The contradiction of stable body mass despite low reported dietary energy intake in chronic haemodialysis patients
| Autor: | Wybe D. Kloppenburg, Roel M. Huisman, Paul E. de Jong |
|---|---|
| Přispěvatelé: | Groningen University Institute for Drug Exploration (GUIDE) |
| Rok vydání: | 2002 |
| Předmět: |
Male
medicine.medical_specialty NUTRITIONAL-STATUS medicine.medical_treatment Overweight Diet Records Body Mass Index dietary energy intake MAINTENANCE HEMODIALYSIS-PATIENTS Animal science Renal Dialysis Internal medicine medicine PERITONEAL-DIALYSIS PATIENTS WATER Humans Chronic hemodialysis Netherlands Transplantation Dialysis adequacy anthropometry business.industry dialysis adequacy Body Weight Anthropometry Middle Aged Diet haemodialysis nutritional status Endocrinology diet records Nephrology Basal metabolic rate Female Hemodialysis medicine.symptom business Energy Intake Body mass index EXPENDITURE |
| Zdroj: | Nephrology Dialysis Transplantation, 17(9), 1628-1633. Oxford University Press |
| ISSN: | 0931-0509 |
| Popis: | Background. Dietary energy intake (DEI) is reported to be below recommended values in a large proportion of stable chronic haemodialysis patients, while energy requirement appears not to be very different from that in healthy subjects. Nevertheless, body mass has often been reported to be stable over time. We hypothesized that underestimation of habitual DEI by self-reporting of food intake could explain the contradiction of a neutral energy balance despite an apparently insufficient DEL Methods. In a group of 38 adequately dialysed haemodialysis patients the values of self-reported DEI and body mass assessed by anthropometry were analysed over a 40-week study period. In the total group, body mass increased over time at a DEI of 29 +/- 5 kcal/kg of desirable body weight per day. Self-reported DEI was factored by an estimate of the patient's basal metabolic rate (BMR) to arrive at a DEI/BMR ratio. A total energy expenditure (TEE) of at least 1.27 times the BMR is presumed to be required to maintain body weight over time. A DEI that is lower than this minimum value of TEE in patients with stable body mass over time strongly suggests underreporting of habitual DEL Results. In 61% of the patients the DEI/BMR ratio was below 1.27. In these patients, body weight increased significantly over time, despite a DEI/BMR ratio of only 1.06 +/- 0.15. Body mass index correlated inversely with total DEI (r = -0.39, P |
| Databáze: | OpenAIRE |
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