CORRELATION OF BODY COMPOSITION AND QUALITY OF LIFE AMONG HEMODIALYSIS PATIENTS AT EAST AVENUE MEDICAL CENTER

 

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CORRELATION OF BODY COMPOSITION AND QUALITY OF LIFE AMONG HEMODIALYSIS PATIENTS AT EAST AVENUE MEDICAL CENTER

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MARIKA ILYSHA
LAPIDARIO
MARIKA ILYSHA LAPIDARIO marikailysha@gmail.com EAST AVENUE MEDICAL CENTER SECTION OF NEPHROLOGY QUEZON CITY Philippines *
ROLAND DELA CRUZ roland_delacruz_md@yahoo.com EAST AVENUE MEDICAL CENTER SECTION OF NEPHROLOGY QUEZON CITY Philippines -
MARISSA ELIZABETH LIM marlim2006@yahoo.com EAST AVENUE MEDICAL CENTER SECTION OF NEPHROLOGY QUEZON CITY Philippines -
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Chronic kidney disease (CKD) continues to be a significant global health burden, affecting over 10% of the population and contributing to significant morbidity and mortality. In the Philippines, CKD prevalence reaches 35.94%, highlighting the need for studies that address patient outcomes. Hemodialysis is the predominant renal replacement therapy, it sustains life but also impacts patients’ physical, psychological, and social well-being. As quality of life (QoL) has become a key therapeutic goal in this patients, understanding how factors such as body composition influence QoL is vital. This study aimed to determine the correlation between body composition parameters and QoL among maintenance hemodialysis patients at East Avenue Medical Center.

A prospective cross-sectional study was conducted among 75 adult maintenance hemodialysis patients. Body composition was measured using multifrequency bioelectrical impedance analysis (InBody S10), and QoL was assessed using the Kidney Disease Quality of Life Short Form (KDQOL-SF™) Filipino version. Pearson’s correlation coefficient was used to analyze relationships between body composition indices—including free fat mass, fat-free mass percentage, soft lean mass, extracellular and intracellular water, skeletal muscle index, arm and waist circumference and visceral fat area and—and physical, mental, and disease-specific (kidney disease component) QoL domains.

The study revealed that soft lean mass (r = 0.2685, p = 0.020) and extracellular water (r = 0.2585, p = 0.025) demonstrated significant positive correlations with the mental health component of QoL. These results emphasizes the importance of maintaining adequate lean body mass and achieving optimum fluid balance, which may contribute to improved psychological well-being and overall patient outcome. 

The findings of this study underscore that QoL in hemodialysis patients is molded by multiple interrelated factors extending beyond physical and nutritional metrics. Integration of  nutritional optimization, psychosocial support, and routine body composition monitoring is therefore recommended so that overall quality of life is achieved among hemodialysis patients.

Kewords