Association of energy and protein intake with nutritional status (SGA) in hemodialysis patients
DOI:
https://doi.org/10.30989/mik.v15i2.2109Keywords:
Chronic Kidney Disease, Energy Intake, Hemodialysis, Nutritional Status, Protein IntakeAbstract
Background: The Indonesian Health Survey reported a 0,18% prevalence of chronic kidney disease. Data from the hemodialysis unit showed that an average of 95 patients underwent hemodialysis in 2025.
Objective: To analyze the association between energy and protein intake with nutritional status (SGA) in Hemodialysis patients at RSUD Bangli.
Methods: An analytical observational study with a cross-sectional design. The study population consisted of 95 respondents, with 86 respondents aged ≥ 18 years who were in stable condition and had complete medical records, selected through consecutive sampling. The data analyzed were secondary data on energy and protein intake obtained from the SQ-FFQ form, as well as nutritional status (SGA) recorded in medical records.
Results: The study found a significant association between energy intake and nutritional status in hemodialysis patients (p=0,011;OR=3,2), and also indicates a significant association between protein intake and nutritional status in hemodialysis patients (p=0,003;OR=3,95).
Conclusion: Energy and protein are associated with nutritional status. Therefore, regular nutritional monitoring and interventions are essential to support the management of hemodialysis patients
References
1. Mailani F. Edukasi Pencegahan Penyakit Ginjal Kronik (PGK) Pada Lansia. (Mutia R, ed.). Adab; 2022.
2. Kementerian Kesehatan Republik Indonesia. Survei Kesehatan Indonesia 2023 (SKI).; 2023.
3. Aditama NZ, Kusumajaya H, Fitri N. Faktor-faktor Yang Berhubungan Dengan Kualitas Hidup Pasien Gagal Ginjal Kronis. J Penelit Perawat Prof. 2023;6(1):109-120.
4. RSUD Bangli. Laporan Tahunan Instalasi Rekam Medik.; 2025.
5. Denda P, Sofyan F, Buly L, Utama F, Lestari NA. Status Gizi Pasien Penyakit Ginjal Kronis Berdasarkan Di Rsud Praya , Kab . Lombok Tengah Nutritional Status of Chronic Kidney Disease Patients Based on Energy Intake , Protein , and Duration of Hemodialysis At Praya Regional Hospital , Central Lombok Reg. Gorontalo J Heal Sci Community. 2024;9(3):185-194. https://ejurnal.ung.ac.id/index.php/gojhes/index
6. Syakilla S, Djamaluddin N, Liputo GP, Maryadi. Hubungan Lama Menjalani Hemodialisis dengan Status Gizi Pasien yang Menjalani Hemodialisis di RSUD Prof. Dr. H. Aloei Saboe. J Kolaboratif Sains. 2025;8(8):5455-5465. doi:10.56338/jks.v8i8.8380
7. Irene Putri Y, Ainil Adha, Hasneli. Homeostasis Status Gizi Pasien Penyakit Ginjal Kronis Yang Menjalani Hemodialisis. Gema Kesehat. 2025;17(1):73-82. doi:10.47539/gk.v17i1.489
8. PERNEFRI. Konsensus Nutrisi Pada Penyakit Gagal Ginjal Kronik. PERNEFRI; 2011.
9. Ekaputri GJ, Khasanah TA. Hubungan Asupan Energi Dan Protein Terhadap Status Gizi Pasien Penyakit Ginjal Kronik Dengan Hemodialisa Relationship of Energy and Protein Intake To Nutritional Status of Chronic Kidney Disease Patients With Hemodialization. J Nutr Culin. 2022;2(2):17-18.
10. Yoga MAPA, Susmalini, Zuraida R, Indriani Y, Sayekti WD. The Relationship Between Energy and Macronutrient Intake And Nutritional Status In Chronic Renal Failure Patients With Haemodialysis. 2024;6(5):2833-2842.
11. Lestari P, Rustandi B, Istianah I, Pahlawan RG. Assessment of Nutritional Status Using SGA (Subjective Global Assessment) and MIS (Malnutrition Inflammation Score) Tools in Hemodialysis Patients. Crit Med Surg Nurs J. 2023;12(2):33-38. doi:10.20473/cmsnj.v12i2.49641
12. Supariasa IDN, Bakri B, Fajar I. Penilaian Status Gizi. 2nd ed. EGC; 2021.
13. Susetyowati, Faza F, Listyaningsih AD. Asuhan Gizi Pada Gangguan Ginjal Akut Dan Penyakit Ginjal Kronik. (Ariana, ed.). Gadjah Mada University Press; 2025.
14. Hasanah U, Hammad H, Rachmadi A. Hubungan Kadar Ureum Dan Kreatinin Dengan Tingkat Fatigue Pada Pasien Chronic Kidney Disease (Ckd) Yang Menjalani Hemodialisa. J Citra Keperawatan. 2020;8(2):86-92. doi:10.31964/jck.v8i2.158
15. Unga DRN, Widistuti Y, Harun I. HUBUNGAN STATUS GIZI , KADAR HEMOGLOBIN DENGAN KUALITAS HIDUP PASIEN PENYAKIT GINJAL KRONIS-HEMODIALISA. Published online 2026.
16. Budi SL, Setyawan Y, Sekarputri CH. Gambaran Status Nutrisi pada Pasien Penyakit Ginjal Kronik yang Menjalani Hemodialisis di Kota Surabaya Description of Nutritional Status in Patients with Chronic Kidney Diseasepatients Undergoing Hemodialysis in the City of Surabaya. J Surya Med. 2024;341-347:341-347. http://journal.umpalangkaraya.ac.id/index.php/jsm%0AGambaran
17. Putri NLPYA, Wiardani NK, Juniarsana IW. Hubungan Asupan Energi , Protein , dan Adekuasi Hemodialisis dengan Status Gizi Pasien Gagal Ginjal Kronis Hemodialisis Rawat Jalan di RS Baliméd Denpasar. J Ilmu Gizi J Nutr Sci. 2024;14(1):44-53.
18. Mulyani EY, Nurbaiti S, Mustika AB, Maharani A. Hubungan Asupan Protein, Natrium-Kalium, Air dan Kadar Ureum Terhadap Status Gizi Pasien Hemodialisa di Rumah Sakit Medika BSD. Media Gizi Mikro Indones. 2023;15(1):89-102. https://doi.org/10.22435/mgmi.v9i1.629
19. Rahmi D. Hubungan Asupan Energi, Protein, Kalium dan Cairan dengan Status Gizi pada Pasien Gagal Ginjal Kronik (GGK) yang Menjalani Hemodialisa di Rumah Sakit Umum Daerah Kota Padang Panjang. 2024;44:2023-2024.
20. Putri TSA, Sjahriani T, Hadiarto R, Prasetia T. Pengaruh Asupan Protein Dengan Progresivitas Pasien Gagal Ginjal Kronik Di Rumah Sakit Bintang Amin Bandar Lampung. /EjurnalmalahayatiAcId. 2025;12(9):1902-1913. http://ejurnalmalahayati.ac.id/index.php/kesehatan POLA
21. Nofityanti A, Aftulesi N, Junita DE, Wati DA. Asupan Protein Dengan Kadar Ureum Dan Kreatinin Pasien Gagal Ginjal Kronik Hemodialisa RSUD Pringsewu. Media Gizi Pangan. 2025;32:88-93.
22. Widiyawati A, Rahmanda AW. Hubungan Asupan Protein Dan Frekuensi Hemodialisis Dengan Kadar Serum Kreatinin Pada Pasien Gagal Ginjal Kronik Di Rumah Sakit Umum Kaliwates. HARENA J Gizi. 2025;5(2):97-103. doi:10.25047/harena.v5i2.5981
23. Doria C, Simon C, Marin M, Sanabria M, Rivera A, Rutherford P. Protein Energy Wasting In Hemodialysis And Its Relationship With Mortality And Hospitalization: A Cohort Study. Vol 10.; 2025.
24. Adrianto Y, Hustrini NM, Kresnawan T, Amelia AE, Hudayani F. Hubungan Subjective Global Assessment (SGA) dengan Asupan Energi, Protein, Kekuatan Genggam Tangan, dan Indeks Massa Tubuh pada Pasien Penyakit Ginjal Kronis (PGK) dengan Continuous Ambulatory Peritoneal Dialysis (CAPD). J Penyakit Dalam Indones. 2022;8(4):195. doi:10.7454/jpdi.v8i4.628
25. Putri ZSY, Fikri Z, Setyowati L, Sunardi. Pengaruh Status Nutrisi Terhadap Kualitas Hidup Pada Pasien Hemodialisis. 2025;19(6):1606-1613.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 MEDIA ILMU KESEHATAN

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Articles received and published by the Media Ilmu Kesehatan are by the publication, the copyright of the article is fully transferred to the Media Ilmu Kesehatan. All operational forms such as printing, publication, and distribution of hard file journals are carried out by the Media Ilmu Kesehatan. Articles that have finished the review process and have been declared accepted by the journal manager or editor will be asked to fill out a statement of submission of copyright by the journal secretary to the main author or correspondent author. The statement of transfer of copyright is signed with a seal and sent via email to journalmik2018@gmail.com and contacted the admin of the journal to be followed up on archiving. Journal managers and editors have the right to edit the manuscript according to the provisions of the writing rules in the Media Ilmu Kesehatan.
Articles that have been declared accepted either online through the author's account on the OJS website https://ejournal.unjaya.ac.id/index.php/mik or a letter of receipt of the article (LOA), as well as those that have been published on OJS are not allowed to be published in other journals, or proceedings. The number of authors with more than one and as the main author or designated as the correspondent writer must have coordinated with members of the research team. The order of the authors submitted in the article as the author of one, two, three and so on cannot be changed when the article is published unless an error occurs in the technical operation of the journal.




