Perceptions of hemodialysis patients about dietary and fluid restrictions

Nerbass, Fabiana Baggio; Correa, Dyane; Santos, Rafaela Cristina dos; Krüger, Tatiana S.; Sczip, Andrea C.; Vieira, Marcos Alexandre; Morais, Jyana G.

doi:10.5935/0101-2800.20170031

Cited by 23 publications

(19 citation statements)

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“…Patients on hemodialysis (HD), the most common treatment modality, are required to adhere strictly to treatment regimen namely diet, fluids, medications (phosphate binder), and dialysis therapy [ 6 ]. The most common dialysis prescriptions, however, do not provide adequate phosphate removal [ 7 ], with hyperphosphataemia frequently reported among HD patients [ 8 , 9 , 10 ]. Precise reasons for this gap remain unclear and various factors have been linked to poor phosphate compliance among HD patients including socio-demographic factors [ 11 , 12 ], depression [ 13 , 14 ], social support [ 15 , 16 ], medication adherence [ 11 , 17 , 18 ], nutritional knowledge on phosphorus [ 11 , 19 ], and sleep quality [ 20 , 21 ] with inconsistencies existing [ 22 , 23 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

Poor Sleep Quality, Depression and Social Support Are Determinants of Serum Phosphate Level among Hemodialysis Patients in Malaysia

Wong

Kamaruddin

et al. 2020

IJERPH

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Despite optimal control of serum phosphate level being imperative to avoid undesirable health outcomes, hyperphosphataemia is a highly prevalent mineral abnormality among the dialysis population. This study aimed to determine factors associated with hyperphosphatemia among hemodialysis patients in Malaysia. Multiple linear regression analysis was used to ascertain the possible factors that influence serum phosphate levels. A total of 217 hemodialysis patients were recruited. Hyperphosphatemia was prevalent. Only approximately 25% of the patients were aware that optimal control of hyperphosphatemia requires the combined effort of phosphate binder medication therapy, dietary restriction, and dialysis prescription. The presence of diabetes mellitus may affect serum phosphate levels, complicating dietary phosphorus management. Patients who were less depressive portrayed higher serum phosphate levels, implying intentional non-compliance. Better compliance on phosphate binder, longer sleep duration, and higher social support was associated with a lower level of serum phosphate. Despite sleep disturbance being one of the most prevalent and intense symptom burdens identified by hemodialysis patients, relatively few studies have addressed this issue. It is time to formulate sleep therapeutic interventions besides the encouragement of strong social support, hoping which many clinical outcomes including hyperphosphatemia can be better controlled among hemodialysis patients.

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Section: Introductionmentioning

confidence: 99%

Poor Sleep Quality, Depression and Social Support Are Determinants of Serum Phosphate Level among Hemodialysis Patients in Malaysia

Wong

Kamaruddin

et al. 2020

IJERPH

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“…Cardiovascular mortality has been shown to be 30 times higher among people with end-stage kidney disease (ESKD) than in the general population [4]. Among factors contributing to the abysmal clinical outcomes in these patients, poor adherence to prescribed pharmacologic and nonpharmacologic treatments is a common albeit potentially modifiable problem, not least of which involves adherence to dietary advice provided by dietary counseling, which is one of the cornerstones of nonpharmacologic care for CKD patients [5,6,7,8,9].…”

Section: Introductionmentioning

confidence: 99%

Dietary Patterns of Patients with Chronic Kidney Disease: The Influence of Treatment Modality

et al. 2019

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Background: We analyzed the dietary patterns of Brazilian individuals with a self-declared diagnosis of chronic kidney disease (CKD) and explored associations with treatment modality. Methods: Weekly consumption of 14 food intake markers was analyzed in 839 individuals from the 2013 Brazil National Health Survey with a self-declared diagnosis of CKD undergoing nondialysis (n = 480), dialysis (n = 48), or renal transplant (n = 17) treatment or no CKD treatment (n = 294). Dietary patterns were derived by exploratory factor analysis of food intake groups. Multiple linear regression models, adjusted by sociodemographic and geographical variables, were used to evaluate possible differences in dietary pattern scores between different CKD treatment groups. Results: Two food patterns were identified: an “Unhealthy” pattern (red meat, sweet sugar beverages, alcoholic beverages, and sweets and a negative loading of chicken, excessive salt, and fish) and a “Healthy” pattern (raw and cooked vegetables, fruits, fresh fruit juice, and milk). The Unhealthy pattern was inversely associated with nondialysis and dialysis treatment (β: −0.20 (95% CI: −0.33; −0.06) and β: −0.80 (−1.16; −0.45), respectively) and the Healthy pattern was positively associated with renal transplant treatment (β: 0.32 (0.03; 0.62)). Conclusions: Two dietary patterns were identified in Brazilian CKD individuals and these patterns were linked to CKD treatment modality.

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“…The dietary modifications such as changes in the energy intake, intake of macronutrients, minerals and fluids can significantly reduce the risk for increased mortality and morbidity. 3 - 5 It has been observed that between 20 - 78% of the patients are non-adherent to diet and fluid restrictions because of the modification in their long-standing individual routine life.…”

Section: Introductionmentioning

confidence: 99%

Dietary and Fluid Regime Adherence in Chronic Kidney Disease Patients

Beerendrakumar¹,

Ramamoorthy²,

Haridasan³

2018

J Caring Sci

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Introduction: Patients with Chronic Kidney Disease (CKD) needs to modify their lifestyle chiefly focusing on diet and fluid intake as the prognosis of these patients largely depends on adherence to the recommended nutritional regime. Non adherence to the suggested diet and fluids regime leads to rapid worsening of the condition. Methods: Cross sectional survey was conducted to determine the level of adherence to the dietary and fluids restriction among CKD patients. Inclusion criteria’s was, age between 18- 65 years, patients with CKD for at least 6 months and received dietary counseling. Consecutive sampling technique was used to select 100 patients. Data was collected with self-reported Dialysis Diet and Fluid non adherence Questionnaire (DDFQ). Results: Majority (73%) of the subjects was males, 64% belongs to 40-60 years age, majority of them were unemployed. Mean Body Mass Index (BMI) was 20.52 kg/m2, the mean duration of the treatment is 2.15 years and mean fluid intake was 2153ml ml/day and inter-dialytic weight gain was 1.48 kg. Regarding adherence, 20% of them had mild deviation and 69% of them had moderate deviation from dietary restrictions and similarly 69 % of the participants had moderate deviation, and 22% of them had mild deviation from fluid restriction guidelines. Low level of adherence to fluid and diet restrictions was noted in illiterate patients which was significant P<0.05. Conclusion: In spite of the dietary counseling, considerable proportions of the patients were non adherent to the diet and fluid restrictions which necessitate regular counseling to patient and family members.

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Perceptions of hemodialysis patients about dietary and fluid restrictions

Cited by 23 publications

References 0 publications

Poor Sleep Quality, Depression and Social Support Are Determinants of Serum Phosphate Level among Hemodialysis Patients in Malaysia

Poor Sleep Quality, Depression and Social Support Are Determinants of Serum Phosphate Level among Hemodialysis Patients in Malaysia

Dietary Patterns of Patients with Chronic Kidney Disease: The Influence of Treatment Modality

Dietary and Fluid Regime Adherence in Chronic Kidney Disease Patients

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