Hemodialysis affects wanting and spontaneous intake of protein-rich foods in chronic kidney disease patients
| Autor: | Yves Boirie, Anna Filancia, Luc Pénicaud, Eric Teillet, Agnès Jacquin-Piques, Marie-Claude Brindisi, Noureddine Hafnaoui, Christiane Mousson, Corinne Leloup, Laurent Brondel, Thomas Mouillot, Virginie Van Wymelbeke, Ioanna Meintani |
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| Přispěvatelé: | Centre des Sciences du Goût et de l'Alimentation [Dijon] (CSGA), Université de Bourgogne (UB)-AgroSup Dijon - Institut National Supérieur des Sciences Agronomiques, de l'Alimentation et de l'Environnement-Centre National de la Recherche Scientifique (CNRS)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand (CHU Dijon), Unité de Nutrition Humaine (UNH), Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE)-Université Clermont Auvergne (UCA), STROMALab, Centre National de la Recherche Scientifique (CNRS)-Ecole Nationale Vétérinaire de Toulouse (ENVT), Institut National Polytechnique (Toulouse) (Toulouse INP), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Institut National Polytechnique (Toulouse) (Toulouse INP), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Etablissement Français du Sang-Institut National de la Santé et de la Recherche Médicale (INSERM), Grants from the Fondation Transplantation, Saint Apollinaire, France, from the Centre National de la Recherche Scientifique (CNRS), France, from the Association Bourguignonne pour le Développement de la Recherche et de la Formation en Néphrologie, Dialyse et Transplantation (NDT), Dijon, France, and from the Regional Council of Burgundy (PARI 2 Sensorialité)., Université Toulouse III - Paul Sabatier (UT3), Université de Toulouse (UT)-Université de Toulouse (UT)-Ecole Nationale Vétérinaire de Toulouse (ENVT), Université de Toulouse (UT)-Université de Toulouse (UT)-Institut National Polytechnique (Toulouse) (Toulouse INP), Université de Toulouse (UT)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Etablissement Français du Sang-Centre National de la Recherche Scientifique (CNRS) |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
medicine.medical_treatment 030232 urology & nephrology Medicine (miscellaneous) Physiology [SDV.MHEP.UN]Life Sciences [q-bio]/Human health and pathology/Urology and Nephrology Body Mass Index 03 medical and health sciences 0302 clinical medicine Reward Renal Dialysis medicine Humans In patient Risk factor Renal Insufficiency Chronic Wasting Dialysis 2. Zero hunger 030109 nutrition & dietetics Nutrition and Dietetics business.industry digestive oral and skin physiology Healthy subjects medicine.disease 3. Good health Nephrology Hemodialysis medicine.symptom business Energy Intake Kidney disease Hormone |
| Zdroj: | Journal of Renal Nutrition Journal of Renal Nutrition, WB Saunders, 2021, 31 (2), pp.164-176. ⟨10.1053/j.jrn.2020.05.006⟩ Journal of Renal Nutrition, 2021, 31 (2), pp.164-176. ⟨10.1053/j.jrn.2020.05.006⟩ |
| ISSN: | 1051-2276 1532-8503 |
| DOI: | 10.1053/j.jrn.2020.05.006⟩ |
| Popis: | Protein-energy wasting is a risk factor for mortality and morbidity in hemodialysis patients (HD patients). Food intake could be modified by HD-related changes in the food reward system (i.e., liking and wanting of specific macronutrients). In HD patients on days with and without dialysis, we evaluated (1) the reward system for protein-, fat-, and carbohydrate-rich foods, plasma hormones, and metabolite changes; and (2) the spontaneous ad libitum intake of macronutrients.Twenty-four HD patients evaluated their liking and wanting of macronutrients at 7:30 AM and 11:30 AM on a day with and a day without dialysis. Concentrations of hormones and plasma amino acids were determined. An additional 18 HD patients ate what they wanted from a buffet lunch comprising 8 dishes on a day with and a day without dialysis. Healthy subjects, age-, sex-, and body mass index-matched, served as controls.At 11:30 AM, wanting for protein-rich foods was higher on the day with than on the day without dialysis (P .01), bringing wanting levels close to those of healthy subjects. This increase correlated with changes in the concentrations of plasma amino acids (P .01). HD patients ate more protein from the buffet on the day with than on the day without dialysis (P .01) and more than healthy subjects (P .01).In HD patients, wanting and spontaneous intake of protein-rich foods increase immediately after dialysis. This increase correlated with decreased concentrations of plasma amino acids. Thus, in clinical practice, protein-rich foods should be recommended during and after dialysis in patients with protein-energy wasting. |
| Databáze: | OpenAIRE |
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