A study on dietary recall among the maintenance haemodialysis patients in East Godavari district.
Abstract
Introduction: Individuals with end-stage renal diseases are usually at an increased risk of nutritional disorders. Protein-energy malnutrition is observed in a significant number of maintenance haemodialysis (MHD) patients. Hence a study was conducted to find whether dietary intake meets recommended dietary allowance (RDA) among MHD individuals.
Materials and methods: This was cross-sectional research conducted in the department of Nephrology, GSL Medical College, for 18 months. Individuals are aged 18 years or more, metabolically stable and undergoing MHD were included. Software called Dietsoft was used to know the dietary calculations. Parameters including energy, carbohydrates, proteins, fats, vitamins, minerals and essential amino acids (EAA) were evaluated. Mann Whitney U test was used to find the significant difference, and P < 0.05 was considered statistically significant.
Results: Of the 31 patients, 18 were male, and 13 were female. The calorie intake was as recommended, but statistically, there was no significant difference. But the intake of the macronutrients and dietary fibre was higher than the recommended, which was statistically significant. In females, there was a considerable difference. The difference was statistically not significant in minerals intake.
Conclusion: There was considerable malnutrition among the patients undergoing MHD. Hence regular dietary assessment is required.
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References
Ikizler TA. Protein and energy: recommended intake and nutrient supplementation in chronic dialysis patients. Semin Dial. 2004 Nov-Dec;17(6):471-8. doi: 10.1111/j.0894-0959.2004.17608.x.
Herselman M, Moosa MR, Kotze TJ, Kritzinger M, Wuister S, Mostert D. Protein-energy malnutrition as a risk factor for increased morbidity in long-term hemodialysis patients. J Ren Nutr. 2000 Jan;10(1):7-15. doi: 10.1016/s1051-2276(00)90017-7.
Chien SC, Chandramouli C, Lo CI, Lin CF, Sung KT, Huang WH, et al. Associations of obesity and malnutrition with cardiac remodeling and cardiovascular outcomes in Asian adults: A cohort study. PLoS Med. 2021 Jun 1;18(6):e1003661. doi: 10.1371/journal.pmed.1003661.
Fatyga P, Pac A, Fedyk-Łukasik M, Grodzicki T, Skalska A. The relationship between malnutrition risk and inflammatory biomarkers in outpatient geriatric population. Eur Geriatr Med. 2020 Jun;11(3):383-391. doi: 10.1007/s41999-020-00303-4.
Ikizler TA. Optimal nutrition in hemodialysis patients. Adv Chronic Kidney Dis. 2013 Mar;20(2):181-9. doi: 10.1053/j.ackd.2012.12.002.
Kamimura MA, Nerbass FB. Nutritional assessment in chronic kidney disease: the protagonism of longitudinal measurement. J Bras Nefrol. 2020 Mar;42(1):4-5. doi: 10.1590/2175-8239-jbn-2020-0010.
Salvador Castell G, Serra-Majem L, Ribas-Barba L. What and how much do we eat? 24-hour dietary recall method. Nutr Hosp. 2015 Feb 26;31 Suppl 3:46-8. doi: 10.3305/nh.2015.31.sup3.8750.
Indian Council of Medical Research. Expert Group. Nutrient requirements and recommended dietary allowances for Indians: a report of the Expert Group of the Indian Council of Medical Research. Indian Council of Medical Research, 1990.
Joint WHO/FAO/UNU Expert Consultation. Protein and amino acid requirements in human nutrition. World Health Organ Tech Rep Ser. 2007;(935):1-265, back cover.
Ideal weight for men and women. https://blog.studyiq.com/icmr-released-ideal-weight-indian-men-women-free-pdf/
Kim H, Lim H, Choue R. Compromised Diet Quality is Associated with Decreased Renal Function in Children with Chronic Kidney Disease. Clin Nutr Res. 2014 Jul;3(2):142-9. doi: 10.7762/cnr.2014.3.2.142.
Shah BV, Patel ZM. Role of low protein diet in management of different stages of chronic kidney disease - practical aspects. BMC Nephrol. 2016 Oct 21;17(1):156. doi: 10.1186/s12882-016-0360-1.
Piccoli GB, Capizzi I, Vigotti FN, Leone F, D'Alessandro C, Giuffrida D, et al. Low protein diets in patients with chronic kidney disease: a bridge between mainstream and complementary-alternative medicines? BMC Nephrol. 2016 Jul 8;17(1):76. doi: 10.1186/s12882-016-0275-x.
Sahathevan S, Khor BH, Ng HM, Gafor AHA, Mat Daud ZA, Mafra D, Karupaiah T. Understanding Development of Malnutrition in Hemodialysis Patients: A Narrative Review. Nutrients. 2020 Oct 15;12(10):3147. doi: 10.3390/nu12103147.
Naini AE, Karbalaie A, Abedini M, Askari G, Moeinzadeh F. Comparison of malnutrition in hemodialysis and peritoneal dialysis patients and its relationship with echocardiographic findings. J Res Med Sci. 2016 Sep 1;21:78. doi: 10.4103/1735-1995.189695.
Kumar, V. S., Kumar, B. S., Kishore Babu, S., Kumar, T. S., Sathya Sai, R. N., Soloman, A., & Kumar, K. A. (1998). Serum amino acid profile in chronic renal failure. Indian J. Nephr, 8(2), 52-54.
Makoff R. Vitamin replacement therapy in renal failure patients. Miner Electrolyte Metab. 1999 Jul-Dec;25(4-6):349-51. doi: 10.1159/000057473.
Gonin JM, Nguyen H, Gonin R, Sarna A, Michels A, Masri-Imad F, et al. Controlled trials of very high dose folic acid, vitamins B12 and B6, intravenous folinic acid and serine for treatment of hyperhomocysteinemia in ESRD. J Nephrol. 2003 Jul-Aug;16(4):522-34.
Harshman LA, Lee-Son K, Jetton JG. Vitamin and trace element deficiencies in the pediatric dialysis patient. Pediatr Nephrol. 2018 Jul;33(7):1133-1143. doi: 10.1007/s00467-017-3751-z.
Calviño J, Cigarrán S, Lopez LM, Martinez A, Sobrido MJ. Restless legs syndrome in non-dialysis renal patients: is it really that common? J Clin Sleep Med. 2015 Jan 15;11(1):57-60. doi: 10.5664/jcsm.4366.
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