Is Routine Multivitamin Supplementation Necessary in US Chronic Adult Hemodialysis Patients? A Systematic Review

Tucker, Bryan M.; Safadi, Sami; Friedman, Allon N.

doi:10.1053/j.jrn.2014.09.003

Cited by 26 publications

(19 citation statements)

References 68 publications

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“…In the literature, there is currently a debate about whether all HD patients should supplement with water-soluble vitamins; some authors support the idea [22,] while others do not [47]. We also believe nutrient losses during dialysis should be taken into account and for this reason we support vitamin supplementation, particularly the intake of B vitamins, in patients on dialysis [45].…”

Section: Discussionmentioning

confidence: 81%

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

Bovio¹,

Esposito

Montagna

et al. 2016

Nephron

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Background/Aims: It is very important to assess the nutritional intake in patients on dialysis given the high prevalence of poor nutritional status of those in this population. The aim of this study was to assess nutrient intakes in hemodialysis (HD) and peritoneal dialysis (PD) patients. Methods: A clinical cross-sectional study was conducted over 7 days on 14 dialysis patients (98 days) who were trained to keep a weighed food record and a 7-day food diary. Nutrient intake adequacy was compared with specific guidelines for Italians and dialysis patients. Results: The mean daily protein intake (0.92 ± 0.36 g/kg) and energy intake (EI; 25.3 ± 7.4 kcal/kg) were inadequate according to the European best practice guidelines (EBPG). The ratio of EI to resting energy expenditure was 1.22. Inadequate intakes, compared to the EBPG, were found for calcium (525 ± 162 mg/day) and iron (8.7 ± 2.1 mg/day). Dietary fiber (14.7 ± 8.7 g/day), niacin (14.4 ± 5.2 mg/day), thiamine (0.8 ± 0.3 mg/day) and riboflavin (1.1 ± 0.4 mg/day) were also inadequate according to the Italian recommended dietary allowances (LARN). HD patients did not display different nutrient intakes between the dialysis days and the interdialytic period. Overall, the percentage of days during which nutrient recommendations were not satisfied ranged from 16 to 100% depending on the nutrient. Conclusion: Macronutrient and micronutrient intakes in HD and PD patients are largely inadequate compared to the EBPG. The weighed dietary record appears to be a useful and accurate tool for individual assessment of food intake in motivated patients. No nutrient intake differences were found between dialytic and interdialytic days in patients on HD.

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Section: Discussionmentioning

confidence: 81%

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

Bovio¹,

Esposito

Montagna

et al. 2016

Nephron

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“…The interested reader may find in that systematic review an excellent argumentation on the insufficient knowledge that we currently have on vitamin deficiencies and vitamin interventions for CKD. Their conclusions 22 are an excellent corollary for this editorial. Present literature offers no strong rationale for routine multivitamin supplementation, with many uncertainties on desired ranges, potential benefits, and risks.…”

mentioning

confidence: 62%

“…Tucker et al 22 discussed in the journal 1 year ago whether routine multivitamin supplementation is necessary in hemodialysis patients. The interested reader may find in that systematic review an excellent argumentation on the insufficient knowledge that we currently have on vitamin deficiencies and vitamin interventions for CKD.…”

mentioning

confidence: 99%

Vitamin Deficiencies in Chronic Kidney Disease, Forgotten Realms

Steiber

Carrero

2016

Journal of Renal Nutrition

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“…However, it has never been confirmed in any prospective randomized study. The results of the up-to-date randomized trials performed in the CKD population have been invariably disappointing [44,47], and the necessity of supplementation has been challenged recently [48]. …”

Section: Supplementationmentioning

confidence: 99%

Vitamins and Microelement Bioavailability in Different Stages of Chronic Kidney Disease

2017

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Chronic kidney disease (CKD) predisposes one to either deficiency or toxic excess of different micronutrients. The knowledge on micronutrients—specifically water-soluble vitamins and trace elements—in CKD is very limited. Consequently, current guidelines and recommendations are mostly based on expert opinions or poor-quality evidence. Abnormalities of micronutrient resources in CKD develop for several reasons. Dietary restrictions and anorexia lead to an insufficient micronutrient intake, while diuretics use and renal replacement therapy lead to their excessive losses. Absorption is unpredictable, and metabolism impaired. Better understanding of the micronutrient needs of CKD patients could have an impact on many complications linked to vitamin and trace element disorders, including high mortality, increased risk of atherosclerosis, inflammation, oxidative stress, anemia, polyneuropathy, encephalopathy, weakness and fragility, muscle cramps, bone disease, depression, or insomnia. Here, we summarize the up-to-date knowledge on micronutrient resources in different stages of CKD, and share our experience with the assessment of micronutrient status.

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Is Routine Multivitamin Supplementation Necessary in US Chronic Adult Hemodialysis Patients? A Systematic Review

Cited by 26 publications

References 68 publications

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

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

Vitamin Deficiencies in Chronic Kidney Disease, Forgotten Realms

Vitamins and Microelement Bioavailability in Different Stages of Chronic Kidney Disease

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