Abstract
Chronic Kidney Disease [CKD] is a severe, widely spread disease that leads to advanced kidney dysfunction, mainly at the advanced stage, necessitating interventions like dialysis or kidney transplantation. Lately, the results clarified that dietary modifications are mandatory to counteract the adverse effects of this disease, particularly for patients experiencing Maintenance Hemodialysis [MHD]. This study aimed to assess CKD patients' awareness and nutritional status under hemodialysis, focusing on the relationship between dietary intake and disease complications and the effects of phosphorus and sodium intake on CKD patients' morbidity and mortality rate. The study conducted Interviews with 111 hemodialysis patients at two Kidney dialysis centers in Tripoli, Libya. The study utilized a 35-question questionnaire covering personal information, medical history, and dietary health assessments. Findings revealed that only 31% of pre-dialysis patients had adequate knowledge of food management systems to enhance dialysis and treatment protocols, whereas 69% of hemodialysis patients understood their dietary needs but did not follow a proper diet. Among hemodialysis patients, 63% experienced loss of appetite and sudden weight loss, with 16% unable to regain their baseline weight and facing protein- energy wasting [PEW]. A staggering 99% reported symptoms of short-term hyperphosphatemia, with 55% using Reangle pills for relief, while 44% did not due to financial reasons or lack of awareness. Hypertension affected 40% of post-dialysis patients, and 38% experienced edema and shortness of breath, emphasizing better fluid regulation. In conclusion, while a majority of CKD patients were aware of their dietary needs, many struggled with appetite loss and weight issues, leading to significant nutrient deficiencies and complications. Keywords. Chronic Kidney Disease, Dialysis, CKD diet, Hyperphosphatemia, Protein-Energy Wasting.