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The state of nutrition care in outpatient hemodialysis settings in Malaysia: a nationwide survey

Published on Dec 1, 2018in BMC Health Services Research1.932
· DOI :10.1186/s12913-018-3702-9
Ban Hock Khor1
Estimated H-index: 1
(UKM: National University of Malaysia),
Karuthan Chinna2
Estimated H-index: 2
(Taylors University)
+ 8 AuthorsTilakavati Karupaiah9
Estimated H-index: 9
(Taylors University)
Sources
Abstract
Background This study aimed to assess the situational capacity for nutrition care delivery in the outpatient hemodialysis (HD) setting in Malaysia by evaluating dietitian accessibility, nutrition practices and patients’ outcomes.
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References25
Newest
#1Brandon M. Kistler (BSU: Ball State University)H-Index: 10
#2Debbie Benner (DaVita)H-Index: 13
Last. Kamyar Kalantar-Zadeh (UCI: University of California, Irvine)H-Index: 96
view all 15 authors...
Poor nutritional status and protein-energy wasting are common among maintenance dialysis patients and associated with unfavorable outcomes. Providing foods, meal trays, snack boxes, and/or oral nutritional supplements during hemodialysis can improve nutritional status and might also reduce inflammation, enhance health-related quality of life, boost patient satisfaction, and improve survival. Potential challenges include postprandial hypotension and other hemodynamic instabilities, aspiration ris...
13 CitationsSource
#1Yoshie KanazawaH-Index: 4
#2Toshiyuki NakaoH-Index: 15
Last. Hiroshi MatsumotoH-Index: 6
view all 5 authors...
Aim The International Society of Renal Nutrition and Metabolism (ISRNM) has proposed the diagnostic criteria for protein-energy wasting (PEW). We studied Japanese haemodialysis (HD) patients to verify the diagnostic method, especially with respect to the body mass index (BMI) criterion, as well as the prevalence of PEW and its association with mortality. Methods Japanese patients receiving maintenance HD at three outpatient clinics in Tokyo (n = 210) were enrolled, and prospectively followed-up ...
8 CitationsSource
#1Wan-Chuan Tsai (Memorial Hospital of South Bend)H-Index: 3
#2Ju-Yeh Yang (Memorial Hospital of South Bend)H-Index: 13
Last. Yu-Sen Peng (OIT: Oriental Institute of Technology)H-Index: 23
view all 7 authors...
Background Sustained adherence to dietary phosphorus (P) restriction recommendations among hemodialysis patients is questionable. The aim of this study was to evaluate the effectiveness of additional diet education delivered by a dietitian on the control of hyperphosphatemia.
9 CitationsSource
#1Shishira Bharadwaj (McMaster University)H-Index: 1
#2Shaiva Ginoya (McMaster University)H-Index: 1
Last. Ibrahim A. Hanouneh (Cleveland Clinic)H-Index: 19
view all 8 authors...
Malnutrition is an independent risk factor for patient morbidity and mortality and is associated with increased healthcarerelated costs. However, a major dilemma exists due to lack of a unified definition for the term. Furthermore, there are no standard methods for screening and diagnosing patients with malnutrition, leading to confusion and varying practices among physicians across the world. The role of inflammation as a risk factor for malnutrition has also been recently recognized. Historica...
55 CitationsSource
#1Sharmela Sahathevan (UKM: National University of Malaysia)H-Index: 4
#2Chee Hee Se (UKM: National University of Malaysia)H-Index: 4
Last. Tilakavati Karupaiah (UKM: National University of Malaysia)H-Index: 9
view all 11 authors...
Background Poor appetite could be indicative of protein energy wasting (PEW) and experts recommend assessing appetite in dialysis patients. Our study aims to determine the relationship between PEW and appetite in haemodialysis (HD) patients.
11 CitationsSource
#1Cristina GaragarzaH-Index: 3
#2Ana ValenteH-Index: 3
Last. Cristina CaetanoH-Index: 3
view all 4 authors...
Monitoring nutritional parameters is an integral part of hemodialysis (HD) patient treatment program. The purpose of this study was to evaluate the impact of the personalized nutritional counseling (PNC) on calcium–phosphorus metabolism, potassium, albumin, protein intake, interdialytic weight gain (IDWG), body composition parameters and fluid overload in HD patients. This was a multicenter longitudinal intervention study with 6 months of follow-up and 731 patients on maintenance HD from 34 dial...
7 CitationsSource
#1Sunil Badve (Princess Alexandra Hospital)H-Index: 62
#2Sanjoy K. Paul (QIMR: QIMR Berghofer Medical Research Institute)H-Index: 28
Last. David W. Johnson (Princess Alexandra Hospital)H-Index: 114
view all 10 authors...
Objectives: To study the body mass index (BMI) trajectory in patients with incident end-stage kidney disease and its association with all-cause mortality.
28 CitationsSource
#1Brandon M. Kistler (UIUC: University of Illinois at Urbana–Champaign)H-Index: 10
#2Deborah BennerH-Index: 11
Last. Kenneth R. Wilund (UIUC: University of Illinois at Urbana–Champaign)H-Index: 27
view all 6 authors...
Providing food or nutrition supplements during hemodialysis (HD) may be associated with improved nutritional status and reduced mortality; however, despite these potential benefits, eating practices vary across countries, regions, and clinics. Understanding present clinic practices and clinician experiences with eating during HD may help outline best practices in this controversial area. Therefore, the objective of this study was to examine clinical practices and experiences related to eating du...
13 CitationsSource
#1T. Alp Ikizler (Vandy: Vanderbilt University)H-Index: 65
#2Noël CanoH-Index: 33
Last. Christoph Wanner (University of Würzburg)H-Index: 76
view all 12 authors...
Protein energy wasting (PEW) is common in patients with chronic kidney disease (CKD) and is associated with adverse clinical outcomes, especially in individuals receiving maintenance dialysis therapy. A multitude of factors can affect the nutritional and metabolic status of CKD patients requiring a combination of therapeutic maneuvers to prevent or reverse protein and energy depletion. These include optimizing dietary nutrient intake, appropriate treatment of metabolic disturbances such as metab...
217 CitationsSource
#1Adamasco Cupisti (UniPi: University of Pisa)H-Index: 30
#2Maurizio GallieniH-Index: 31
Last. Piergiorgio BolascoH-Index: 2
view all 6 authors...
Prevention and correction of hyperphosphatemia is a major goal of chronic kidney disease–mineral and bone disorder (CKD–MBD) management, achievable through avoidance of a positive phosphate balance. To this aim, optimal dialysis removal, careful use of phosphate binders, and dietary phosphate control are needed to optimize the control of phosphate balance in well-nourished patients on a standard three-times-a-week hemodialysis schedule. Using a mixed diffusive–convective hemodialysis tecniques, ...
24 CitationsSource
Cited By1
Newest
BACKGROUND With the unprecedented growth of mobile technology, a plethora of dialysis diet apps have been developed to promote patient dietary self-management. Nevertheless, the utility of such apps remains questionable. OBJECTIVE This study aimed to evaluate the content, features, and quality of commercial dialysis diet apps for adult dialysis patients. METHODS This study consisted of a quantitative content analysis of commercial dialysis diet apps downloaded from Google Play and the Apple App ...
Source
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 wa...
Source
#1B.H. Khor (UKM: National University of Malaysia)H-Index: 2
#2Sharmela Sahathevan (UKM: National University of Malaysia)H-Index: 4
view all 15 authors...
Abstract Objectives The aims of this study were threefold: first, to assess the dietary fatty acid (FA) intake and blood FA status in Malaysian patients on hemodialysis (HD); second, to examine the association between dietary FA intakes and blood FA profiles in patients on HD; and third, to determine whether blood FAs could serve as a biomarker of dietary fat intake quality in these patients. Methods Using 3 d of dietary records, FA intakes of 333 recruited patients were calculated using a food ...
Source