Academic Journal
Effect of simplified dietary advice on nutritional status and uremic toxins in chronic kidney disease participants
| Τίτλος: | Effect of simplified dietary advice on nutritional status and uremic toxins in chronic kidney disease participants |
|---|---|
| Συγγραφείς: | Zarina Ebrahim, Griet Glorieux, M Rafique Moosa, Renée Blaauw |
| Πηγή: | South African Journal of Clinical Nutrition; Vol. 35 No. 4 (2022); 168-176 The South African Journal of Clinical Nutrition, Vol 35, Iss 4, Pp 168-176 (2022) SOUTH AFRICAN JOURNAL OF CLINICAL NUTRITION |
| Στοιχεία εκδότη: | Informa UK Limited, 2022. |
| Έτος έκδοσης: | 2022 |
| Θεματικοί όροι: | 2. Zero hunger, Chronic renal failure -- Diet therapy, Kidneys -- Diseases -- Nutritional aspects, RC620-627, Nutrition. Foods and food supply, Chronic renal failure -- Nutritional aspects, uremic toxins, dietary adherence in CKD, dietary adherence in ckd, 16. Peace & justice, 3. Good health, Dietary adherence in CKD, infographic, nutrition education in CKD, simplified CKD advice, 03 medical and health sciences, 0302 clinical medicine, Kidneys -- Diseases -- Diet therapy, Medicine and Health Sciences, nutrition education in ckd, TX341-641, Nutritional diseases. Deficiency diseases, simplified ckd advice |
| Περιγραφή: | Background: Traditional chronic kidney disease (CKD) dietary advice is challenging with many restrictions, consequently adherence to the CKD diet is low. Recent literature has proposed less restrictive dietary guidelines in CKD to improve dietary adherence and outcomes; however, limited evidence of its implementation exists. Objectives: This study (trial number: PACTR202002892187265) investigated the effect of simplified dietary advice on nutritional outcomes and adherence after four weeks of dietary advice. Design: A before-and-after study was conducted. Outcome measures: Sociodemographic, clinical and biochemical information was collected and anthropometric measurements performed on Stage 3–5 CKD participants attending a pre-dialysis clinic. Uremic toxins were quantified by UPLC/fluorescence detection. Dietary intake was assessed using a quantified food frequency questionnaire (QFFQ). Participants were educated by the study dietitian on simplified dietary advice using an infographic. A diet-adherence score sheet monitored adherence. All outcomes were measured at baseline and four weeks after the diet was advised. IBM PSS® version 27 was used for statistical analysis. Results: Fifty-nine participants, mean age 41.0 ± 11.6 years, completed the study. After four weeks, significant improvements were found in body mass index (p < 0.006), waist circumference (p < 0.001), mid-upper arm circumference (P < 0.001), serum total cholesterol (p < 0.045), serum triglycerides (p < 0.017), energy (p < 0.001), protein (p< 0.001) and most dietary intake variables. Overweight and obesity prevalence was high at 68%. Uremic toxin concentrations remained stable. Dietary adherence was 88.6%. Conclusion: The simplified dietary advice suggests improved nutritional outcomes in CKD patients who were predominantly overweight and obese, without compromising kidney function. This study highlights the importance and feasibility of simplified nutrition education in CKD. |
| Τύπος εγγράφου: | Article |
| Περιγραφή αρχείου: | application/pdf |
| Γλώσσα: | English |
| ISSN: | 2221-1268 1607-0658 |
| DOI: | 10.1080/16070658.2021.2018788 |
| Σύνδεσμος πρόσβασης: | https://www.tandfonline.com/doi/pdf/10.1080/16070658.2021.2018788?needAccess=true https://www.ajol.info/index.php/sajcn/article/view/248050 https://doaj.org/article/492d69b07f6840ffa9d3b4d06b4b8ddf http://doi.org/10.1080/16070658.2021.2018788 http://hdl.handle.net/1854/LU-8770866 https://biblio.ugent.be/publication/8770866/file/8770867 https://biblio.ugent.be/publication/8770866 |
| Rights: | CC BY |
| Αριθμός Καταχώρησης: | edsair.doi.dedup.....80ace8ed2ef9285e944539b1caa43993 |
| Βάση Δεδομένων: | OpenAIRE |
| ISSN: | 22211268 16070658 |
|---|---|
| DOI: | 10.1080/16070658.2021.2018788 |