The effect of intradialytic food intake on hemodialysis adequacy and blood pressure; a quasi-experimental study

Introduction: Food intake during hemodialysis (HD) is a controversial issue. The potential benefits include improvement of nutritional status and patient satisfaction. However, the risks possibility intradialytic hypotension (IDH) dialysis inadequacy. There are no guidelines regarding food HD. Objectives: To assess impact HD on IDH adequacy. Patients Methods: This was single-center quasi-experimental study. Thirty patients undergoing regular maintenance were recruited for themselves served as their controls. In three separate sessions, they assessed adequacy (spKt/V, URR). first session without meal, second with small third large meal. Change in measured variables URR) by repeated-measures analysis variance (ANOVA). McNemar test conducted to compare incidence between different sessions. Results: Nine (30%) had when consumed meal (P=0.02, test), eight (26.7%) (P=0.03, test). mean spKt/v URR not significantly Conclusion: increased risk due intake. associated significant morbidity mortality; hence, restricting sessions would be prudent.