Document Detail


Nutritional status of vegetarians on maintenance haemodialysis.
MedLine Citation:
PMID:  21457399     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: Vegetarian diets have long been thought of as beneficial to health. However, vegetarian diets are often low in protein, which is contradictory to the high protein diet guideline for uraemia patients. The purpose of the study was to investigate the impact of a vegetarian diet on the nutritional status of haemodialysis (HD) patients.
METHODS: Patients on chronic HD for over 6 months were included in the study. The normalized protein catabolic rate (nPCR) was used to reflect daily protein intake. Biochemical markers of nutrition, anthropometric parameters, subjective global assessment (SGA) and functional activity of daily living were assessed to evaluate the nutritional status of vegetarians on chronic HD.
RESULTS: Nineteen out of 318 HD patients were vegetarians. The nPCR was lower in the vegetarian group (1.20 ± 0.24 vs 1.10 ± 0.29 g/kg per day, non-Veg vs Veg, P < 0.05). The serum albumin and prealbumin were similar in vegetarian and non-vegetarian HD patients. The body mass index (BMI) and mid-arm muscular circumference (MAMC) were lower in vegetarian patients (P < 0.05). The haematocrit of vegetarians can be maintained at a level similar to that of non-vegetarian patients but erythropoietin doses needed were higher in vegetarian patients (P < 0.05). The muscle strength evaluated by the hand-grip test, SGA and activities of daily living were similar in vegetarians and non-vegetarians.
CONCLUSION: The present study revealed that HD patients on vegetarian diets might have a smaller BMI, but SGA and function of daily activities were similar to those of the non-vegetarians. The haematocrit of vegetarians can be maintained with a higher erythropoietin dose.
Authors:
Tai-Te Wu; Chieh-Ying Chang; Wei-Min Hsu; I-Kwan Wang; Chih-Hao Hsu; Shu-Hwa Cheng; Chih-Chia Liang; Chiz-Tzung Chang; Chiu-Ching Huang
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Nephrology (Carlton, Vic.)     Volume:  16     ISSN:  1440-1797     ISO Abbreviation:  Nephrology (Carlton)     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-07-28     Completed Date:  2011-11-28     Revised Date:  2011-12-06    
Medline Journal Info:
Nlm Unique ID:  9615568     Medline TA:  Nephrology (Carlton)     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  582-7     Citation Subset:  IM    
Copyright Information:
© 2011 The Authors. Nephrology © 2011 Asian Pacific Society of Nephrology.
Affiliation:
Chun-An Dialysis Centre, Taoyuan, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Aged
Biological Markers / blood
Body Mass Index
C-Reactive Protein / analysis
Chi-Square Distribution
Cross-Sectional Studies
Diet, Vegetarian*
Dietary Proteins / administration & dosage*,  metabolism
Electrolytes / blood
Female
Hand Strength
Hematocrit
Hemoglobins / analysis
Humans
Male
Middle Aged
Nutritional Status*
Prealbumin / analysis
Renal Dialysis*
Serum Albumin / analysis
Taiwan
Chemical
Reg. No./Substance:
0/Biological Markers; 0/Dietary Proteins; 0/Electrolytes; 0/Hemoglobins; 0/Prealbumin; 0/Serum Albumin; 9007-41-4/C-Reactive Protein
Comments/Corrections
Erratum In:
Nephrology (Carlton). 2011 Nov;16(8):788

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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