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Previous Issues Volume 1, Issue 2 - 2016
Providing In-Between Meals During Dialysis Treatment Contributes to an Adequate Protein And Energy Intake in Hemodialysis Patients: A Non-Randomized Intervention Study
Geertrude I Struijk-Wielinga1, Marieke Romijn2, Floor Neelemaat1, Piet M ter Wee2, Peter JM Weijs1,3
1Department of Nutrition and Dietetics, Internal Medicine, VU University Medical Center, Amsterdam, Netherlands.
2Department of Nephrology, VU University Medical Center, Amsterdam, Netherlands.
3School of Sports and Nutrition, Amsterdam University of Applied Sciences, Amsterdam, Netherlands.
Corresponding Author:Geertrude I. Struijk-Wielinga, RD, Department of Dietetic and Nutrition, Internal Medicine, VU University Medical Center, De Boelelaan 1117, 1081HV Amsterdam, Netherlands,Tel: 0031 20 4441997; E-Mail:[email protected]
Received Date: 08 Jun 2016
Accepted Date: 27 Jun 2016
Published Date: 08 Jul 2016
Copyright © 2016 Struijk-Wielinga GI
Citation:Struijk-Wielinga GI, Romijn M, Neelemaat F, ter Wee PM, et al. (2016). Providing In-Between Meals During Dialysis Treatment Contributes to an Adequate Protein And Energy Intake in Hemodialysis Patients: A Non-Randomized Intervention Study. Mathews J Nutr Diet. 1(2): 006.
ABSTRACT
Reduced protein intake, imbalance between protein synthesis and degradation during hemodialysis treatment are causes of protein-energy wasting. The latter predicts morbidity and mortality in these patients. This study aimed to achieve adequate protein and energy intake on dialysis days. During a six week intervention period all consenting adult chronic hemodialysis patients in an outpatient dialysis clinic an in-between meal were offered. At start protein and energy requirements were calculated, nutritional status determined. 24-hour dietary recall was completed for two dialysis days pre and post-intervention. In 23 patients protein intake increased from 1.0 ± 0.5 g/kg to 1.2 ± 0.5 g/kg (p = 0.002) and energy intake increased from 25 ± 10 kcal/kg (85 % of the energy requirement) to 29 ± 10 kcal/kg (95%) (p = 0.051). At least 90% of their protein requirement was achieved in 35% of the patients before versus 61% after intervention. At least 90% of their energy requirements was achieved in 44% of the patients versus 57% after intervention. Protein and energy intake on days of dialysis treatment is adequate in only one out of three patients. In-between meals improved adequate protein and energy intake to two out of three patients.
KEYWORDS
Hemodialysis; Protein Energy Wasting; Malnutrition, In-Between Meal; Protein, Energy.
