New research aimed to determine whether switching from in-center hemodialysis to nocturnal home hemodialysis improved the nutritional state of end-stage renal disease patients. Malnutrition is frequently seen in dialysis patients. A study investigated patients during the course of one to two years, using dietary records, appetite questionnaires, laboratory tests and patient data.
 
The results of the study found appetite, body weight, energy and protein intakes improved when patients began nocturnal home hemodialysis. Patients could drink more fluids. Serum phosphate, calcium and potassium intake increased. Lab results remained positive without the use of phosphate binders or potassium binders. The only negative outcome of the switch to nocturnal home hemodialysis was the intake of fat, which creates a risk for excess weight gain.

This article originally appeared in the August 2009 issue of AAKP Diet Tips & Bits.