A novel technique to demonstrate disturbed appetite profiles in haemodialysis patients
| Autor: | John H. Turney, Neil A. King, John E. Blundell, Louise Dye, A.M. Brownjohn, Graham Woodrow, Siobahn O'Brien, Mark Wright |
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| Rok vydání: | 2001 |
| Předmět: |
Adult
Male medicine.medical_specialty media_common.quotation_subject medicine.medical_treatment Appetite Feeding and Eating Disorders Reference Values Renal Dialysis Internal medicine Humans Medicine Dialysis Aged media_common Analysis of Variance Motivation Transplantation business.industry digestive oral and skin physiology Feeding Behavior Middle Aged medicine.disease Nutrition Disorders Affect Malnutrition Endocrinology Mood Nephrology Female Hemodialysis Analysis of variance Abnormality business Complication |
| Zdroj: | Nephrology Dialysis Transplantation. 16:1424-1429 |
| ISSN: | 1460-2385 0931-0509 |
| Popis: | Background Malnutrition is common among dialysis patients and is associated with an adverse outcome. One cause of this is a persistent reduction in nutrient intake, suggesting an abnormality of appetite regulation. Methods We used a novel technique to describe the appetite profile in 46 haemodialysis (HD) patients and 40 healthy controls. The Electronic Appetite Rating System (EARS) employs a palmtop computer to collect hourly ratings of motivation to eat and mood. We collected data on hunger, desire to eat, fullness, and tiredness. HD subjects were monitored on the dialysis day and the interdialytic day. Controls were monitored for 1 or 2 days. Results Temporal profiles of motivation to eat for the controls were similar on both days. Temporal profiles of motivation to eat for the HD group were lower on the dialysis day. Mean HD scores were not significantly different from controls. Dietary records indicated that dialysis patients consumed less food than controls. Conclusions Our data indicate that the EARS can be used to monitor subjective appetite states continuously in a group of HD patients. A HD session reduces hunger and desire to eat. Patients feel more tired after dialysis. This does not correlate with their hunger score, but does correlate with their fullness rating. Nutrient intake is reduced, suggesting a resetting of appetite control for the HD group. The EARS may be useful for intervention studies. |
| Databáze: | OpenAIRE |
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