Frailty and Cognitive Impairment in Chronic Kidney Disease

Tsuruya, Kazuhiko

doi:10.1007/978-981-15-2365-6_13

Cited by 1 publication

(2 citation statements)

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“…Open comments from the experts agreed that the length of this HD-FFQ was acceptable. However, the HD-FFQ was considered lengthy by some patients, possibly reflecting low cognitive function and level of literacy [ 11 ]. Both expert and layperson groups well accepted the HD-FFQ, as indicated by non-significant median scores for majority of the food group except for the “cooked rice” food group.…”

Section: Discussionmentioning

confidence: 99%

“…Lack of dietary assessment hinders the identification and stratification of patients at risk and those requiring dietary intervention. HD patients on regular dialysis may be vulnerable to overhydration [ 8 ], hyperphosphatemia [ 9 ], and hyperkalemia [ 10 ] as well as muscle wasting resultant of protein energy wasting [ 11 , 12 ] whenever dietary energy intakes (DEI) and dietary protein intakes (DPI) are inadequate. The purpose of dietary assessment for the dialysis patient, therefore, is to detect malnutrition, nutrient deficiencies (i.e., energy, protein, water soluble vitamins) and toxicities (i.e., potassium and phosphate), and fluid excesses.…”

Section: Introductionmentioning

confidence: 99%

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HD-FFQ to Detect Nutrient Deficiencies and Toxicities for a Multiethnic Asian Dialysis Population

et al. 2020

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A rapid and reliable tool appropriate to quantifying macronutrient and micronutrient intakes in diets consumed by Malaysian hemodialysis (HD) patients is lacking. We aimed to develop and validate a novel HD-food frequency questionnaire (HD-FFQ) to assess habitual nutritional intakes of HD patients with diverse ethnic backgrounds. This study was conducted in three phases. In Phase I, a HD-FFQ comprising 118 food items was developed using 3-day diet recalls (3DDR) from 388 HD patients. Phase II was the face and content validation using the Scale-Content Validity Index (S-CVI). After successfully developing the FFQ, Phase III tested relative validation against a reference method, the 3DDR. Results from Phase III showed that the mean difference for absolute intakes of nutrients assessed by HD-FFQ and 3DDR were significant (p < 0.05). However, there was a significant correlation between the HD-FFQ and reference method ranging from 0.35–0.47 (p < 0.05). Cross-quartile classification showed that <10% of patients were grossly misclassified. In conclusion, the HD-FFQ has an acceptable relative validity in assessing and ranking the dietary intake of the HD patients in Malaysia.

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Section: Discussionmentioning

confidence: 99%