Abstract
The numbers of older hemodialysis patients (OHPs) are increasing very rapidly worldwide, but few studies have focused on the compliance of OHPs. This study compared the compliance with, and the knowledge of, dietary restriction regimens between OHPs and younger hemodialysis patients (YHPs). Mortality was also compared between these two groups. A total of 160 patients who were registered at the Asan Medical Center (Seoul, Korea) participated in the study, 64 of whom were classified as OHPs (age >or=65 years), and 96 as YHPs (age <65 years). Data were collected between September 2003 and February 2004. General characteristics and dietary knowledge of potassium, phosphorus, and sodium and fluid restrictions were assessed by personal interview. Dietary compliance was determined by measuring serum levels of these nutrients and interdialytic weight gain. Subjective global assessments were used to evaluate nutritional status. Both OHPs and YHPs were followed until May 2007 for mortality analysis. The data were analyzed with descriptive statistics, Student's t test, chi(2) test, and Spearman correlation using the SPSS statistical package (SPSS, Inc., Chicago, IL). The OHPs had a lower appetite, lower physical activity, and lower educat...Continue Reading
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