Habitual Dietary Patterns of Patients on Hemodialysis Indicate Nutritional Risk.

Published on Nov 22, 2019in Journal of Renal Nutrition2.75
· DOI :10.1053/J.JRN.2019.09.010
Ayesha Sualeheen (UKM: National University of Malaysia), B.H. Khor2
Estimated H-index: 2
(UKM: National University of Malaysia)
+ 16 AuthorsZaki Morad2
Estimated H-index: 2
(National Kidney Foundation)
Objective This study aimed to (i) determine habitual dietary patterns of Malaysian patients on hemodialysis (HD) and (ii) examine their association with nutritional status. Methods An a posteriori approach examined 3-day dietary recalls of 382 multiethnic Malaysian patients on HD, leading to short-listing of 31 food groups. Dietary patterns were derived through principal component analysis. Sociodemographic and lifestyle characteristics together with nutritional parameters were examined for associations with specific dietary patterns. Results Four dietary patterns emerged, namely, "Home Food," "Eating Out (EO)-Rice," "EO-Sugar sweetened beverages," and "EO-Noodle." Younger patients, male gender, Malay, and patients with working status were more likely to follow "EO-Rice" and "EO-Sugar sweetened beverages" patterns, while Chinese patients were more likely to consume "EO-Noodle" pattern (all P values  Conclusions These results indicated that a home-based diet inclusive of healthy food choices was associated with better nutritional status in this HD population.
  • References (42)
  • Citations (2)
📖 Papers frequently viewed together
110 Citations
83 Citations
78% of Scinapse members use related papers. After signing in, all features are FREE.
#1Casey M. Rebholz (Johns Hopkins University)H-Index: 18
#2Bessie A. Young (UW: University of Washington)H-Index: 45
Last. Adolfo Correa (UMMC: University of Mississippi Medical Center)H-Index: 51
view all 7 authors...
Background and objectives Selected beverages, such as sugar-sweetened beverages, have been reported to influence kidney disease risk, although previous studies have been inconsistent. Further research is necessary to comprehensively evaluate all types of beverages in association with CKD risk to better inform dietary guidelines. Design, setting, participants, & measurements We conducted a prospective analysis in the Jackson Heart Study, a cohort of black men and women in Jackson, Mississippi. Be...
4 CitationsSource
Abstract Background Dietary pattern analysis is a complementary method to nutrient analysis in evaluating overall diet–disease hypotheses. Although studies have been conducted to derive dietary patterns among Malaysians, their consistency across subgroups has not been examined. Objective The study aimed to derive dietary patterns empirically and to examine the consistency and generalizability of patterns across sex, ethnicity, and urban status in a working population. Design This was a cross-sec...
#1Angela Yee-Moon Wang (HKU: University of Hong Kong)H-Index: 35
#2Kamyar Kalantar-Zadeh (UCI: University of California, Irvine)H-Index: 96
Last. Joel D. Kopple (UCLA: University of California, Los Angeles)H-Index: 56
view all 7 authors...
Summary: Chronic kidney disease (CKD) is a global public health burden. Dialysis is not only costly but may not be readily available in developing countries. Even in highly developed nations, many patients may prefer to defer or avoid dialysis. Thus, alternative options to dialysis therapy or to complement dialysis are needed urgently and are important objectives in CKD management that could have huge clinical and economic implications globally. The role of nutritional therapy as a strategy to s...
3 CitationsSource
#1Alisson Diego Machado (USP: University of São Paulo)H-Index: 2
#2Fernanda Silva Nogueira dos Anjos (USP: University of São Paulo)H-Index: 2
Last. Silvia Maria de Oliveira Titan (USP: University of São Paulo)H-Index: 13
view all 7 authors...
2 CitationsSource
#1Shin Sook KangH-Index: 2
#2Jai Won ChangH-Index: 1
Last. Yongsoon ParkH-Index: 25
view all 3 authors...
Protein-energy wasting (PEW) is associated with mortality in patients with end-stage renal disease (ESRD) on maintenance hemodialysis. The correct diagnosis of PEW is extremely important in order to predict clinical outcomes. However, it is unclear which parameters should be used to diagnose PEW. Therefore, this retrospective observational study investigated the relationship between mortality and nutritional parameters in ESRD patients on maintenance hemodialysis. A total of 144 patients were en...
18 CitationsSource
#1Marcelo Barreto Lopes (UFBA: Federal University of Bahia)H-Index: 6
Last. Antonio Alberto Lopes (UFBA: Federal University of Bahia)H-Index: 33
view all 7 authors...
Objective The malnutrition-inflammation score (MIS) combines ten components to assess nutritional status. Higher MIS has been associated with higher mortality and poorer health-related quality of life (HRQOL) in maintenance hemodialysis (MHD) patients. It is interesting to investigate associations of each component with mortality and patient-reported outcomes (PROs), that is, HRQOL and depression symptoms, and if MIS associations are generalizable for diverse populations. This study assessed ass...
7 CitationsSource
#1Barbara Perez Vogt (UNESP: Sao Paulo State University)H-Index: 7
#2Mariana Clementoni Costa Borges (UNESP: Sao Paulo State University)H-Index: 2
Last. Jacqueline Costa Teixeira Caramori (UNESP: Sao Paulo State University)H-Index: 16
view all 4 authors...
Summary Background & aims Muscle wasting is associated with mortality in dialysis patients. The measurement of muscle mass has some limitations, while muscle strength assessment is simple, safe and allows the recognition of patients at risk of progressing to poor outcomes related to malnutrition. The aim of this study is verify if handgrip strength (HGS) is associated with all-cause mortality in patients in maintenance haemodialysis (HD) and peritoneal dialysis (PD). Methods This was an observat...
26 CitationsSource
#1Jin-Bor Chen (CGU: Chang Gung University)H-Index: 16
#2Ben-Chung Cheng (CGU: Chang Gung University)H-Index: 7
Last. Moi-Sin Hua (KUAS: National Kaohsiung University of Applied Sciences)H-Index: 1
view all 4 authors...
Background Until now, no long-term studies relating serum albumin level to mortality rate in prevalent haemodialysis (HD) patients have been conducted. We aimed to examine the association between serum albumin level and mortality over a 5-year period.
1 CitationsSource
#1Mevlüde Kızıl (Hacettepe University)H-Index: 7
#2M. Tengilimoglu-Metin (Hacettepe University)H-Index: 1
Last. Fahri MandirogluH-Index: 1
view all 6 authors...
BACKGROUND/OBJECTIVE: Malnutrition and inflammation are reported as the most powerful predictors of mortality and morbidity in hemodialysis (HD) patients. Diet has a key role in modulating inflammation and dietary inflammatory index (DII) is a new tool for assessment of inflammatory potential of diet. The aim of this study was to evaluate the application of DII on dietary intake of HD patients and examine the associations between DII and malnutrition-inflammation markers. SUBJECTS/METHODS: A tot...
12 CitationsSource
#1David E. St-Jules (NYU: New York University)H-Index: 8
#2Kathleen Woolf (NYU: New York University)H-Index: 16
Last. Mary Ann Sevick (NYU: New York University)H-Index: 20
view all 4 authors...
Objective To identify the problems experienced by hemodialysis (HD) patients in attempting to follow the HD diet and their relation to energy and nutrient intakes. Design Cross-sectional analysis of baseline data from the BalanceWise Study. Subjects Participants included community-dwelling adults recruited from outpatient HD centers. After excluding participants with incomplete dietary analyses (n = 50), 140 African American and white (40/60%) men and women (52/48%) on chronic intermittent HD fo...
16 CitationsSource
Cited By2
The association between dietary patterns and health outcomes, such as quality of life (QOL), in maintenance hemodialysis (MHD) patients with certain racial backgrounds has not been studied in detail. QOL is a powerful outcome measure in which dietary patterns could be a modifying factor. This study is a secondary analysis examining the association between dietary patterns and health outcomes in 101 African American (AA) maintenance hemodialysis (MHD) patients participating in the Palm Tocotrieno...
#1Maurizio BossolaH-Index: 36
#2Enrico Di StasioH-Index: 27
Last. Tania MonteburiniH-Index: 4
view all 7 authors...
Background: To measure daily sodium intake in patients on chronic hemodialysis and to compare the intake of nutrients, minerals, trace elements, and vitamins in patients who had a daily sodium intake below or above the value of 1500 mg recommended by the American Heart Association. Methods: Dietary intake was recorded for 3 days by means of 3-day diet diaries in prevalent patients on chronic hemodialysis. Each patient was instructed by a dietitian on how to fill the diary, which was subsequently...