEXA) osteomalacia (26 patients) and osteoporosis (70 patients) based on the results divided into two groups. There is a relationship/ not compared between demographic and clinical characteristics, biochemical parameters, body composition and nutritional status of these groups. Data were obtained through a quastionnaire. A three-day dietary recall dialysis patients on the day of entry (the last 24-hour dietary recall) to be recorded. The Kolmogorov-Smirnov test, Student's t-test, Mann-Whitney U-test, Pearson's Chi-Square, Likelihood Ratio or Fisher's Chi-square tests were used in statistical analysis. Hypertension is the most important causes of chronic renal failure. Diabetes is higher incidence in patients with osteoporosis (p<0,05). Fluid consumption of group with osteoporosis is less (p<0,001). Osteoporosis than those who more often eats food, consume less salty food, consume less fluid (p<0,05, p<0,001 p<0,001). Patients with osteomalacia and osteoporosis calcium intakes below the recommended values. Parathyroid hormone level is higher in osteoporosis group (p<0,05). The mean energy, protein, vitamin C, iron and zinc intakes less than the recommended. Patients are lower than the recommended average daily consumption of calcium and potassium. There was no difference between the groups (p>0,05). The recommended daily consumption of phosphorus between the values of the patients. As a result, patients with osteomalacia and osteoporosis group consumed energy, protein values were found to be less than the values recommended. Hemodialysis patients which couldn?t consume the recommended protein diet the problem of protein energy malnutrition may develop. Kidney disease due to osteomalacia, osteoporosis are adequate and balanced nutrition and diets regularly need to be in control.