Can an intradialytic snack model compensate the catabolic impact of hemodialysis?
| Autor: | Alice Fortes, Conceição Calhau, Fernando Macário, Teresa Adragão, Leila Aguiar, Vitor Sá Martins, Mónica Costa, Nuno Borges |
|---|---|
| Přispěvatelé: | Faculdade de Ciências da Nutrição e Alimentação |
| Rok vydání: | 2020 |
| Předmět: |
0301 basic medicine
Endocrinology Diabetes and Metabolism medicine.medical_treatment Sodium Potassium Protein metabolism chemistry.chemical_element 030209 endocrinology & metabolism 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Animal science Intolerances Renal Dialysis medicine Humans Resting energy expenditure Meals 030109 nutrition & dietetics Nutrition and Dietetics business.industry Catabolism Health sciences Medical and Health sciences Ciências médicas e da saúde Cross-Sectional Studies chemistry Medical and Health sciences Hemodialysis Sample collection Ciências da Saúde Ciências médicas e da saúde Snacks business |
| Zdroj: | Clinical nutrition ESPEN. 42 |
| ISSN: | 2405-4577 |
| Popis: | Background and aims: Hemodialysis (HD) has a catabolic effect caused by alterations in protein metabolism, increase in resting energy expenditure (REE) and protein needs due to inflammation, HD circuit blood and heat losses, protein losses to dialysate and HD filter membrane biocompatibility. We aim to determine, as a proof of concept, whether a standardized intradialytic snack model is adequate to compensate the catabolic impact of HD. Methods: Cross sectional analysis of patients' chosen intradialytic intake according to a snack model, at the day of blood sample collection of three different months. As targets for the compensation of the catabolic impact of HD, we considered 316.8kCal (1.32 (+/- 0.18) kcal/min - 240' of HD) for the estimated increase in REE and at least 7 g of protein losses/HD treatment. Results: A total of 448 meals were analyzed, with 383 given during daytime shifts. No intolerances were registered. The mean nutritional profile of the daytime shifts intakes was 378.8 (+/- 151.4) kcal, 13.5 (+/- 7.2) g of protein, 676 (+/- 334) mg of sodium (Na), 361.0 (+/- 240.3) mg of potassium (K) and 249.3 (+/- 143.0) mg of phosphates (P). We found that 68% of the meals provided an intake >= 316.8kCal and 82% a protein intake >= 7 g, with a significant association found between treatment shift and energy (p < 0.028), protein (p < 0.028), lipids (p < 0.004), Na (p < 0.004), K (p < 0.009) and P (p < 0.039) intakes. Conclusions: We found that this intradialytic snack model meets the target for the treatment-related increases in protein and energy needs. Although sodium intake was found to be high, potassium and phosphate intake was considered adequate. |
| Databáze: | OpenAIRE |
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