The Protein Intake, Hemodialysis Duration and Nutritional Status among CKD Patients
Abstract
Background : Patients undergoing hemodialysis are at risk of malnutrition due to inadequate nutritional intake and clinical factors.
Objective : This study aimed to analyze the relationships between protein intake, hemodialysis duration, and nutritional status among patients with chronic kidney disease at RSUD Wangaya Denpasar.
Methods : This cross-sectional observational study included 36 patients aged 19–70 years undergoing hemodialysis 2–3 times weekly at the Hemodialysis Unit of RSUD Wangaya Denpasar. Participants were selected using consecutive sampling. Protein intake was assessed using a 2×24-hour food recall, hemodialysis duration through direct interviews, and nutritional status using the Dialysis Malnutrition Score. Data were analyzed using Spearman correlation.
Results : Protein intake was significantly associated with nutritional status (p = 0.003), whereas hemodialysis duration was not (p = 0.904). Most participants had inadequate protein intake and had undergone hemodialysis for 1–3 years.
Conclusions : Protein intake was significantly associated with nutritional status, while hemodialysis duration was not. Adequate protein intake is important for maintaining nutritional status and preventing malnutrition among patients undergoing hemodialysis.
Keyword : Protein, Hemodialysis, Nutritional Status, Chronic Kidney Failure
References
1. WHO. Public Health Milestones Throughout the Year. 2023.
2. Statistics Indonesia (BPS). Indonesian Health Survey (SKI) in Figures. Kediri City in Figures. 2023. p. 1–68.
3. Yasmine RJ. The Relationship Between Family Support and Anxiety Among Patients with Chronic Kidney Disease Undergoing Hemodialysis at UKI Hospital, Jakarta. 2024. p. 1–23.
4. Marhaeni D, Herawati D, Ariyanto EF, Ilmu D, Medik G, Kedokteran F, et al. Medical Management Policies for Patients with Chronic Kidney Disease Undergoing Hemodialysis at Hasan Sadikin Hospital, Bandung. J Kebijak Kesehat Indones. 2014;3(2):66–74.
5. Kurniati L, Fayasari A, Jaya M, Bekasi K, Bantul K. Association Between Nutritional Knowledge and Dietary Intake with Nutritional Status Among Outpatient Hemodialysis Patients at Hermina Hospital Bekasi. 2024;4(2):1–11.
6. Harvinder GS, Swee WCS, Karupaiah T, Sahathevan S, Chinna K, Ahmad G, et al. Dialysis Malnutrition and Malnutrition Inflammation Scores: Screening Tools for Prediction of Dialysis-Related Protein-Energy Wasting in Malaysia. Asia Pac J Clin Nutr. 2016;25(1):26–33.
7. Devi AAIKSS, Wiardani NK, Cintari L. Association Between Protein Intake, Duration of Hemodialysis, and Nutritional Status of Patients with Chronic Kidney Disease at Wangaya Regional General Hospital, Denpasar. J Ilmu Gizi J Nutr Sci. 2022;11(2):105–15.
8. Rahmi D. Association of Energy, Protein, Potassium, and Fluid Intake with Nutritional Status Among Patients with Chronic Kidney Disease Undergoing Hemodialysis at Padang Panjang Regional General Hospital. 2024.
9. Dian D, Atmadja TFAG, Kosnayani AS. Association Between Duration of Hemodialysis, Appetite, and Nutritional Status in Patients with Chronic Kidney Disease. J SAGO Gizi dan Kesehat. 2023;5(1):37.
10. Putri YI, Adha A, Kesehatan F, Universitas M, Padang K, Barat S, et al. Homeostasis of Nutritional Status in Patients with Chronic Kidney Disease. 2025;17(September 2020).
11. Sofyan PDF, Utama LBF, Lestari NA, Setyobudi I. Nutritional Status of Patients with Chronic Kidney Disease Based on Energy Intake, Protein Intake, and Duration of Hemodialysis at Praya Regional General Hospital, Central Lombok. 2024.
12. Al F, Hendardi M, Kosnayani AS, Listyawardhani Y. Association of Protein, Folic Acid, and Iron Intake with Post-Hemodialysis Hemoglobin Levels in Patients with Chronic Kidney Disease. 2024;5(1):65–73.
Downloads
Published
How to Cite
Issue
Section
Citation Check
License
Copyright (c) 2026 Diva Cinta Dinanti, Pande Putu Sri Sugiani, Ni Komang Wiardani
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
- Penulis menyimpan hak cipta dan memberikan jurnal hak penerbitan pertama naskah secara simultan dengan lisensi di bawah Creative Commons Attribution License yang mengizinkan orang lain untuk berbagi pekerjaan dengan sebuah pernyataan kepenulisan pekerjaan dan penerbitan awal di jurnal ini.
- Penulis bisa memasukkan ke dalam penyusunan kontraktual tambahan terpisah untuk distribusi non ekslusif versi kaya terbitan jurnal (contoh: mempostingnya ke repositori institusional atau menerbitkannya dalam sebuah buku), dengan pengakuan penerbitan awalnya di jurnal ini.
- Penulis diizinkan dan didorong untuk memposting karya mereka online (contoh: di repositori institusional atau di website mereka) sebelum dan selama proses penyerahan, karena dapat mengarahkan ke pertukaran produktif, seperti halnya sitiran yang lebih awal dan lebih hebat dari karya yang diterbitkan. (Lihat Efek Akses Terbuka).
