51. Dietary nutrient intake and nutritional status in maintenance hemodialysis patients: a multicenter cross-sectional survey
- Author
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Zhi-Qian Chen, Li Luo, Xin-Xin Chen, Xiao-Yu Zhang, Shu-Qing Yin, Guang-Hui Xiao, Na Xu, Qun Liu, and Chun-Yan Su
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Maintenance hemodialysis ,chronic kidney disease ,end-stage renal disease ,dietary nutrient intake ,blood test index ,dietary guidelines ,Diseases of the genitourinary system. Urology ,RC870-923 - Abstract
Purpose To investigate the dietary nutrient intake of Maintenance hemodialysis (MHD) patients, identify influencing factors, and explore the correlation between dietary nutrient intake and nutritional and disease control indicators.Methods This was a multicenter cross-sectional study. A dietary survey was conducted using a three-day dietary record method, and a self-designed diet management software was utilized to calculate the daily intake of dietary nutrients. The nutritional status and disease control indicators were assessed using subjective global assessment, handgrip strength, blood test indexes, and dialysis adequacy.Results A total of 382 MHD patients were included in this study. Among them, 225 (58.9%) and 233 (61.0%) patients’ protein and energy intake did not meet the recommendations outlined in the National Kidney Foundation’s Kidney Disease Outcomes Quality Initiative Clinical Practice Guideline for Nutrition in Chronic Kidney Disease (2020 update). The average protein and energy intake for these patients were 0.99 ± 0.32 g/kg/d and 29.06 ± 7.79 kcal/kg/d, respectively. Multiple linear regression analysis showed that comorbidity-diabetes had a negative influence on normalized daily energy intake (nDEI = DEI / ideal body weight) (B = −2.880, p = 0.001) and normalized daily protein intake (nDPI = DPI / ideal body weight) (B = −0.109, p = 0.001). Pearson correlation analysis revealed that dietary DPI (r = −0.109, p
- Published
- 2024
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