Nutrition and Dietetics

Abstract

Evaluating Hand Grip Strength in Patients on PD and HDAim: This is a prospective study aimed at evaluating hand grip strength in dialysis population.Methods and Materials: We enrolled 30 chronic PD patients and 50 maintenance Hemodialysis patients into the study and assessed hand grip strength along with demographic variables such as age, sex, diabetic status, cardiac disease, serum hemoglobin and albumin.Results: Group-A (Hemodialysis): Age -53.62±12.45 years, 78% males and 22% female, 60% were diabetic and 40% were nondiabetic, and 8% had cardiac disease. Vintage period of hemodialysis is 3.86±2.8 years, hemoglobin 9.7±1.1 mg/dl, s. albumin 4.0±1.2 mg/dl, hand grip strength (HGS) assessment in predialysis 11.58±3.7 kg, post dialysis 9.2±3.6 kg, Hand Grip Strength assessment -predialysis: 10% severe malnutrition, 24% moderate malnutrition, 56% mild malnutrition and 10% had a normal nutritional status; postdialysis: 16% severe malnutrition, 50% moderate malnutrition, 34% mild malnutrition and 0% had a normal nutritional status. Group-B (Peritoneal dialysis): Age58.6±11.52, 63.3% males and 36.7% females, 66.7% were diabetic and 33.3% were nondiabetic, 20% had cardiac disease. Vintage period on dialysis was 3.33±2.6 years, hemoglobin 10.5±1.4 mg/dl, Hand Grip Strength -10.8±2.9 kg, serum albumin 3.8±1.0 mg/dl. Hand Grip Strength assessment -6.7% severe malnutrition, 40% moderate malnutrition, 53.3% mild malnutrition and 0% had a normal nutritional status.Conclusion: HD patients seem to have better hand grip strength compared to PD which requires a longitudinal study with a large cohort to confirm the findings of this pilot study.