A Comparison of Dietary Intake Between Individuals Undergoing Maintenance Hemodialysis in the United Kingdom and China

Song, Yan; March, Daniel S.; Biruete, Annabel; Kistler, Brandon M.; Nixon, Daniel; Highton, Patrick J; Vogt, Barbara; Ruddock, Nicki; Wilund, Kenneth R.; Smith, Alice C.; Burton, James O.

doi:10.1053/j.jrn.2021.03.003

Cited by 8 publications

(4 citation statements)

References 57 publications

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“…Protein intake of 1.0–1.2 g/kg body weight per day is recommended to maintain a stable nutritional status in the KDOQI guide. However, daily protein intake (DPI) in most Chinese patients undergoing HD who also follow the guidelines was < 1.0 g/kg ( 11 ).…”

Section: Introductionmentioning

confidence: 99%

Diet and Culture Among Chinese Patients Undergoing Hemodialysis: A Qualitative Study

et al. 2022

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A growing body of research showed that diet management, such as promoting protein and vitamin intake and food restriction play a crucial role in extending time to morbidity and mortality in patients undergoing hemodialysis. However, the current dietary recommendations in nutrition guidelines lack examination of cultural factors. The study aimed to understand the diet influenced by culture in Chinese patients undergoing hemodialysis. Semi-structured interviews were conducted for 23 patients, aged 23–75 years, undergoing hemodialysis in a local tertiary hospital. Interview questions mainly focused on patients' real experience about diet, and their perceptions and attitudes toward diet. Each interview was digitally recorded, and conventional content analysis was used to attain information. The majority of patients reserved Chinese traditional dietary habits about salt and calcium intake. Although Chinese herbal medicine was not consumed, dietary therapy including brown sugar and dates was included in the participants' diet. Eggs, broth, and seafood were three prominent preferences and taboos profoundly impacted by culture. Additionally, Chinese social culture influenced patients' dietary behavior of eating at home and knowledge attainment. Diet in Chinese patients undergoing hemodialysis was still strongly influenced by culture. Culturally sensitive interventions regarding the improvement of diet intake are urgently needed.

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Section: Introductionmentioning

confidence: 99%

Diet and Culture Among Chinese Patients Undergoing Hemodialysis: A Qualitative Study

et al. 2022

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“…The Chinese hemodialysis population also had higher intake on HDD than NHDD because they provided a meal during their dialysis session. (23) A justifiable reason for the higher results is that when patients tend to eat during HD their energy intake is significantly increased leading to a higher total energy intake on HDD. This could offer a potential space for improvement in the energy intake of HD patients when they are given intradialytic feeding.…”

Section: Discussionmentioning

confidence: 99%

Intradialytic Feeding Practice and Nutritional Status of Maintenance Hemodialysis Patients in Alexandria, Egypt

Elkeraie,

Amine,

Naga

et al. 2023

Journal of High Institute of Public Health

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Background: Malnutrition is a common complication of hemodialysis that needs to be prevented, properly diagnosed and treated. Intra-dialytic feeding is a controversial yet effective method to help improve nutritional status. Objective(s):To assess intradialytic dietary pattern and nutritional status of hemodialysis patients and determine the energy and protein adequacy on hemodialysis and non-hemodialysis days. Methods: A cross sectional study was conducted using a predesigned interview questionnaire, 3-day 24-hour diet recall, anthropometric measurements, serum albumin and total iron binding capacity measurements, and malnutrition inflammation score (MIS) for 150 hemodialysis patients. Results: More than three quarters of the patients reported eating during the hemodialysis session with 71.3% of them eating due to the long session hours. Mean energy and protein intake on hemodialysis days was 1743.0 ± 718.1 kcal and 73.78 ± 37.15 g, respectively, which was significantly higher among patients who eat than those who don't eat during the hemodialysis session (p<0.001). Although mean serum albumin was higher in patients who eat during dialysis session and MIS was lower, there was no statistically significant difference between both groups. Conclusion: Intradialytic feeding is a common practice in chronic hemodialysis patients. Both energy and protein intakes and their adequacies were found to be higher in patients who eat during the dialysis session. This hints at the importance of utilization of dialysis session time to enhance the patients' nutritional status. Therefore, it is recommended to individualize the advice of intradialytic feeding according to the patient's needs.

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“…60 It falls in line with result from a study on comparing dietary intake between MHD patients in the United Kingdom and China. 61 …”

Section: Discussionmentioning

confidence: 99%

Diet-Related Inflammation is Associated with Malnutrition-Inflammation Markers in Maintenance Hemodialysis Patients: Results of a Cross-Sectional Study in China Using Dietary Inflammatory Index

Zeng¹,

Lin²,

He³

et al. 2022

IJGM

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Purpose This cross-sectional study aimed to explore the association between the inflammation potential of the diet and malnutrition-inflammation status in Chinese maintenance hemodialysis (MHD) patients. Methods Dietary Inflammatory Index (DII) was computed based on a semi-quantitative food frequency questionnaire. Malnutrition-inflammation status was assessed by six indexes, including C-reactive protein (CRP), neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), hemoglobin (HB), albumin (ALB) and malnutrition-inflammation score (MIS). Multivariable linear regression and logistic regression were employed adjusting for covariables including age, gender, body mass index and dialysis vintage. Results A total of 161 Chinese MHD patients with an average age of 60.0 ± 13.6 years were enrolled. The median (IQR) DII score among participants was 0.60 (−0.80, 2.32), revealing a generally pro-inflammatory diet. DII was positively associated with MIS score (β= 0.61, 95% CI: 0.51, 0.69, p < 0.0001) and CRP (β = 0.54, 95% CI: 0.46, 0.63, p < 0.0001). A negative relationship between DII and NLR (β = −0.37, 95% CI: −0.61, −0.13, p = 0.008) was found in the most anti-inflammatory diet. Multivariable logistic regression showed that each unit increase in DII was linked with 3.06 (95% CI: 1.39, 6.69, p = 0.005) times increased odds of MIS. Conclusion Diet with a higher DII score may act as a potential trigger contributing to the development of malnutrition-inflammation status. Further studies for verification and for developing strategies to decrease the dietary inflammation burden are warranted.

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A Comparison of Dietary Intake Between Individuals Undergoing Maintenance Hemodialysis in the United Kingdom and China

Cited by 8 publications

References 57 publications

Diet and Culture Among Chinese Patients Undergoing Hemodialysis: A Qualitative Study

Diet and Culture Among Chinese Patients Undergoing Hemodialysis: A Qualitative Study

Intradialytic Feeding Practice and Nutritional Status of Maintenance Hemodialysis Patients in Alexandria, Egypt

Diet-Related Inflammation is Associated with Malnutrition-Inflammation Markers in Maintenance Hemodialysis Patients: Results of a Cross-Sectional Study in China Using Dietary Inflammatory Index

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