IMPACT OF NUTRITIONAL FACTORS ON ANEMIA MANAGEMENT IN ATHLETIC PATIENTS UNDERGOING MAINTENANCE HEMODIALYSIS

Abstract

Objective: Maintenance hemodialysis (MHD) is a critical treatment for patients with end-stage renal disease (ESRD), with anemia being a prevalent complication among these patients. This study aimed to assess the impact of nutrition literacy on anemia management in athletic patients undergoing MHD, focusing on dietary behaviors and nutrient intake. Methods: A total of 214 MHD patients participated in this study, divided into an anemia group (n=135) and a non-anemia group (n=79). Key health markers such as albumin and cholesterol were measured. A comprehensive questionnaire assessing nutrition literacy was administered to both groups to explore the relationship between dietary knowledge and the management of anemia. The study also examined correlations between specific dietary practices and anemia prevalence. Results: Baseline characteristics including age, gender, BMI, blood pressure, and education level showed no significant differences between the two groups. Additionally, most biomarkers like cholesterol, triglycerides, and serum iron levels did not differ significantly between the groups. The questionnaire revealed potential benefits in modifying dietary habits, such as reducing rice and noodle consumption, limiting high phosphorus foods, and increasing intake of natural and food-based vitamin D. Despite these findings, logistic regression analysis indicated that these dietary factors were not independent risk factors for anemia among the study participants. Conclusion: Nutrition literacy plays a crucial role in the management of anemia for athletes on MHD, highlighting the importance of tailored dietary guidance. While specific dietary modifications suggested improvements in anemia management, they did not independently predict anemia risk, suggesting that comprehensive dietary education and individualized nutrition plans are vital for this population. Further research should continue to explore the interplay between diet and anemia in MHD patients to better support their unique nutritional needs and enhance their overall health outcomes.