Comparative Study on Malnutrition In CAPD Vs Hemodialysis Patients From a Single Center

Abstract

It is commonly believed that CAPD patients are more malnourished than their counter parts on haemodialysis. We did a Cross sectional observational study to compare the nutritional status of patients who were age, sex and dialysis vintage matched on Hemodialysis and on CAPD in our hospital. Ninety one patients were evaluated for nutritional status (HD=49, CAPD=42). The mean hemoglobin levels were higher for CAPD vs HD (10.5 vs 8.02 g%) (p<0.0005). There was no difference in Serum albumin levels (CAPD vs HD =3.35 vs 3.43 g% ) (P=NS). There was no difference in means of Mid Arm Circumference, Triceps Skin Fold Thickness , Abdominal Skin Fold Circumference and MidArm Muscle Circumference in the two cohorts. The mean Infra scapular skin fold thickness (ISSF) was significantly higher in patients on CAPD vs HD (p< 0.05 ). In our age,sex and dialysis vintage matched cohorts ofRD and CAPD, we have not found worse nutritional status in CAPD.