Document Detail


The prevalence and nutritional implications of fast food consumption among patients receiving hemodialysis.
MedLine Citation:
PMID:  17586425     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Fast food consumption has increased dramatically in the general population over the last 25 years. However, little is known about the prevalence and nutritional implications of fast food consumption among patients receiving hemodialysis.
METHODS: By using a cross-sectional study design, we obtained data on fast food consumption and nutrient intake (from four separate 24-hour dietary recalls) and nutritional parameters (from chart abstraction) for 194 randomly selected patients from 44 hemodialysis facilities in northeast Ohio.
RESULTS: Eighty-one subjects (42%) reported consuming at least one fast food meal or snack in 4 days. Subjects who consumed more fast food had higher kilocalorie, carbohydrate, total fat, saturated fat, and sodium intakes. For example, kilocalorie per kilogram intake per day increased from 18.9 to 26.1 with higher frequencies of fast food consumption (P = .003). Subjects who consumed more fast food also had higher serum phosphorus levels and interdialytic weight gains.
CONCLUSION: Fast food is commonly consumed by patients receiving hemodialysis and is associated with a higher intake of kilocalories, carbohydrates, fats, and sodium and adverse changes in phosphorus and fluid balance. Further work is needed to understand the long-term benefits and risks of fast food consumption among patients receiving hemodialysis.
Authors:
Saud Butt; Janeen B Leon; Carol L David; Henry Chang; Sanbir Sidhu; Ashwini R Sehgal
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation     Volume:  17     ISSN:  1532-8503     ISO Abbreviation:  J Ren Nutr     Publication Date:  2007 Jul 
Date Detail:
Created Date:  2007-06-25     Completed Date:  2007-07-20     Revised Date:  2013-06-06    
Medline Journal Info:
Nlm Unique ID:  9112938     Medline TA:  J Ren Nutr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  264-8     Citation Subset:  IM    
Affiliation:
Division of Nephrology, MetroHealth Medical Center, Cleveland, Ohio 44109, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Body Weight / physiology*
Cross-Sectional Studies
Diet Surveys
Dietary Fats / administration & dosage*,  adverse effects
Energy Intake*
Female
Food Habits
Humans
Kidney Failure, Chronic / blood,  metabolism*
Male
Mental Recall
Middle Aged
Nutritional Physiological Phenomena
Phosphorus, Dietary / administration & dosage,  metabolism
Prevalence
Renal Dialysis
Restaurants*
Sodium, Dietary / administration & dosage,  metabolism
Grant Support
ID/Acronym/Agency:
DK51472/DK/NIDDK NIH HHS; GCRC M01 RR00080/RR/NCRR NIH HHS; R01 DK051472-11/DK/NIDDK NIH HHS
Chemical
Reg. No./Substance:
0/Dietary Fats; 0/Phosphorus, Dietary; 0/Sodium, Dietary
Comments/Corrections

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