Dietary Adherence in Hispanic Patients Receiving Hemodialysis

López, Claudia Morales; Burrowes, Jerrilynn D.; Gizis, Frances; Brommage, Deborah

doi:10.1053/j.jrn.2006.12.004

Cited by 32 publications

(32 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Most (57%) study participants reported consuming 2,400mg or less of dietary sodium per day as recommended by the National Kidney Foundation Kidney Disease Outcomes Quality Initiative (NKF KDOQI) guidelines 24 and limited variability in dietary sodium intake was observed. Our study results are similar to that of Morales-Lopez and colleagues 25 who reported no differences between 17 Hispanic and 17 age and gender matched non-Hispanic hemodialysis patients in regard to dietary compliance. Accordingly, our findings do not support the need for tailored interventions specific to race and SES, although the literature suggests otherwise 26-28 .…”

Section: Discussionsupporting

confidence: 91%

Adherence to Hemodialysis Dietary Sodium Recommendations: Influence of Patient Characteristics, Self-Efficacy, and Perceived Barriers

Clark-Cutaia

Ren

Hoffman

et al. 2014

Journal of Renal Nutrition

View full text Add to dashboard Cite

Objective To identify characteristics of hemodialysis patients most likely to experience difficulty adhering to sodium restrictions associated with their dietary regimen. Design Secondary analysis using baseline data from an ongoing randomized clinical trial examining the effects of a technology-supported behavioral intervention on dietary sodium intake in hemodialysis patients. Setting 13 dialysis centers in southwestern Pennsylvania. Subjects 122 participants (61% women, 48% African American) aged 61 ± 14 years receiving maintenance, intermittent hemodialysis for end stage renal disease. Main outcome measure Normalized dietary sodium intake, adjusted interdialytic weight gain, perceived problems and self-efficacy for restricting dietary sodium. Results Younger participants were more likely to report problems managing their hemodialysis diet and low self-efficacy for restricting sodium intake. Consistent with these findings, younger participants had a higher median sodium intake and higher average adjusted interdialytic weight gain. Females reported more problems managing their diet. Race, time on dialysis and perceived income adequacy did not appear to influence outcome measures. Conclusion Our findings suggest patients who are younger and female encounter more difficulty adhering to the hemodialysis regimen. Hence, there may be a need to individualize counseling and interventions for these individuals. Further investigation is needed to understand the independent effects of age and gender on adherence to hemodialysis dietary recommendations and perceived self-efficacy.

show abstract

Section: Discussionsupporting

confidence: 91%

Adherence to Hemodialysis Dietary Sodium Recommendations: Influence of Patient Characteristics, Self-Efficacy, and Perceived Barriers

Clark-Cutaia

Ren

Hoffman

et al. 2014

Journal of Renal Nutrition

View full text Add to dashboard Cite

show abstract

“…Considerable research has shown that family and social support correlate significantly with healthy eating in Hispanics of various ages, such as children (Ayala et al, 2007), pregnant women (Gutierrez, 1999), and adults with type 2 diabetes (Morales López, Burrowes, Gizis, & Brommage, 2007; Orzáez Villanueva, Rodríguez Cisneros, Morales Ruiz, & Martinéz Rincón, 2006; Wen, Parchman, & Shepherd, 2004). Eyler et al (1999) also found that family and social support were strong predictors of exercise in Hispanic women.…”

Section: Resultsmentioning

confidence: 99%

Anatomy of Culturally Sensitive Interventions Promoting Nutrition and Exercise in Hispanics: A Critical Examination of Existing Literature

Mier

Ory

Medina

2009

Health Promotion Practice

109

View full text Add to dashboard Cite

Compared with non-Hispanic Whites, Hispanics experience a disproportionate burden of chronic diseases. Understanding the factors influencing the success of health programs in Hispanics requires a clearer examination of the principles and components of tailored interventions. This research comprises a comprehensive literature review of randomized controlled trials testing nutrition and exercise interventions tailored for Hispanics and an examination of how these interventions were constructed. The review of 18 interventions meeting study criteria suggests that most tailored programs promoting nutrition and exercise in Hispanics are theory driven and are informed by formative research. Also, the findings indicate that salient culturally sensitive intervention components are (a) bilingual and bicultural facilitators and materials, (b) family-based activities, (c) literacy-appropriate materials, and (d) social support. A clear understanding of Hispanic cultural values is also required. Further empirical examination is warranted to determine the factors mediating or predicting the efficacy of culturally sensitive health programs for Hispanics.

show abstract

“…23 In another study by Kalantar-Zadeh et al characterizing food consumption in patients initiating hemodialysis, it was found that, after receiving dietary instructions, patients independently modified their diet and limited potassium intake in order to maintain appropriate serum potassium levels. 24 Although Hispanics and non-Hispanics had identical adherence to potassium restriction recommendations, 25 overall dietary modifications may have been more challenging in Hispanic patients due to the impact of cultural differences in food choice. 26 Due to data limitations, we were unable to determine if the higher serum potassium distribution in Hispanics was due to higher intake of fruits and vegetables relating to cultural background.…”

Section: Discussionmentioning

confidence: 99%

Racial and Ethnic Differences in Mortality Associated with Serum Potassium in a Large Hemodialysis Cohort

et al. 2017

View full text Add to dashboard Cite

Background: Hyperkalemia is observed in chronic kidney disease patients and may be a risk factor for life-threatening arrhythmias and death. Race/ethnicity may be important modifiers of the potassium-mortality relationship in maintenance hemodialysis (MHD) patients given that potassium intake and excretion vary among minorities. Methods: We examined racial/ethnic differences in baseline serum potassium levels and all-cause and cardiovascular mortality using Cox proportional hazard models and restricted cubic splines in a cohort of 102,241 incident MHD patients. Serum potassium was categorized into 6 groups: ≤3.6, >3.6 to ≤4.0, >4.0 to ≤4.5 (reference), >4.5 to ≤5.0, >5.0 to ≤5.5, and >5.5 mEq/L. Models were adjusted for case-mix and malnutrition-inflammation cachexia syndrome (MICS) covariates. Results: The cohort was composed of 50% whites, 34% African-Americans, and 16% Hispanics. Hispanics tended to have the highest baseline serum potassium levels (mean ± SD: 4.58 ± 0.55 mEq/L). Patients in our cohort were followed for a median of 1.3 years (interquartile range 0.6-2.5). In our cohort, associations between higher potassium (>5.5 mEq/L) and higher mortality risk were observed in African-American and whites, but not Hispanic patients in models adjusted for case-mix and MICS covariates. While in Hispanics only, lower serum potassium (<3.6 mEq/L) levels were associated with higher mortality risk. Similar trends were observed for cardiovascular mortality. Conclusions: Higher potassium levels were associated with higher mortality risk in white and African-American MHD patients, whereas lower potassium levels were associated with higher death risk in Hispanics. Further studies are needed to determine the underlying mechanisms for the differential association between potassium and mortality across race/ethnicity.

show abstract

Dietary Adherence in Hispanic Patients Receiving Hemodialysis

Cited by 32 publications

References 16 publications

Adherence to Hemodialysis Dietary Sodium Recommendations: Influence of Patient Characteristics, Self-Efficacy, and Perceived Barriers

Adherence to Hemodialysis Dietary Sodium Recommendations: Influence of Patient Characteristics, Self-Efficacy, and Perceived Barriers

Anatomy of Culturally Sensitive Interventions Promoting Nutrition and Exercise in Hispanics: A Critical Examination of Existing Literature

Racial and Ethnic Differences in Mortality Associated with Serum Potassium in a Large Hemodialysis Cohort

Contact Info

Product

Resources

About