| Nutrition-related cardiovascular risk factors in hemodialysis patients. | |
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MedLine Citation:
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PMID: 19819725 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: This study sought to determine nutrition-related cardiovascular risk factors in hemodialysis patients. DESIGN: This was a cross-sectional study. SETTING: This study included outpatients from the Hemodialysis Unit of Baskent University Ankara Hospital. PATIENTS: This study was conducted on 93 endstage chronic renal-failure patients (50 male and 43 female) aged between 18 and 65 years. Patients undergoing hemodialysis three times weekly with 4 hours of standardized bicarbonate hemodialysis were included. Patients with cardiovascular disease were excluded. MAIN OUTCOME MEASURE: A questionnaire was administered to patients regarding demographic and disease information. The nutritional status of patients was determined by a food-frequency questionnaire, a 3-day, 24-hour dietary record, and subjective global assessment. Several biochemical parameters were analyzed, and body weight was measured. RESULTS: Percentages of patients' serum total cholesterol, low-density lipoprotein cholesterol, triglyceride, and total cholesterol/low-density lipoprotein cholesterol levels that were higher than National Kidney Foundation (NKF) and National Cholesterol Education Program Adult Treatment Panel III (NCEP/ATP III) criteria amounted to 7.5%, 4.3%, 43%, and 10.8%, respectively. The percentage of patients' serum high-density lipoprotein cholesterol levels that were lower than NKF and NCEP/ATP III criteria reached 41.9%. According to serum albumin levels, 44.1% of patients were malnourished. In terms of patients' dietary total fat intake, 98.9% were higher than NKF and NCEP/ATP III criteria, and all patients' dietary saturated fatty acids intake were higher than recommended. For 87.1% of patients, the dietary polyunsaturated fatty acids/saturated fatty acids ratio was <1. Moreover, in terms of NKF recommendations, the percentages of patients with insufficient dietary folate and vitamin B(12) intake reached 100% and 61.3%, respectively. CONCLUSION: Hemodialysis patients should be considered at high risk for developing cardiovascular disease. Therefore, when planning diets of endstage renal disease patients, it is important to consider nutrition-related cardiovascular-disease risk factors for the sake of quality of life and survival. |
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Authors:
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Yasemin Arslan; Gul Kiziltan |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2009-10-12 |
Journal Detail:
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Title: Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation Volume: 20 ISSN: 1532-8503 ISO Abbreviation: J Ren Nutr Publication Date: 2010 May |
Date Detail:
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Created Date: 2010-04-26 Completed Date: 2010-08-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9112938 Medline TA: J Ren Nutr Country: United States |
Other Details:
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Languages: eng Pagination: 185-92 Citation Subset: IM |
Affiliation:
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Department of Nutrition and Dietetics, Health Sciences Faculty, Baskent University, Ankara, Turkey. |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Cardiovascular Diseases / epidemiology* Cholesterol, HDL / blood Cross-Sectional Studies Diet Dietary Fats / administration & dosage Female Folic Acid / administration & dosage Humans Kidney Failure, Chronic / complications, therapy Lipids / blood Male Middle Aged Nutritional Status* Questionnaires Renal Dialysis* Risk Factors Serum Albumin / analysis Vitamin B 12 / administration & dosage |
| Chemical | |
Reg. No./Substance:
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0/Cholesterol, HDL; 0/Dietary Fats; 0/Lipids; 0/Serum Albumin; 59-30-3/Folic Acid; 68-19-9/Vitamin B 12 |
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