Nutritional risk factors among hemodialysis patients with Chronic kidney disease (West Algeria) Sidi-Bel

2016 ◽  
Vol 6 (4) ◽  
pp. 119-123
Author(s):  
Fatima Hamara ◽  
Karima Bereksi Reguig ◽  
Abdelhamid Bedjaoui ◽  
Abbes Bouterfas

The purpose of this study was to examine the nutritional status among the subjects attained by chronic kidney disease The overall included sample con-tained a group of 391 patients, hospitalized for hemodialysis at the nephro-logy division of the Hassani Abdelkader CHU Sidi-Bel-Abbes in the Western of Algeria. The obtained results indicated that men 57.69 % were more affected that women 42.30 % with a sex ratio of 1.36. The chronic kidney disease was more prevalent among older range 47 years. The biological parameters de-monstrated no significant rise of the urea amount with a rate of 2.20 ± 1.04 (g/l) among men and 1.98 ± 1.02 (g/l) among women. The average of creatininemy was approximatively 110.75 ± 56.49 (mg/l) for men 97.01 ± 48.47 (mg/l) for women. The creatinin clearance is 10.33 ± 7.95 (ml/min/1.73 m2) for man and 9.15 ± 6.29 (ml/min/1.73 m2) for woman. In addition, the glo-merular flow of filtration was decreased at the two sexes and confirms a disturbance of the renal function. The correlation between serum of creati-nine and clearance in both sexes is important for both men R = 0.458 and women: R = 0.731. The relation is inversely proportional between creatinine and clearance values. The evaluation of food consumption, indicates that daily intake energy exceeds dietary recommendations, characterized by overconsumption lipid and carbohydrate and protein deficiency. Intakes of vitamins are usually covered. But the mineral intake is not covered. Overall, healthcare is essential for the present population to prevent serious compli-cations of this disease.

2019 ◽  
Vol 4 (1) ◽  
pp. 12-17
Author(s):  
Mazou Ngou Temgoua ◽  
Gloria Ashuntantang ◽  
Marie José Essi ◽  
Joël Nouktadie Tochie ◽  
Moussa Oumarou ◽  
...  

Background: In sub-Saharan Africa (SSA), the trend in the number of patients admitted for maintenance hemodialysis is on the rise. The identification of risk factors for chronic kidney disease (CKD) ensures adequate primary and secondary preventive measures geared at reducing the burden of CKD in low-resource settings. A family history of CKD is an established risk factor for CKD in high-income countries. However, data on family predisposition to CKD is scarce in the literature on SSA. Objective: The current study aimed to determine the prevalence and risk factors of CKD in family relatives of a Cameroonian population of hemodialysis patients (HDP) followed-up in a major hemodialysis referral center in Cameroon. Methods: The current cross-sectional study was conducted over four months on a consecutive sample of first-degree family relatives of end-stage renal disease patients undergoing maintenance hemodialysis at the hemodialysis unit of the General Hospital of Yaoundé. For each participating family relative, socio-demographic characteristics, clinical data, and biological data including fasting blood glucose, proteinuria, and serum creatinine were collected. Results: A total of 82 first-degree family relatives of HDP were recruited. The prevalence of CKD among the participants was 15.8%. The main identified risk factors for CKD were age (P = 0.0015), female gender (P = 0.0357), hypertension (P = 0.0004), regular intake of herbal remedies (P = 0.0214), and diabetes mellitus (P = 0.0019). Conclusion: Overall, the current findings suggest an urgent need for population education, routine screening of CKD, and the identification of risk factors in first-degree family relatives of HDP in Cameroon.


2008 ◽  
Vol 149 (15) ◽  
pp. 691-696
Author(s):  
Dániel Bereczki

Chronic kidney diseases and cardiovascular diseases have several common risk factors like hypertension and diabetes. In chronic renal disease stroke risk is several times higher than in the average population. The combination of classical risk factors and those characteristic of chronic kidney disease might explain this increased risk. Among acute cerebrovascular diseases intracerebral hemorrhages are more frequent than in those with normal kidney function. The outcome of stroke is worse in chronic kidney disease. The treatment of stroke (thrombolysis, antiplatelet and anticoagulant treatment, statins, etc.) is an area of clinical research in this patient group. There are no reliable data on the application of thrombolysis in acute stroke in patients with chronic renal disease. Aspirin might be administered. Carefulness, individual considerations and lower doses might be appropriate when using other treatments. The condition of the kidney as well as other associated diseases should be considered during administration of antihypertensive and lipid lowering medications.


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