Objective: Aim of current study was to determine the effect of counselling on inter-dialytic weight gain amongst haemodialysis dependent patients. Study Design: Randomized controlled trial Place and Duration:This study was conducted at Nephrology Department of Combined Military Hospital, Peshawar, and the duration of this study was from 01 August 2021 to31 January 2022. Methods:Total 110 patients of End Stage Renal Disease on maintenance haemodialysis having 2-3 sessions per week were enrolled. Patients were equally divided in two groups. In group I, 55 patients were counseled to restrict fluid intake for 6 months and in group II, 55 patients were not counseled. Interdialytic weight gain before and after counselling was assessed among both groups. Results: Majority of the patients63 (57.3%) were males and 47 (42.7%) were females. Average age of the included patients was 57.6±17.67 years and had mean BMI 24.7±10.29 kg/m2. Mean duration of dialysis was 19.6±3.55 months.Hypertension and DM were the most common etiologies among all cases. In group I before counselling IDW was 3.2±1.16 kg, after 3months IWG was 2.9±5.57 kg and after final follow up IWG was 2.61±7.35 kg and in group II baseline IDW was 3.5±9.29 kg, after 3months 3.7±5.88 kg and after 6months 3.9±3.97 kg. Significantly reduction in hyperkalemia was seen in group I with p <0.003 as compared to group II while there was no any difference observed in serum albumin level and hyperphosphatemia among both groups. Conclusion: Our findings suggest that providing patients on maintenance hemodialysis with active nutritional advice and counseling can assist these patients with fluid overload and hyperkalemia.

Inter-Dialytic Weight Gain, Counseling, End Stage Renal Disease, Haemodialysis