부산대학교 도서관

A questionnaire survey was conducted on 34 hemodialysis patients (20 males and 14 females), including a question on history of nutritional therapy prior to dialysis. Males showed significantly shorter history of dialysis than females, and the age at which dialysis was introduced, the age at which renal findings were identified, the proportion of individuals with a history of smoking, and the proportion of individuals with diabetic complications were all significantly higher. The group with 5 or more years from when the renal findings were detected to the start of dialysis had significantly lower body weight and BMI at the time of the survey, maximum body weight, BMI at maximum body weight, and age at which renal findings were identified, compared to the group with less than 5 years from when the renal findings were detected to the start of dialysis. The period from when the renal findings were detected to the start of dialysis was significantly longer in the group of individuals who have never smoked, compared to the group with a history of smoking. 58.8% had a history of nutritional therapy prior to dialysis, and approximately 40% of patients were introduced to dialysis without nutritional therapy. In order to prevent the progression of chronic kidney disease, it is suggested that better lifestyle management guidance is required, including obesity prevention, help for quitting smoking, and nutritional counseling (restrictions on salt and protein intake). This suggests that dieticians and nutritionists should continue to improve rates of lifestyle management guidance, including nutritional counseling (salt and protein restriction) to help prevent the progression of chronic kidney disease.