Dietary Quality and Adherence to Dietary Recommendations in Patients Undergoing Hemodialysis

Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation
Desiree LuisJuan Jesús Carrero

Abstract

The multiple dietary restrictions recommended to hemodialysis patients may be difficult to achieve and, at the same time, may result in nutritional deficiencies rendering a poor dietary quality. We here assess the dietary quality and adherence to renal-specific guideline recommendations among hemodialysis patients from a single center in Canary Islands, Spain. Cross-sectional study, including 91 patients undergoing maintenance hemodialysis. Clinical data and 3-day dietary records were collected. We compared patient's reported nutrients intake with guideline recommendations. We also evaluated their alignment with current American Heart Association dietary guidelines for cardiovascular prevention. Seventy-seven percent and 50% of patients consumed less than the recommended daily energy and protein, respectively. Although half of the patients met the recommendations for dietary fat intake, this was accounted by an excess of saturated fat in 92% of them. Only 22% consumed sufficient fiber. A very small proportion of patients (less than 50%) met the requirements for vitamins and other micronutrients. Insufficient dietary intake was observed in most patients for all vitamins except for cobalamin. Similarly, inadequate dietary intake ...Continue Reading

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Citations

Apr 24, 2016·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Juan Jesús CarreroChristoph Wanner
Jul 30, 2016·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Annabel BirueteKenneth R Wilund
Aug 23, 2016·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Katrina L Campbell, Juan Jesús Carrero
Oct 19, 2016·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Alison Steiber, Juan Jesús Carrero
Oct 25, 2016·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Allan J Collins, Christopher T Chan
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Dec 2, 2020·Microorganisms·Ryota IkeeSawako Fukazawa
Jan 8, 2021·Current Developments in Nutrition·Jennifer L HolmesBarbara Schneeman
Feb 17, 2021·Journal of Nephrology·Valeria M SaglimbeneGiovanni F M Strippoli
Sep 29, 2020·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Melanie BetzMilda Saunders
Jun 15, 2021·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Annabel BirueteKenneth R Wilund
Aug 31, 2021·Nutrition·Nara Aline CostaMarcos Ferreira Minicucci

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