Λεπτομέρειες βιβλιογραφικής εγγραφής
| Τίτλος: |
Peripherality and Indicators of Nutrition Status in Jewish Israeli Hemodialysis Patients: A Cross-Sectional Study. |
| Συγγραφείς: |
Kohavi M; Department of Nutrition Sciences, Ariel University, Kiryat Hamada 3, Ramat Hagolan St. 36, Ariel 40700, Israel., Oren Makmal C; Department of Nutrition Sciences, Ariel University, Kiryat Hamada 3, Ramat Hagolan St. 36, Ariel 40700, Israel., Abid N; Department of Nutrition Sciences, Ariel University, Kiryat Hamada 3, Ramat Hagolan St. 36, Ariel 40700, Israel., Kaufman-Shriqui V; Department of Nutrition Sciences, Ariel University, Kiryat Hamada 3, Ramat Hagolan St. 36, Ariel 40700, Israel., Bathish Y; Azrieli School of Medicine, Bar-Ilan University, Safed 1311502, Israel.; Nephrology Department, Ziv Medical Center, Safed 1311001, Israel., Weinstein T; Sackler School of Medicine, Tel Aviv University, Tel Aviv 69978, Israel., Kruzel Davilla E; Azrieli School of Medicine, Bar-Ilan University, Safed 1311502, Israel.; Medical Center of the Galilee, Nahariya 22100, Israel., Boaz M; Department of Nutrition Sciences, Ariel University, Kiryat Hamada 3, Ramat Hagolan St. 36, Ariel 40700, Israel. |
| Πηγή: |
Nutrients [Nutrients] 2026 Jul 08; Vol. 18 (14). Date of Electronic Publication: 2026 Jul 08. |
| Τύπος έκδοσης: |
Journal Article; Multicenter Study |
| Γλώσσα: |
English |
| Στοιχεία περιοδικού: |
Publisher: MDPI Publishing Country of Publication: Switzerland NLM ID: 101521595 Publication Model: Electronic Cited Medium: Internet ISSN: 2072-6643 (Electronic) Linking ISSN: 20726643 NLM ISO Abbreviation: Nutrients Subsets: MEDLINE |
| Imprint Name(s): |
Original Publication: Basel, Switzerland : MDPI Publishing |
| Ιατρικοί όροι (MeSH): |
Renal Dialysis*/adverse effects , Malnutrition*/epidemiology , Malnutrition*/etiology , Nutritional Status* , Jews*, Israel/epidemiology ; Humans ; Cross-Sectional Studies ; Female ; Male ; Middle Aged ; Aged ; C-Reactive Protein ; Risk Factors ; Nutrition Policy ; Adult |
| Περίληψη: |
Background: Geographic peripherality in Israel is linked to poorer health outcomes and may disproportionately affect patients requiring chronic therapies such as hemodialysis (HD). Though malnutrition and inflammation are strong predictors of morbidity and mortality in HD patients, regional differences in nutritional status and dietary adherence are unclear. Objectives: To examine the association between peripherality and malnutrition risk, dietary intake, and adherence to nutrition guidelines among Jewish Israeli adults on HD. Methods: In this multi-center, cross-sectional study, 154 adult Jewish HD patients were recruited from the northern periphery (n = 66) and central regions of Israel (n = 88). Demographic, clinical, laboratory, and anthropometric data were obtained from medical records. Nutrient intake was assessed using the multi-pass 24 h dietary recall method. Malnutrition risk was classified using BMI and serum albumin; the C-reactive protein-to-albumin ratio (CAR) was also calculated. Adherence to International Society of Renal Nutrition and Metabolism (ISRNM) dietary guidelines was evaluated. Between-group comparisons and multivariable regression analyses were conducted. Results: Overall, participant characteristics were similar between groups; however, coronary heart disease prevalence and dialysis vintage were higher in the periphery. Participants from the periphery had lower serum albumin, blood urea nitrogen, hemoglobin, and blood pressure, but higher LDL cholesterol. Sodium intake was significantly higher and adherence to ISRNM sodium guidelines markedly lower in the periphery. In multivariable analysis, peripherality reduced the odds of meeting sodium recommendations by 92.8%. Adherence to energy and protein guidelines was low in both groups. Nearly half of participants had some level of elevated malnutrition risk using the categorized variable, and an overall difference in the categories of malnutrition risk was detected, driven by the increase in the moderate risk category in the periphery. The composite malnutrition risk variable (any increase in risk vs. no increase in risk) did not differ by peripherality. Peripherality was independently associated with higher percent ideal body weight (%IBW), but not with CAR. Conclusions: Peripherality among Jewish Israeli HD patients is associated with differences in nutrition biomarkers, cardiovascular burden, and dietary adherence, especially sodium intake. Interventions considering peripherality should be explored. |
| Contributed Indexing: |
Keywords: hemodialysis; malnutrition risk; peripherality |
| Substance Nomenclature: |
9007-41-4 (C-Reactive Protein) |
| Entry Date(s): |
Date Created: 20260728 Date Completed: 20260729 Latest Revision: 20260731 |
| Update Code: |
20260731 |
| PubMed Central ID: |
PMC13414678 |
| DOI: |
10.3390/nu18142222 |
| PMID: |
42514291 |
| Βάση Δεδομένων: |
MEDLINE |