The Worldwide Prevalence of Nonadherence to Diet and Fluid Restrictions Among Hemodialysis Patients: A Systematic Review and Meta-analysis

Vijay, Vardhini; Kang, Harmeet Kaur

doi:10.1053/j.jrn.2021.11.007

Cited by 17 publications

(10 citation statements)

References 46 publications

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“…While the salt intake standard for haemodialysis patients is less than 6 g/day,14 the actual salt intake was 9.5 g in a previous study32 and 9.96 g in our study, exceeding this standard. Although salt and fluid management based on an appropriate diet is vital to prevent the development of heart failure, the leading cause of death in haemodialysis patients, compliance with such management is low 33. Actively reaching out to the family and social environment, such as identifying the person who cooks at home and providing nutritional/dietary guidance to that person, may be effective in enhancing salt reduction if the patient relies on meal preparation from others.…”

Section: Discussionmentioning

confidence: 99%

Association between home meal preparers and salt intake in haemodialysis patients: a cross-sectional study

Uchida,

Hidaka,

Endo

et al. 2024

BMJ Open

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ObjectivesThis study aimed to examine the association between home meal preparer and salt intake among haemodialysis patients, including daily dietary status. We hypothesised that salt intake is higher among individuals who rely on meal preparation from others than those who prepare meals by themselves.DesignCross-sectional study.SettingTwo medical facilities in Fukushima Prefecture, Japan.Participants237 haemodialysis outpatients who visited one of the medical facilities between February 2020 and August 2021 and were diagnosed with anuria, defined as urination of <100 mL/day, were the potential participants of the present study. Finally, 181 participants (131 male and 50 female) were included in the analysis.Outcome measureSalt intake amount was calculated from the results of predialysis and postdialysis blood draws, using Watson’s formula based on predialysis weight, predialysis serum sodium level, postdialysis weight and serum sodium level at the end of dialysis.ResultsSalt intake was significantly higher in participants who relied on meal preparation from others (‘relying on others’) than those who prepared meals by themselves (‘self-prepared’) (B=1.359; 95% CI: 0.495 to 2.222). No statistical difference was found between individuals who ate out or ate takeout (‘outsourcing’) and those who prepared their own meals (‘self-prepared’). These results were robust after adjustment for confounding factors.ConclusionsThe present study revealed an association between self-preparation of meals at home and reduced salt intake among dialysis patients. Our findings suggest that whoever is the home meal preparer is possibly a social determinant of salt intake. To improve the prognosis of haemodialysis patients, actively reaching out to the family and assessing their social environment, such as identifying the home meal preparer and, if the patient relies on others for meal preparation, conducting nutritional/dietary guidance for that person, are effective in enhancing salt reduction.

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Section: Discussionmentioning

confidence: 99%

Association between home meal preparers and salt intake in haemodialysis patients: a cross-sectional study

Uchida,

Hidaka,

Endo

et al. 2024

BMJ Open

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“…According to the National Chronic Kidney Disease information sheet from 2017, chronic kidney failure impacted 30 million people (15%) in the United States. In their research, Vijay and colleagues observed that the average incidence of non adherence to diet about (47.3-72.5%) and fluid about (50-70.7%) restrictions was significantly high and expanded (Vijay & Kang, 2021 ). In previous studies, compliance rates for fluid and dietary restrictions, medications, and frequent dialysis treatments ranged from 96.6 percent to 26 percent, 98.8% to 17.6%, 98.8% to 19.6%, and 100 percent to 67.7%.…”

Section: Introductionmentioning

confidence: 97%

Association between Attitudes to Self Management on Adherence in Restriction Fluid and Dietary among Patient Hemodialysis Related to Hypervolemia

Mananawan

Rosa²

2022

JOSING

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This study aims to determine the relationship between hemodialysis patients' attitudes toward self-management and adherence to fluid restriction and hemodialysis diet related to hypervolemia. This research method is a Literature review. The data used in this study comes from reputable journal articles published nationally and internationally in national and international online journals. The results showed that the risk of hypervolemia was reduced when patients could manage their health by performing self-care, developing a self-management plan, and modifying initial diet and renal fluid instructions to adapt to their lifestyle. In conclusion, there is a relationship between self-management and compliance of hemodialysis patients with fluid and dietary restrictions, especially sodium. Keywords: Compliance, Self Management, Fluid Restriction, and Diet

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“…[1][2][3] Unfortunately, non-adherence to fluid and dietary restrictions in patients with CKD is very common, with the respective global prevalence estimates of 60.6% and 60.2% among dialysis patients. 4 Results of several qualitative studies indicate that non-adherence to prescribed fluid and dietary restrictions is explained, in part, by a lack of motivation stemming from the impact on daily life and by psychological distress. [5][6][7] Research on CKD and other chronic diseases has focused on the patients' level of hope as an important inner source of motivation for adherence, [8][9][10][11][12] however, there is insufficient evidence that hope can be a candidate for intervention in CKD.…”

Section: Introductionmentioning

confidence: 99%

Health-related hope and reduced distress associated with fluid and dietary restrictions in advanced chronic kidney disease and dialysis: a cohort study

Kurita

Wakita

Fujimoto

et al. 2023

Preprint

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Rationale & Objective In chronic kidney disease (CKD), the durability of patient adherence to fluid and dietary restrictions may depend on the degree to which they have hope that they will enjoy life. However, few studies have examined the long-term role of health-related hope (HR-Hope) on distress from fluid and dietary restrictions. Study Design Prospective cohort study. Setting & Participants A total of 444 non-dialysis stage 3-5 patients and stage 5D patients attending one of five Japanese nephrology centers. Exposure An 18-item HR-Hope scale with a score ranging from 0 to 100. Outcomes Two-item measures of restrictions on fluid and dietary intake from the Japanese version of the Kidney Disease Quality of Life Short Form, Version 1.3, with each score ranging from 0 to 100. Analytical Approach Multivariate linear mixed models were used to estimate the association of baseline HR-Hope with distress from fluid and dietary restrictions at baseline and follow-up. Results The mean age of participants was 67 years, 31.1% were female, and 124, 98, and 222 had non-dialysis CKD, peritoneal dialysis, and hemodialysis, respectively. Baseline HR-Hope buffered the growing distress from fluid restriction after one year (-18.01 pts [95% CI, -28.24 to -7.79]) per 10-pt increase, 2.59 pts [95% CI, 1.05 to 4.13]. The distress from fluid restriction at 2 years did not differ from baseline. Baseline HR-Hope buffered the growing distress from dietary restriction after one year (-12.4 pts [95% CI, -22.68 to -2.12]) per 10-pt increase, 1.96 pts (95% CI, 0.34 to 3.57). The distress from dietary restriction at 2 years did not differ from baseline. Limitations Use of self-reported measures as proxies for adherence. Conclusions Our study shows that HR-Hope, regardless of depression, can potentially mitigate the long-term distress from fluid and dietary restrictions in patients with a wide range of CKD severities.

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The Worldwide Prevalence of Nonadherence to Diet and Fluid Restrictions Among Hemodialysis Patients: A Systematic Review and Meta-analysis

Cited by 17 publications

References 46 publications

Association between home meal preparers and salt intake in haemodialysis patients: a cross-sectional study

Association between home meal preparers and salt intake in haemodialysis patients: a cross-sectional study

Association between Attitudes to Self Management on Adherence in Restriction Fluid and Dietary among Patient Hemodialysis Related to Hypervolemia

Health-related hope and reduced distress associated with fluid and dietary restrictions in advanced chronic kidney disease and dialysis: a cohort study

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