Quality of life in peritoneal dialysis patients and its relationship with nutrition disorders

  • I. Dudar SI «Institute of Nephrology NAMS of Ukraine» https://orcid.org/0000-0002-4372-8240
  • A. Shymova SI «Institute of Nephrology NAMS of Ukraine»
  • Y. Gonchar SI «Institute of Nephrology NAMS of Ukraine»
  • O. Loboda SI «Institute of Nephrology NAMS of Ukraine»
  • E. Krasiuk SI «Institute of Nephrology NAMS of Ukraine»
Keywords: chronic kidney disease, renal replacement therapy, peritoneal dialysis, nutritional status, quality of life


Abstract. The aim of our study was to evaluate the quality of life (QoL) in peritoneal dialysis (PD) patients and its relationship with nutritional disorders.

Methods. 52 PD patients were included in the observational cross-sectional study. The QoL was conducted using a SF-36 quality of life assessment questionnaire. Moreover, the PD patients’ nutrition status (NS) was examined. For further analysis, the patients were divided into four groups according to the condition of the NS: the first group (n = 22) consisted of patients without nutrition disturbance, the second group (n =13) included the patients with mild nutrition disorders, the third group (n = 10) consisted the patients with an average degree of the NS, and the fourth one (n = 7) envolved the patients with a severe degree of malnutrition.  A comparative evaluation of QoL among the PD patients with different nutrition disorders was performed.

Results. During the analysis of indicators QoL we receive the following results: all patients were dissatisfied with the general state of health, the lowest of the indicators was the burden of the disease. The physical total component was lower than the mental. According to the analysis of NS parameters, nutritional disorders were observed in 57.6 % patients. Also according to the results, it follows that nutritional disorders negatively affect the QoL of the PD patients. Moreover, a direct strong correlation between the serum albumin level and the overall QoL score was obtained (r = 0.95; p < 0.001). In addition, the strong direct correlation between a body mass index (BMI) and overall QoL (r = 0.92; p < 0.001) and subjective global assessment (SGA) and overall QoL (r = 0.85; p < 0.001) were observed.

Conclusions: According to the results of the study, it was found that PD patients' QoL is dissatisfied. It was confirmed that nutritional disorders affect bad on the QoL of patients with almost all parameters. The overall QoL was significantly associated with serum albumin levels, BMI and SGA.


Download data is not yet available.


Kolesnyk MO, hol. redaktor. Natsionalnyi reiestr khvorykh na khronichnu khvorobu nyrok ta patsiientiv z  hostrym poshkodzhenniam nyrok: 2017 rik / uklad. NI Kozliuk, SS Nikolaienko, OО Razvazhaieva; Derzhavna ustanova «Instytut nefrolohii NAMN Ukrainy». Kyiv; 2018.183 s. [In Ukrainian].

Honchar Y. I. Yakist zhyttia ta toksemiia u khvorykh, yaki likuiutsia prohramnym hemodializom. PhD [thesis]. Kyiv; 2008. 12 p. [ In Ukrainian].

Kwabena T, Awuah I, Susan H. Finkelstein O, Fredric O. Quality of life of chronic kidney disease patients in developing countries. Kidney International Supplements.2013; May 3: 227–229. doi: 10.1038/kisup.2013.20.

Krylova M. I. Kachestvo zhizni bol'nyh na gemodialize i peritoneal'nom dialize. Dr.Med.Sci [dissertation on the internet]. Moskva; 2010; 12-18. Available from: http://medical-diss.com/docreader/326905/a?#?page=1.  [In Russian].

Theofilou T. Quality of Life: Definition and Measurement. Europe's Journal of Psychology. 2013; Sept. 9(1) :150–162. doi: 10.5964/ejop.v9i1.337.

Lopes A, Bragg-Gresbam J, Goodrim A. Factor associated, with health-related quality of life among hemodialysis patients in the DOPPS. Qual. Life Res. 2007; Aug 6 (4): 545-557. doi: 10.1007/s11136-006-9143-7.

Sakaci T, Ahbap E, Koc Y, Basurk T, Ucar Z, Sinangil A, et al. Clinical outcomes and mortality in elderly peritoneal dialysis patients. Clinics Sao Paulo. 2015; May 70(5): 363–368. doi: 10.6061/clinics/2015(05)10.

Atapour A, Nasr S, Boroujeni A, Taheri D. A Comparison of the Quality of Life of the Patients Undergoing Hemodialysis versus Peritoneal Dialysis and its Correlation to the Quality of Dialysis. Saudi J Kidney Dis Transpl. 2016; Dec 27(2):270-280. Available from: http://www.sjkdt.org.

Thaweethamcharoen T , Srimongkol W. Patient-reported outcomes or quality of life studies. Validity and Reliability of KDQOL-36 in Thai Kidney Disease Patient. International Society for Pharmacoeconomics and Outcomes Research (ISPOR). 2013; Feb. 2: 98-102. doi: 10.1016/j.vhri.2013.02.011.  

Albert W, Nancy , Jane V, Marsh-Manzi A, Klemens B, Frederic O. Changes in Quality of Life during Hemodialysis and Peritoneal Dialysis Treatment: Generic and Disease Specific Measures. JASN. 2004. March 15 (3): 743-753. doi: 10.1097/01.

Besey O. Quality of life in chronic haemodialysis and peritoneal dialysis patients in Turkey and related factors. International Journal of nursing practice. 2013. June 14: 547-556. doi: 10.1111/ijn.12098.

Wasserfallem J, Halabim M, Saudanefe P. Quality of life on chronic dialysis comparison between haemodialysis and peritoneall dialysis. Nephrol Dial Transplant. 2004. June 19 (6) :1594-15991. doi: 10.1093/ndt/gfh175.

Stanley M. Peritoneal dialysis versus haemodialysis (adult). Nephrology. 2009. March 15: 24–31. doi: 10.1111/j.1440-1797.2010.01228.x

Wit G, Merkus M, Krediet R, Charro F. A comparison of quality of life of patients on automated and continuous ambulatory peritoneal dialysis. Perit Dial Int.. 2001. May 21(3):306-12. Available from: https://www.ncbi.nlm.nih.gov/pubmed/11475348

 Bakewell A. Quality of life in peritoneal dialysis patients: Decline over time and association with clinical outcomes. Kidney International. 2002. Jan 61(1):239-48. doi: 10.1046/j.1523-1755.2002.00096.x

Shymova A, Dudar I, Shifris I. Nutrytsiini rozlady u khvorykh na khronichnu khvorobu nyrok 5D stadii yaki likuiutsia postiinym ambulatornym perytonealnym dializom ta yikh zviazok z hidratatsiinym statusom. Ukrainskyi zhurnal nefrolohii ta dializu. 2018. Vydannia 57:24-32. [In Ukrainian]. doi: 10.31450/ukrjnd.1(57).2018.01.

Naeeni A, Poostiyan N, Teimouri Z, Mortazavi M, Soqhrati M, Poostiyan E. Assessment of Severity of Malnutrition in Peritoneal Dialysis Patients via Malnutrition. Adv Biomed Res. 2017. July 6: 128. doi: 10.4103/abr.abr_554_13.

 Ikizler T, Hakim R. Nutrition in end-stage renal disease. Kidney International. 1996. March 50: 343—357. doi: 10.1038/ki.1996.323.

Enajite O, Sagren N, Momina M, Malcolm D. Quality of life in patients on continuous ambulatory peritoneal dialysis in an African setting. Saudi Journal of Kidney Dis and Transpl. 2015. May 23: 631-637. doi: 10.4103/1319-2442.157436.

Abstract views: 80
PDF Downloads: 43
How to Cite
Dudar, I., Shymova, A., Gonchar, Y., Loboda, O., & Krasiuk, E. (2019). Quality of life in peritoneal dialysis patients and its relationship with nutrition disorders. Ukrainian Journal of Nephrology and Dialysis, (1(61), 45-52. https://doi.org/10.31450/ukrjnd.1(61).2019.06

Most read articles by the same author(s)

1 2 > >>