Nutrition, adequacy of dialysis, and clinical outcome in Indo-Asian and White European patients on peritoneal dialysis

Abstract

Interventions are needed to improve nutritional status in these patients, particularly the Indo-Asian patients. The long-term impact of worse social deprivation and lower transplant rates in Indo-Asians needs to be investigated further.

Ethnicity and renal disease

“…In the United States, mortality in patients receiving RRT (adjusted for socioeconomic factors and comorbidity), is consistently lower in ethnic minorities [4]. One single-center study in the United Kingdom showed no difference in mortality [44], but the United Kingdom Renal Registry reports a significant reduction in one-year mortality for blacks on RRT, although no difference between South Asians and whites (Byrne C et al, unpublished data). In Hong Kong, survival of Chinese patients undergoing PD is significantly better than that reported in other large PD studies involving predominantly white populations [45].…”

“…However, in Leicester, in the 1980s non-English-speaking South Asians established on CAPD were more likely to switch to HD because of the consequences of peritonitis (Carr S, unpublished observations). It is reassuring that a range of improvements in dialysis-related care, including increased language and culture-specific resources, eliminated that inequality in subsequent time periods, and data from another United Kingdom South Asian population confirms no difference in infection rate or technique survival [44]. In a black urban PD population in the United States, no difference in PD peritonitis was detected [47].…”

Dietary Diversity and Associated Health Status of Newly Diagnosed Type 2 Diabetic Patients in Jashore Region of Bangladesh

“…We also found that Hindu patients had higher mean IDDS than the Muslims, this is consistent with the previous study in Indo-Asians patients. 39 It can be explained by the fact that Hindus are usually more prone to consume vegetarian diets and vegetarians have a higher tendency to encompass diverse food to recover their daily required protein consumption, which eventually comparatively increased their (Hindus) IDDS. As Hindus don't take higher energy foods, overweight and obesity among Muslims were higher and this is supported by another study.…”