Comparison of hemodialysis and peritoneal dialysis patients’ dietary behaviors

Kim, Seon Mi; Kang, Byung Chin; Kim, Hyun Jung; Kyung, Min Sook; Oh, Hyung Jung; Kim, Jung Hyun; Kwon, Oran; Ryu, Dong Ryeol

doi:10.1186/s12882-020-01744-6

Cited by 20 publications

(15 citation statements)

References 31 publications

(35 reference statements)

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“…Treatment in patients with end-stage diabetic Hemodialysis can quickly remove toxins from the body, thus improve symptoms such as nausea and vomiting, reduce edema and improve appetite. 8 While peritoneal dialysis is more continuous and stable, resulting in higher quality of life -intake of water and salt depends on daily clearance, which avoids water-sodium retention and maintains a relative balance of the body. For both groups, dialysis relieved the discomfort symptoms, improved appetite, reduced endotoxin levels, and corrected calcium and phosphorus metabolism disorders, so both HD and PD are effective treatment for patients with ESDN.…”

Section: Discussionmentioning

confidence: 99%

Comparative study on the efficacy of peritoneal dialysis and hemodialysis in patients with end-stage diabetic nephropathy

Xu¹,

Han²,

Yi³

et al. 2020

Pak J Med Sci

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Objective: Diabetic nephropathy is a serious threat to human health, and its incidence is on the rise. End-stage diabetic nephropathy (ESDN) requires extra investigation due to its complexity and severity, as well as serious concurrent diseases. Our objective was to compare the efficacy of hemodialysis (HD) and peritoneal dialysis (PD) in the treatment of ESDN. Methods: Clinical data of 84 patients with ESDN admitted to our hospital from June 2016 to June 2018 were retrospectively analyzed. The patients were divided into an HD group that received hemodialysis and a PD group that received peritoneal dialysis. Their general conditions, biochemical indicators, residual renal function and incidence of complications were recorded and compared between the two groups. Results: (1) No significant difference in diastolic blood pressure, systolic blood pressure, body weight, or urine output was detected between the two groups at the beginning of dialysis (P>0.05). (2) Compared to the PD group, the HD group had significantly lower total cholesterol (TC) and triglyceride (TG) (P<0.05), and significantly higher total protein (TP) and albumin (ALB) after treatment (P<0.05). (3) The two groups also showed significant difference in residual renal function after treatment (P<0.05). (4) The HD group had significantly higher systolic pressure than the PD group after treatment (P<0.05). And more cases of infection were observed in the PD group than the HD group (P<0.05). Conclusion: Both HD and PD are used for treatment of ESDN, and can achieve similar calcium and phosphorus control. Compared to HD, PD has less adverse effect on hemodynamics and better preserves residual renal function, but is more likely to cause malnutrition and disorders of lipid metabolism. Therefore, choice of dialysis method should be based on specific conditions of each patient. doi: https://doi.org/10.12669/pjms.36.7.2901 How to cite this:Xu XD, Han X, Yang Y, Li X. Comparative study on the efficacy of peritoneal dialysis and hemodialysis in patients with end-stage diabetic nephropathy. Pak J Med Sci. 2020;36(7):---------. doi: https://doi.org/10.12669/pjms.36.7.2901 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 99%

Comparative study on the efficacy of peritoneal dialysis and hemodialysis in patients with end-stage diabetic nephropathy

Xu¹,

Han²,

Yi³

et al. 2020

Pak J Med Sci

View full text Add to dashboard Cite

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“…CKD can be defined as a reduction in the glomerular filtration rate (GFR), increased urinary albumin excretion, or both. GFR is considered the main predictor of renal function, allowing for kidney status evaluation and classification into five stages [ 2 ]. In the last two decades, CKD has become a significant public health issue, with an estimated prevalence of 8–16% worldwide [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

A Comparative Study of the Efficacy of an Intervention with a Nutritional Supplement for Patients with Chronic Kidney Disease: A Randomized Trial

Castro‐Barquero

Arias‐Guillén

Pi-Oriol

et al. 2022

JCM

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Chronic kidney disease (CKD) involves heterogeneous diseases that affect the renal structure and function. Malnutrition plays a crucial role during patients with CKD on hemodialysis (HD) treatment and is associated with an increased rate and duration of hospitalizations. The aim of this randomized, parallel, intervention-controlled trial was to assess whether the use of daily supplementation with a new nutritional product developed by the Grand Fontaine Laboratories improves the nutritional status and anthropometric parameters of stage 5 CKD patients, compared with standard renal dietary advice, after three months of follow-up. Dietary intake, anthropometric measurements, physical activity, and blood samples were collected at baseline and after three months of intervention. Significant improvements were observed within the intervention group in body weight (1.5 kg [95% CI: 0.9 to 2.12 kg]) and BMI (0.54 kg/m2 [95% CI: 0.31 to 0.77]; p-value between groups, 0.002 and 0.006, respectively). In the control group, significant decreases were observed in transferrin saturation (−5.04% [95% CI: −8.88 to −1.21]) and alpha-tocopherol levels (−3.31 umol/L [95% CI: −6.30 to −0.32]). We concluded that daily dietary intake of a specific renal nutritional complement in CKD patients with or at risk of malnutrition may prevent deterioration in nutritional parameters.

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“…Also, the strong association between sNa and RRF in both HD and PD patients helps to explain the lower sNa in HD than in PD patients. In this regard, a recent study ( 46 ) assessed for a first time the nutrient intake by the Semi-FFQ and dietary behavior according to dialysis modality, and showed that nutritional status (serum albumin and potassium), dietary behaviors, and nutrient intake-to-recommended allowance ratio were worse in PD patients compared to HD patients. Despite this, HGS was significantly higher in PD patients than in HD patients, which was attributed to the lower age of PD.…”

Section: Discussionmentioning

confidence: 99%

“…Fourth, although the robustness of the HGS-sNa association did not decrease even after extensive adjusting for demographic, anthropometric, bioimpedance, clinical and laboratory covariates, causality cannot be established in the setting of an observational study. Fifth, a strength of this study is that the sNa -HGS association was detected in both HD and PD patients, who differ in many important ways, including regulation of sodium and water balances, RRF status, and potentially the diet patterns and nutritional intake ( 46 ), to name some of them.…”

Section: Discussionmentioning

confidence: 99%

The Association Between Handgrip Strength and Predialysis Serum Sodium Level in Patients With Chronic Kidney Disease Stage 5D

et al. 2021

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Purpose: Handgrip strength (HGS) is a useful tool for the systematic assessment of muscle function related to nutritional status. Reduced HGS has been associated with adverse clinical outcomes in chronic kidney disease (CKD) stage 5D patients. In the same patients, predialysis low serum sodium (sNa) has been associated with malnutrition and mortality. Here, we investigated the role of predialysis sNa on muscle function in CKD-5D patients.Methods: We evaluated 45 patients on hemodialysis (HD) and 28 patients on peritoneal dialysis (PD) with HGS measurement, bioimpedance analysis, anthropometric measures, and malnutrition inflammation score (MIS). According to established diagnostic criteria, reduced HGS was defined as strength below 30 and 20 Kg in men and women, respectively. Predialysis sNa values were defined as the mean of all predialysis measurements during the preceding 6 months. Data analysis was performed separately for each of the HD and PD groups.Results: The proportions of reduced HGS did not differ between the HD (66%) and PD (54%) groups, respectively. Patients in the HD group as compared to those in the PD group had higher serum albumin and potassium and mid-arm muscle circumference and lower residual renal function (RRF) and residual urine volume. Multivariate logistic analysis, after controlling for muscle mass, nutritional biomarkers, MIS, fluid overload and RRF, showed that for every 1 mmol/l increase of sNa the odds of reduced HGS was decreased by 60% (OR = 0.40, 95% CI: 0.16–0.99) and 42% (OR = 0.58, 95% CI: 0.36–0.93) in HD and PD patients, respectively. However, stratified analysis indicated that lower sNa levels predicted reduced HGS in individuals with a background of malnutrition, inflammation, overhydration and less preserved RRF, representing unfavorable conditions strongly related to muscle wasting in the dialysis setting.Conclusions: Predialysis sNa is a strong and independent determinant of HGS, a reliable nutritional marker in CKD-5D stage patients. However, according to our findings, lower sNa levels appear to be a marker of underlying unfavorable conditions that are heavily associated with reduced HGS, rather than a causal determinant of reduced HGS. Whether optimizing sNa levels improves patient muscle performance requires further investigations.

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Comparison of hemodialysis and peritoneal dialysis patients’ dietary behaviors

Cited by 20 publications

References 31 publications

Comparative study on the efficacy of peritoneal dialysis and hemodialysis in patients with end-stage diabetic nephropathy

Comparative study on the efficacy of peritoneal dialysis and hemodialysis in patients with end-stage diabetic nephropathy

A Comparative Study of the Efficacy of an Intervention with a Nutritional Supplement for Patients with Chronic Kidney Disease: A Randomized Trial

The Association Between Handgrip Strength and Predialysis Serum Sodium Level in Patients With Chronic Kidney Disease Stage 5D

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