Correlation between Attitudes and Eating Habits and Serum Level of Phoshpates in Hemodialysis Patients

Nutritional problems in hemodialysis (HD) patients are frequently associated with poor control of serum phosphorus what may lead to chronic kidney disease-metabolic bone disease. Hyperphosphatemia is an important risk factor for extraskeletal and vascular calcifications and is associated with cardiovascular morbidity and mortality. Increased ingestion of phosphorus is an important factor in development of hyperphosphatemia. We investigated nutritional habits and attitudes of HD patients and determined their correlation with serum phosphate levels in 57 patients treated in Clinical centre Montenegro. Twenty-two patients were male (38.6%), with average age 57 (range, 30-73 years). Statistically significant correlation was found between red meat or milk ingestion and serum phosphate, as well as between educational level and serum phosphate. In our population, socioeconomic level was directly correlated with serum phosphate. Conclusion: a serum phosphate level is determined by socioeconomic level, ingestion of red meat and milk, and depends on educational level in HD population of the capital of Montenegro.