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Serum albumin is a nutritional status assessment in patient with regular hemodialysis (HD). It is a simple assessment and laboratory test that is available in low to middle income countries to assess malnutrition in CKD undergoing regular hemodialysis.
This is a cross-sectional study to determine the prevalence of hypoalbuminemia as a marker of malnutrition and it’s relationship to quality of life (QoL) domain in regular hemodialysis patients at Sanjiwani Gianyar Hospital on Oktober 2022. This study investigated malnutrition by serum albumin less than 3.8 mg/dL and quality of life by KDQOL-SF on adult regular HD patients (over 18 years of age) who underwent regular hemodialysis twice a week, and signed the informed consent
This study recruited 105 regular HD patients that consist of 55.2% men with the mean age of 51.66 years, mean length of HD of 50.8 months. All subjects had the same treatment with 2 times HD a week. The mean of serum albumin was 3.86 mg/dL and the prevalence of malnutrition is 40% (albumin < 3.8 mg/dL). Albumin was significantly correlated to several domain of QoL such as work status, general health, pain, social function, and SF 12 physical composite with r= 0.282 (p=0.004), r=0.240 (p=0.014), r=0.271 (p=0.005), r= 0.211 (p= 0.03), and r= 0.225 (p=0.021) respectively. On linier regression analysis, this study obtained that serum albumin also affected to work status, general health, pain, social function and SF 12 physical composite with B (CI 95) =25.86(8.64-43.08; p=0.04), 10.53(2.22-18.84;p=0.14), 15.60(4.77-26.43;p=0.005), 11.34(1.09-21.60;p=0.03) and 5.15(0.79-9.51;p=0.02) respectively.
Prevalence of malnutrition is high and significantly related to several domain of QoL such as work status, general health, pain, social function dan SF 12 physical composite in regular HD patients.