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Objectives: The main aim of the study was to compare the nutritional status of subjects undergoing
dialysis in a private hospital and government hospital.
Methods: A cross sectional study was conducted in 100 subjects. A questionnaire was used to collect
information regarding demographic profile, lifestyle pattern,medical history, biochemical
parameters, food frequency questionnaire and 24 hours,3 days diet recall. Anthropometric
measurements were taken and BMI was calculated.SGA questionnaire was used to assess the
malnutrition of the subjects.Statistical analysis was performed using SPSS software. Paired T test
and Chi square test was carried out. P-value < 0.05 was considered to be statistically significant.
Results: The average intake of energy, quality protein and calcium among private(government)
hospital was 1694 kcal (1307kcal), 4.25gm (4.37gm), 700mg (1062mg) respectively,this showed the
intake of energy and quality protein was higher among private hospital subjects,whereas intake of
calcium was higher in government hospital subjects. The anthropometric measurement was seen to
be higher in private hospital subjects.The SGPT and uric acid was seen to be normal in government
hospitals whereas calcium and platelets were seen to be higher in private hospitals. The Subjective
Global Assessment showed that the subjects from private hospital were well nourished by 48%
whereas Government hospital subjects were severely malnourished by 36% and most of the subjects
from both the hospitals were mild to moderately malnourished.
Conclusion: Statistical difference was seen in private and government hospital subjects with regards
to Nutritional and health status.Efforts need to be undertaken to improve food intake,nutrition
knowledge and prevention of malnutrition of the population undergoing dialysis.
Key words: Chronic Kidney Disease,Subjective Global Assessment,Qualityprotein,Malnutrition, Dialysis.