Food intake in patients on hemodialysis

Abstract

Objective:To evaluate the intake of energy and nutrients by individuals on hemodialysis, following especific recommendations for this population and according to Food Guide for the Brazilian Population.Methods: A cross-sectional study, 118 adult patients, considered stable from, ten dialysis centers in Goiânia, Goiás. Dietary intake was estimated by six 24-hour recalls, and classified as adequate or inadequate, according to specific recommendations for individuals undergoing dialysis and that recommended for a healthy diet. A descriptive analysis was performed.Results: Average dietary intake of 2022.40 ± 283.70 kcal/day; 31.18 kcal/kg/day; 55.03 ± 4.20% carbohydrate; 30.23 ± 3.71% lipid, 1.18 ± 0.23 g protein/kg/day. Important prevalences of inadequacy were observed for the intake of calories (39.0%), protein (39.0%) and other nutrients such as retinol (94.9%), saturated fat (87.3%), cholesterol (61,9%), iron (61.0%), potassium (60.2%) and zinc (45.0%). Patients had a low intake of fruit food group (1.22 ± 0.89 servings) and vegetables (1.76 ± 1.01 servings), dairy products (0.57 ± 0.43 servings) and high intake of food group of oils and fats (3.45 ± 0.95 servings), sugars and sweets (1.55 ± 0.77 servings).Conclusion: Observed food consumption imbalance, characterized by excess of oils and fats, especially saturated oils and cholesterol, sugars and sweets, parallel to low intake of fruits and vegetables and dairy products. A considerable percentage of patients did not intake the minimum recommended of calories, protein, retinol, iron, zinc and potassium.

Processed and ultra-processed food consumption are related to metabolic markers in hemodialysis subjects

“…Regarding lipid intake, the results were similar to those of Vaz et al [24], Who assessed the fat intake of HD individuals. The consumption of total lipids was adequate [17] but cholesterol, saturated fat and trans fatty acids intake was above recommended [22], reflecting the low quality of dietary fat profile.…”

Protein intake and its influence on the lipid and anthropometric profiles of patients with chronic kidney disease

“…In contrast, the cross-sectional study by Vaz et al 51 , conducted with 118 patients with CKD undergoing dialysis treatment treated in the city of Goiânia, showed percentages of macronutrient contributions of 55% carbohydrates, 30% lipids and 15% proteins, with intake of 1.18 g/kg/day, and 31.20 Kcal/kg/day, expressing adequacy, since the expected values for patients at this stage of treatment is that caloric and protein intake be increased.…”

Dietary Intake and Nutritional Status in Hemodialysis Patients

“…In table -3 the nutritional assessment CKD -5 patients were carried out by 24 dietary recall methods 18,19 . The patients underwent hemodialysis information about food intake from a different food group.…”