Dietary and Fluid Regime Adherence in Chronic Kidney Disease Patients

Abstract

Introduction: Patients with Chronic Kidney Disease (CKD) needs to modify their lifestyle chiefly focusing on diet and fluid intake as the prognosis of these patients largely depends on adherence to the recommended nutritional regime. Non adherence to the suggested diet and fluids regime leads to rapid worsening of the condition. Methods: Cross sectional survey was conducted to determine the level of adherence to the dietary and fluids restriction among CKD patients. Inclusion criteria’s was, age between 18- 65 years, patients with CKD for at least 6 months and received dietary counseling. Consecutive sampling technique was used to select 100 patients. Data was collected with self-reported Dialysis Diet and Fluid non adherence Questionnaire (DDFQ). Results: Majority (73%) of the subjects was males, 64% belongs to 40-60 years age, majority of them were unemployed. Mean Body Mass Index (BMI) was 20.52 kg/m2, the mean duration of the treatment is 2.15 years and mean fluid intake was 2153ml ml/day and inter-dialytic weight gain was 1.48 kg. Regarding adherence, 20% of them had mild deviation and 69% of them had moderate deviation from dietary restrictions and similarly 69 % of the participants had moderate deviation, and 22% of them had mild deviation from fluid restriction guidelines. Low level of adherence to fluid and diet restrictions was noted in illiterate patients which was significant P<0.05. Conclusion: In spite of the dietary counseling, considerable proportions of the patients were non adherent to the diet and fluid restrictions which necessitate regular counseling to patient and family members.

The gut microbiota profile of adults with kidney disease and kidney stones: a systematic review of the literature

“…To date, the majority of the published studies have focused mainly on the effect of nutritional supplements such as prebiotics and probiotics to improve gut health and symptoms in individuals with CKD or kidney stones. Unfortunately, these types of therapies add further to the pill burden for this patient group [80] and have produced inconsistent results in either case [81][82][83][84]. Clinical trials that explore the effects of dietary components, such as dietary fibre in other clinical conditions are emerging [85].…”

Factors associated with adherence to dietary prescription among adult patients with chronic kidney disease on hemodialysis in national referral hospitals in Kenya: a mixed-methods survey

“…Overall, adherence to diet prescription was low among these patients who were all aware of the recommended foods for their health condition. Awareness of the foods and preparation methods [36]. Non-adherence to diet prescriptions is a critical shortcoming among CKD patients, and this pattern is apparent in studies reported from developed countries where more than half of adults on hemodialysis do not adhere to their diet prescriptions [10,14,16,21,37].…”

The Effect of Motivational Interviewing on Adherence to Fluid Intake, Diet and Drug Management in the Individuals Receiving Hemodialysis Treatment: Systematic Review

“…28,29,31,32 Hemodiyaliz tedavisi uygulanan bireylerde sıvı alımı, diyet ve ilaç yönetimine uyumsuzluk, bireylerde birçok komplikasyonun görülmesine, mortalite ve morbiditede artışa neden olmaktadır. 5,8 Bireylerde sıvı alımında uyumsuzluk, ciddi sonuçlara yol açabilecek kronik sıvı yüklenmesine bağlı sol ventrikül hipertrofisi, bilişsel işlevlerde bozulmaya yol açmaktadır. 5,33 Diyet bileşenlerinden fosfat alımında uyumsuzluk sekonder hiperparatiroidizme, renal osteodistrofiye ve koroner arter hastalığına, potasyum alımında uyumsuzluk ventriküler aritmi ve mortalitede artışa, sodyum alımında uyumsuzluk ise total TABLO 2: Alfabetik sıraya göre derlemeye dahil edilen randomize kontrollü çalışmaların özellikleri.…”

“…3,4 Literatürde, bireylerin sıvı alımına uyumsuzluğu %22-70, diyet uyumsuzluğu %24-84, ilaç yönetimine uyumsuzluğu ise %22-56 olarak bildirilmiştir. [3][4][5][6][7][8] Hemodiyaliz tedavisi uygulanan bireylerde sıvı alımı, diyet ve ilaç yönetimine uyumsuzluk, kardiyovasküler hastalıklara, kemik demineralizasyonuna, metabolik bozukluklara, pulmoner ödeme ve mortalitede artışa yol açmaktadır. 5,6,9,10 Ayrıca uyum sorunları, bireylerin fiziksel, ruhsal ve ekonomik yönden sorun yaşamasına ve yaşam kalitelerinin olumsuz etkilenmesine neden olabilmektedir.…”

“…[3][4][5][6][7][8] Hemodiyaliz tedavisi uygulanan bireylerde sıvı alımı, diyet ve ilaç yönetimine uyumsuzluk, kardiyovasküler hastalıklara, kemik demineralizasyonuna, metabolik bozukluklara, pulmoner ödeme ve mortalitede artışa yol açmaktadır. 5,6,9,10 Ayrıca uyum sorunları, bireylerin fiziksel, ruhsal ve ekonomik yönden sorun yaşamasına ve yaşam kalitelerinin olumsuz etkilenmesine neden olabilmektedir. 4,11 Kronik böbrek hastalığı olan bireylerin, hastalık ve tedavi sürecinde motivasyonlarında azalma meydana gelebilmekte ve bu durum tedavide uyumsuzluğa neden olabilmektedir.…”