The Comparison Of Nutrition Status Between Korean-Chinese And Native-Chinese In Maintenance Hemodialysis Patients In YanBian University Hospital

Objective:To investigate the nutrition status between Korean-Chinese and Native-Chinese in maintenance hemodialysis (MHD) patients in YanBian university hospital.Methods:Total 64 chronic renal failure (CRF) patients were divided into two groups:1) Korean-Chinese group(n=32); 2) native-Chinese group (n=32).Body mass index (BMI), mid-arm circumference (MAC), triceps skin fold thickness (TSF), and grip strength were recorded, and biochemistry parameters (HGB, HCT, ALB, PA, BUN, CRE, CA, P, TG, TC and CRP) were analyzed by automatic biochemical analyzer (Hitachi 7600-010 and SYSMEX XE2100). The influence of levocarnitine on malnutrition was also observed.Results:The level of serum pre-albumin (390.8±97.3g/L vs 336.8±97.7 g/L, p<0.05) was significantly increased in Korean-Chinese populations than that in Native-Chinese. However, the level of high sensitive C-reactive protein (0.9±1.2 mg/L vs4.8±10.5 mg/L, p<0.05) was lower in Korean-Chinese MHD patients. Compared with the Native-Chinese group, the Korean-Chinese group showed an increase in TSF (17.4±4.6mm vs 15.1±3.7mm, p<0.05) and BMI (23.7±2.6Kg/m2 vs 22.2±2.6 Kg/m2, p<0.05), and a decline in serum creatinine (849.3±330.3μmol/Lvs 1019.7±310.4μmol/L, p<0.05) and blood urea nitrogen (21.4±7.9 mmol/L vs 25.8±8.3 mmol/L, p<0.05). Levocarnitine significantly improved the nutrition status in both groups. However, systolic blood pressure (160±17mmHg vs 149±18mmHg, p<0.01) was higher in Korean-Chinese MHD patients compared with the Native-Chinese.Conclusion:The nutrition status is better in Korean-Chinese MHD patients compared with the Native-Chinese in the hemodialysis unit of YanBian university hospital, and supplementation of levocarnitine improves the nutrition status in these populations.