Nutrient intake assessed with Diet History Questionnaire II, in relation to long-term calcium-phosphate control in hemodialysis patients with end-stage renal failure
| Autor: | Jarosław Ciepał, Urszula Spiechowicz-Zatoń, Joanna Witkowicz, Andrzej Wiecek, Katarzyna Wyskida, Rafał Ficek, Joanna Kocemba-Dyczek, Jarosław Wajda, Jerzy Chudek, Sylwia Rotkegel, Dariusz Klein, Magdalena Olszanecka-Glinianowicz |
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| Rok vydání: | 2018 |
| Předmět: |
Male
0301 basic medicine medicine.medical_treatment Medicine (miscellaneous) chemistry.chemical_element Nutrient intake Calcium General Biochemistry Genetics and Molecular Biology Phosphates 03 medical and health sciences chemistry.chemical_compound Animal science Renal Dialysis Surveys and Questionnaires Internal Medicine medicine Humans Pharmacology (medical) Genetics (clinical) Dialysis 030109 nutrition & dietetics business.industry Phosphorus Nutrients Phosphate Diet chemistry End stage renal failure Reviews and References (medical) Kidney Failure Chronic Female Poland Hemodialysis Energy Intake business Diet history |
| Zdroj: | Advances in Clinical and Experimental Medicine. 27:217-224 |
| ISSN: | 1899-5276 |
| Popis: | Background Diet is a key factor that determines proper alignment of calcium-phosphate and nutritional status among hemodialysis (HD) patients. Objectives To assess the nutrient intake in relation to long-term calcium-phosphate control in HD patients with end-stage renal failure. Material and methods The study included 107 patients (66 men, 41 women) from 10 dialysis centers in the Upper Silesia region of Poland. To analyze the diet composition during the previous year, a portion-sized version of the Diet History Questionnaire II (DHQ-II) from National Institutes of Health was used. The nutrient intake was assessed in accordance with the most complex recommendations on HD patients' nutrition - K/DOQI Clinical Practice Guidelines for nutrition in chronic renal failure. Poor long-term alignment of calcium-phosphate homeostasis was defined as the presence of over 50% monthly phosphorus concentrations exceeding 5 mg/dL, and for calcium 10.2 mg/dL, during the last 6-month period. Results Lower than recommended protein intake was found in 63% of HD patients (average consumption: 0.9 ±0.5 g/kg/day). Most of the patients consumed too much fat (33.5 ±6.7% of daily energy intake) and sodium (2912 ±1542 mg/day). In 42% of patients, dietary phosphorus intake was consistent with the recommendations (13.3 ±7.5 mg/kg/day). Protein intake over 1.2 g/kg/day resulted in an increased consumption of phosphorous, but did not increase the risk of misalignment of phosphorus concentrations (OR = 1.15 [0.40-3.27]); p = 0.8). Poor control of serum phosphorus concentrations was observed in 69% of patients (they were on average 8 years younger). The average intake of protein and phosphate in the groups with good or not satisfactory serum phosphorus alignment did not differ significantly. Conclusions Adequate control of protein intake is not sufficient to obtain phosphorus alignment, especially in younger HD patients. |
| Databáze: | OpenAIRE |
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