Inadequate Macronutrient and Micronutrient Intakes in Hemodialysis and Peritoneal Dialysis Patients: Data from a Seven-Day Weighed Dietary Record

Bovio, Giovanni; Esposito, Ciro; Montagna, G.; Brazzo, Silvia; Esposito, Vittoria; Torreggiani, Massimo; Semeraro, Luca; Cena, Hellas

doi:10.1159/000447723

Cited by 19 publications

(16 citation statements)

References 36 publications

(54 reference statements)

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“…We also analyzed the laboratory parameters to assess nutrient status indirectly. Serum albumin levels were significantly higher in the HD group than the PD group, which is consistent with the results of previous studies [34]. The serum albumin value is considered a biomarker of visceral protein and a fundamental parameter of nutritional assessment [35].…”

Section: Discussionsupporting

confidence: 91%

Comparison of Hemodialysis and Peritoneal Dialysis Patients’ Dietary Behaviors

Kim¹,

Kang

Kim

et al. 2019

Preprint

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Background: Nutritional factors are associated with high mortality and morbidity in dialysis patients, and protein-energy wasting is regarded as an important one. The modality of dialysis may affect patients’ dietary behavior and nutritional status, but no study has compared the dietary behavior, nutrient intake, and nutritional adequacy of hemodialysis (HD) and peritoneal dialysis (PD) patients. Methods: From December 2016 to May 2017, a dietary behavior survey and Semi-quantitative Food Frequency Questionnaire (Semi-FFQ) were conducted, and laboratory parameters were obtained. The results of prevalent HD and PD patients were then compared. Results: In the dietary behavior survey, HD patients showed more appropriate dietary behavior patterns overall than PD patients. In the dietary intake analysis with the Semi-FFQ, energy intake was significantly lower in the PD group than in the HD group due to the lower intake of carbohydrates, fat, and protein. In the nutrient intake-to-recommended allowance ratio analysis, both HD and PD patients revealed inadequate intake amounts for most major nutrients. Serum albumin and potassium levels were significantly higher in HD than in PD patients. Serum albumin concentration showed a positive correlation with dietary protein and calcium intake in the PD group. Conclusion: According to this study, the dietary behavior and nutritional intake of prevalent PD patients were worse than those of HD patients.

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Section: Discussionsupporting

confidence: 91%

Comparison of Hemodialysis and Peritoneal Dialysis Patients’ Dietary Behaviors

Kim¹,

Kang

Kim

et al. 2019

Preprint

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“…Others do not reach recommen-ded intake through nutrition. Reason for that could be avoiding intake of some foods as well as insufficient energy intake what is in accordance with previous research, which showed that macronutrient and micronutrient intakes in hemodialysis and peritoneal dialysis patients are largely inadequate (Bovio et al, 2016). 13 (3-4)…”

Section: Panjkota Krbavčić Et Al: Croatian Journal Of Food Technolsupporting

confidence: 88%

Nutritional status of hemodialysis patients

Krbavčić

Vrdoljak

Bituh

et al. 2018

Hrvat. čas. prehrambenu tehnol. biotehnol. nutr. (Online)

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Hemodialysis patients are vulnerable population group and they, among other, should take special care on food and fluid intake with emphasis on energy, potassium, phosphorus, sodium and protein intake. The nutritional status of patients (n=14) was assessed through measurement of body weight, body height, upper arm circumference, lower leg circumference and handgrip dynamometry; as well as selected biochemical parameters: urate concentration, calcium and phosphate levels, total protein, creatinine, albumin and globulin ratio and C-reactive protein; and dietary assessment method: 3-day food record (3DD). Using range between 18.5 and 24.9 kg/m2 as cut-off, 35.7 and 57% of patients were classified as adequately nourished and overweight, respectively. According to results of 3DD, most of the subjects are supposed to align their micro- and macro- nutrients intake with the recommendations, with emphasis on the increasing intake of protein and energy as well as on decreasing intake of potassium, phosphorus, sodium and energy.

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“…The intake of fiber-rich vegetables and fruits is restricted in order to inhibit hyperkalemia in patients with advanced CKD, particularly in HD patients. The mean value of dietary fiber intake previously reported in HD patients ranged between 5.9 and 16.6 g/day [29,[62][63][64][65]. In the general population, some epidemiological studies supported a relationship between low fiber intake and constipation [1].…”

Section: Dietary Restrictionsmentioning

confidence: 95%

Constipation in chronic kidney disease: it is time to reconsider

Ikee

Yano

Tsuru³

2019

Ren Replace Ther

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Constipation is highly prevalent in patients with chronic kidney disease (CKD) and is primarily characterized by decreased intestinal motility. This chronic disorder affects the quality of life of patients. However, nephrologist and dialysis clinicians have long had a disproportionately limited understanding of constipation. Accumulating evidence has revealed a relationship between constipation and cardiovascular disease and CKD. The pathogenesis of constipation in CKD patients is multifactorial: decreased physical activity, comorbidities affecting bowel movement, such as diabetes mellitus, cerebrovascular disease, and hyperparathyroidism, a restricted dietary intake of plantbased fiber-rich foods, and multiple medications, including phosphate binders and potassium-binding resins, have all been implicated. CKD is associated with alterations in the composition and function of the gut microbiota, socalled gut dysbiosis. Recent studies showed that CKD-related gut dysbiosis decreased intestinal motility via intestinal inflammation or the increased generation of gut-derived uremic toxins, such as indoxyl sulfate and pcresyl sulfate. Furthermore, the gastrointestinal secretion of mucin was found to be decreased in CKD animal models, which may delay colonic transit by diminished lubrication in the alimentary tract. Thus, CKD-related gut dysbiosis may play a role in constipation, but limited information is currently available. Since constipation is often intractable, particularly in CKD patients, every available means needs to be employed in its treatment. The effects of probiotics, prebiotics, and synbiotics on the composition of the gut microbiota and gut-derived uremic toxins have been increasingly reported. However, their effects on stool consistency or frequency in CKD patients remain unclear. Some laxatives may be beneficial for improving not only bowel habits but also gut dysbiosis. Further studies are required to elucidate the CKD-specific pathogenesis of constipation and develop novel effective treatment options.

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Inadequate Macronutrient and Micronutrient Intakes in Hemodialysis and Peritoneal Dialysis Patients: Data from a Seven-Day Weighed Dietary Record

Cited by 19 publications

References 36 publications

Comparison of Hemodialysis and Peritoneal Dialysis Patients’ Dietary Behaviors

Comparison of Hemodialysis and Peritoneal Dialysis Patients’ Dietary Behaviors

Nutritional status of hemodialysis patients

Constipation in chronic kidney disease: it is time to reconsider

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