Dietary management of haemodialysis patients with chronic kidney disease and malnourishment
Background and Objectives: Dietary supplementation for haemodialyzed (HD) patients with chronic kidney disease (CKD) and its benefits for the anthropometric profiles remain contentious. This study analysed changes in the albumin levels and anthropometric profiles of HD patients within 3 months of nu...
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| Veröffentlicht in: | Asia Pacific Journal of Clinical Nutrition 2021-12, Vol.30 (4), p.579-587 |
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| creator | Suryantoro, Satriyo Dwi Ardhany, Ardityo Rahmat Basoeki, Widodo Thaha, Mochammad Mardiana, Nunuk Tjempakasari, Artaria Nurwidda, Arvi Dian Prasetya Harudiyati Widiyastuti, Krisnina Nurul |
| description | Background and Objectives: Dietary supplementation for haemodialyzed (HD) patients with chronic kidney disease (CKD) and its benefits for the anthropometric profiles remain contentious. This study analysed changes in the albumin levels and anthropometric profiles of HD patients within 3 months of nutritional therapy. Methods and Study Design: Sixty-three malnourished HD patients (Subjective Global Assessment nutrition status B or C) were enrolled. Twenty patients received counselling, 17 patients received oral therapy, 26 patients received intradialytic parenteral nutrition (IDPN), and were evaluated at month 0, month 1, and month 3. Five patients withdrew before completing the trial. The patients' albumin levels and anthropometric profiles (biceps and triceps skinfold thickness, upper arm circumference, body weight, and body mass index) were analysed before and after treatment. We performed multivariate analysis to determine the effect of each treatment on serum albumin and anthropometric profiles. Results: At months 1 and 3, nutritional therapy was associated with different mean serum albumin level among three nutritional intervention groups (p |
| doi_str_mv | 10.6133/apjcn.202112_30(4).0004 |
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This study analysed changes in the albumin levels and anthropometric profiles of HD patients within 3 months of nutritional therapy. Methods and Study Design: Sixty-three malnourished HD patients (Subjective Global Assessment nutrition status B or C) were enrolled. Twenty patients received counselling, 17 patients received oral therapy, 26 patients received intradialytic parenteral nutrition (IDPN), and were evaluated at month 0, month 1, and month 3. Five patients withdrew before completing the trial. The patients' albumin levels and anthropometric profiles (biceps and triceps skinfold thickness, upper arm circumference, body weight, and body mass index) were analysed before and after treatment. We performed multivariate analysis to determine the effect of each treatment on serum albumin and anthropometric profiles. Results: At months 1 and 3, nutritional therapy was associated with different mean serum albumin level among three nutritional intervention groups (p<0.05). Significant increases in serum albumin, upper arm circumference, and triceps and biceps skinfold thickness were identified in the counselling and IDPN groups. Multivariate linear regression revealed significant differences between oral and nonoral groups in albumin and biceps and triceps skinfold thickness at months 1 and 3. These variables were affected by age and duration of haemodialysis (p<0.05). Conclusions: Nutritional therapy for malnourished CKD patients receiving HD ameliorated serum albumin and their anthropometric profiles within 3 months.</description><identifier>ISSN: 0964-7058</identifier><identifier>EISSN: 1440-6047</identifier><identifier>DOI: 10.6133/apjcn.202112_30(4).0004</identifier><identifier>PMID: 34967186</identifier><language>eng</language><publisher>Clayton, Vic: HEC Press</publisher><subject>Age ; Anthropometry ; Body mass index ; Counseling ; Diabetes ; Diet therapy ; Dietary supplements ; Diseases ; Hemodialysis ; Humans ; Hypertension ; Intervention ; Kidney diseases ; Kidneys ; Malnutrition ; Malnutrition - therapy ; Mortality ; Multivariate analysis ; Nutrition research ; Nutritional Status ; Parenteral nutrition ; Patients ; Protein-energy malnutrition ; Proteins ; Regression analysis ; Renal Dialysis ; Renal Insufficiency, Chronic - complications ; Renal Insufficiency, Chronic - therapy ; Serum albumin ; Therapeutic use ; Variables</subject><ispartof>Asia Pacific Journal of Clinical Nutrition, 2021-12, Vol.30 (4), p.579-587</ispartof><rights>Copyright HEC Press Dec 2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a477t-5688509d1277aa5516f8216937285fc91c74ea4b6341998a72f70d2ec0723f3c3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34967186$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Suryantoro, Satriyo Dwi</creatorcontrib><creatorcontrib>Ardhany, Ardityo Rahmat</creatorcontrib><creatorcontrib>Basoeki, Widodo</creatorcontrib><creatorcontrib>Thaha, Mochammad</creatorcontrib><creatorcontrib>Mardiana, Nunuk</creatorcontrib><creatorcontrib>Tjempakasari, Artaria</creatorcontrib><creatorcontrib>Nurwidda, Arvi Dian Prasetya</creatorcontrib><creatorcontrib>Harudiyati</creatorcontrib><creatorcontrib>Widiyastuti, Krisnina Nurul</creatorcontrib><title>Dietary management of haemodialysis patients with chronic kidney disease and malnourishment</title><title>Asia Pacific Journal of Clinical Nutrition</title><addtitle>Asia Pac J Clin Nutr</addtitle><description>Background and Objectives: Dietary supplementation for haemodialyzed (HD) patients with chronic kidney disease (CKD) and its benefits for the anthropometric profiles remain contentious. This study analysed changes in the albumin levels and anthropometric profiles of HD patients within 3 months of nutritional therapy. Methods and Study Design: Sixty-three malnourished HD patients (Subjective Global Assessment nutrition status B or C) were enrolled. Twenty patients received counselling, 17 patients received oral therapy, 26 patients received intradialytic parenteral nutrition (IDPN), and were evaluated at month 0, month 1, and month 3. Five patients withdrew before completing the trial. The patients' albumin levels and anthropometric profiles (biceps and triceps skinfold thickness, upper arm circumference, body weight, and body mass index) were analysed before and after treatment. We performed multivariate analysis to determine the effect of each treatment on serum albumin and anthropometric profiles. Results: At months 1 and 3, nutritional therapy was associated with different mean serum albumin level among three nutritional intervention groups (p<0.05). Significant increases in serum albumin, upper arm circumference, and triceps and biceps skinfold thickness were identified in the counselling and IDPN groups. Multivariate linear regression revealed significant differences between oral and nonoral groups in albumin and biceps and triceps skinfold thickness at months 1 and 3. These variables were affected by age and duration of haemodialysis (p<0.05). Conclusions: Nutritional therapy for malnourished CKD patients receiving HD ameliorated serum albumin and their anthropometric profiles within 3 months.</description><subject>Age</subject><subject>Anthropometry</subject><subject>Body mass index</subject><subject>Counseling</subject><subject>Diabetes</subject><subject>Diet therapy</subject><subject>Dietary supplements</subject><subject>Diseases</subject><subject>Hemodialysis</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Intervention</subject><subject>Kidney diseases</subject><subject>Kidneys</subject><subject>Malnutrition</subject><subject>Malnutrition - therapy</subject><subject>Mortality</subject><subject>Multivariate analysis</subject><subject>Nutrition research</subject><subject>Nutritional Status</subject><subject>Parenteral nutrition</subject><subject>Patients</subject><subject>Protein-energy malnutrition</subject><subject>Proteins</subject><subject>Regression analysis</subject><subject>Renal Dialysis</subject><subject>Renal Insufficiency, Chronic - complications</subject><subject>Renal Insufficiency, Chronic - therapy</subject><subject>Serum albumin</subject><subject>Therapeutic use</subject><subject>Variables</subject><issn>0964-7058</issn><issn>1440-6047</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkk1v1DAQhi1ERZfCX4BIXMohi78_JC6ofLSoEhc4cbCmjtN4SewQe4X239fLLirlxGls-XnfGc8MQi8JXkvC2BuYNy6uKaaEUMvwOX-9xhjzR2hFOMetxFw9RitsJG8VFvoUPc15UwnGsXiCThk3UhEtV-j7--ALLLtmggi3fvKxNKlvBvBT6gKMuxxyM0MJ9SE3v0IZGjcsKQbX_Ahd9LumC9lD9g3ErpqMMW2XkIe90TN00sOY_fNjPEPfPn74enHZXn_5dHXx7roFrlRphdRaYNMRqhSAEET2mhJpmKJa9M4Qp7gHfiMZJ8ZoULRXuKPeYUVZzxw7Q-cH33lJP7c-FzuF7Pw4QvRpmy2VRNRMlOuKvvoH3dR6Y62uUpRxwQnDlXpxpLY3k-_svISp9sj-aVsF3h6AZQrFujSO3pWQYt5AyZZgyxiRNsQ-_QaoIYYobBhhWjBV5Z__ksMMfbG1iYsb7jVpubVdCv9jdnkwg7CEEu4_tJ_-fvj2uCY1UFwPdQ3Iw4tQxgqt2B2LxbDa</recordid><startdate>20211201</startdate><enddate>20211201</enddate><creator>Suryantoro, Satriyo Dwi</creator><creator>Ardhany, Ardityo Rahmat</creator><creator>Basoeki, Widodo</creator><creator>Thaha, Mochammad</creator><creator>Mardiana, Nunuk</creator><creator>Tjempakasari, Artaria</creator><creator>Nurwidda, Arvi Dian Prasetya</creator><creator>Harudiyati</creator><creator>Widiyastuti, Krisnina Nurul</creator><general>HEC Press</general><scope>188</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BVBZV</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20211201</creationdate><title>Dietary management of haemodialysis patients with chronic kidney disease and malnourishment</title><author>Suryantoro, Satriyo Dwi ; Ardhany, Ardityo Rahmat ; Basoeki, Widodo ; Thaha, Mochammad ; Mardiana, Nunuk ; Tjempakasari, Artaria ; Nurwidda, Arvi Dian Prasetya ; Harudiyati ; Widiyastuti, Krisnina Nurul</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a477t-5688509d1277aa5516f8216937285fc91c74ea4b6341998a72f70d2ec0723f3c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Age</topic><topic>Anthropometry</topic><topic>Body mass index</topic><topic>Counseling</topic><topic>Diabetes</topic><topic>Diet therapy</topic><topic>Dietary supplements</topic><topic>Diseases</topic><topic>Hemodialysis</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Intervention</topic><topic>Kidney diseases</topic><topic>Kidneys</topic><topic>Malnutrition</topic><topic>Malnutrition - therapy</topic><topic>Mortality</topic><topic>Multivariate analysis</topic><topic>Nutrition research</topic><topic>Nutritional Status</topic><topic>Parenteral nutrition</topic><topic>Patients</topic><topic>Protein-energy malnutrition</topic><topic>Proteins</topic><topic>Regression analysis</topic><topic>Renal Dialysis</topic><topic>Renal Insufficiency, Chronic - complications</topic><topic>Renal Insufficiency, Chronic - therapy</topic><topic>Serum albumin</topic><topic>Therapeutic use</topic><topic>Variables</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Suryantoro, Satriyo Dwi</creatorcontrib><creatorcontrib>Ardhany, Ardityo Rahmat</creatorcontrib><creatorcontrib>Basoeki, Widodo</creatorcontrib><creatorcontrib>Thaha, Mochammad</creatorcontrib><creatorcontrib>Mardiana, Nunuk</creatorcontrib><creatorcontrib>Tjempakasari, Artaria</creatorcontrib><creatorcontrib>Nurwidda, Arvi Dian Prasetya</creatorcontrib><creatorcontrib>Harudiyati</creatorcontrib><creatorcontrib>Widiyastuti, Krisnina Nurul</creatorcontrib><collection>Airiti Library</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>East & South Asia Database</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Asia Pacific Journal of Clinical Nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Suryantoro, Satriyo Dwi</au><au>Ardhany, Ardityo Rahmat</au><au>Basoeki, Widodo</au><au>Thaha, Mochammad</au><au>Mardiana, Nunuk</au><au>Tjempakasari, Artaria</au><au>Nurwidda, Arvi Dian Prasetya</au><au>Harudiyati</au><au>Widiyastuti, Krisnina Nurul</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dietary management of haemodialysis patients with chronic kidney disease and malnourishment</atitle><jtitle>Asia Pacific Journal of Clinical Nutrition</jtitle><addtitle>Asia Pac J Clin Nutr</addtitle><date>2021-12-01</date><risdate>2021</risdate><volume>30</volume><issue>4</issue><spage>579</spage><epage>587</epage><pages>579-587</pages><issn>0964-7058</issn><eissn>1440-6047</eissn><abstract>Background and Objectives: Dietary supplementation for haemodialyzed (HD) patients with chronic kidney disease (CKD) and its benefits for the anthropometric profiles remain contentious. This study analysed changes in the albumin levels and anthropometric profiles of HD patients within 3 months of nutritional therapy. Methods and Study Design: Sixty-three malnourished HD patients (Subjective Global Assessment nutrition status B or C) were enrolled. Twenty patients received counselling, 17 patients received oral therapy, 26 patients received intradialytic parenteral nutrition (IDPN), and were evaluated at month 0, month 1, and month 3. Five patients withdrew before completing the trial. The patients' albumin levels and anthropometric profiles (biceps and triceps skinfold thickness, upper arm circumference, body weight, and body mass index) were analysed before and after treatment. We performed multivariate analysis to determine the effect of each treatment on serum albumin and anthropometric profiles. Results: At months 1 and 3, nutritional therapy was associated with different mean serum albumin level among three nutritional intervention groups (p<0.05). Significant increases in serum albumin, upper arm circumference, and triceps and biceps skinfold thickness were identified in the counselling and IDPN groups. Multivariate linear regression revealed significant differences between oral and nonoral groups in albumin and biceps and triceps skinfold thickness at months 1 and 3. These variables were affected by age and duration of haemodialysis (p<0.05). Conclusions: Nutritional therapy for malnourished CKD patients receiving HD ameliorated serum albumin and their anthropometric profiles within 3 months.</abstract><cop>Clayton, Vic</cop><pub>HEC Press</pub><pmid>34967186</pmid><doi>10.6133/apjcn.202112_30(4).0004</doi><tpages>9</tpages></addata></record> |
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| subjects | Age Anthropometry Body mass index Counseling Diabetes Diet therapy Dietary supplements Diseases Hemodialysis Humans Hypertension Intervention Kidney diseases Kidneys Malnutrition Malnutrition - therapy Mortality Multivariate analysis Nutrition research Nutritional Status Parenteral nutrition Patients Protein-energy malnutrition Proteins Regression analysis Renal Dialysis Renal Insufficiency, Chronic - complications Renal Insufficiency, Chronic - therapy Serum albumin Therapeutic use Variables |
| title | Dietary management of haemodialysis patients with chronic kidney disease and malnourishment |
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