-
Rethinking the Restriction on Nutrition During Hemodialysis

            Patients on hemodialysis have a 20% higher rate of mortality in the United States compared to other industrialized countries.  This difference could be attributed to being allowed to eat during treatment, this is known as intradialytic feeding.  Intradialytic feeding is not generally allowed during treatment in the U.S. because it is thought that eating during dialysis will make the treatment less effective, cause a greater fluctuation in blood pressure and gastrointestinal issues.   More recent studies have shown that these side effects are rare and the patients are at a greater risk of poor protein status and inflammation caused by hemodialysis.  Research has shown that up to 75% of patients on hemodialysis suffer from protein energy wasting, which lowers their quality of life and increases their mortality risk.  The Kidney Disease Outcomes Quality Initiative recommends increased calorie and protein needs (35 kcal/kg; 1.2 g Protein/kg) for HD patients.  Many patients find this incredibly difficult to follow due to poor appetite, dietary restrictions and timing of treatment. Consuming high proteins supplements or eating food during HD treatment could help combat these issues.  Recent studies have shown that patients allowed to consume supplements or food during HD treatments have an improved protein balance after a single treatment.  They also have improved subjective global assessments and albumin/prealbumins.  Some dialysis clinics have begun to give patients protein supplements during treatment, however the practice is not widespread.

AF

Kistler, B., Fitchsen, P., Ikizler, A., & Wilund, K. (2015). Rethinking the Restriction on Nutrition During Hemodialysis Treatment. Journal of Renal Nutrition, 25(2), 81-87. Retrieved from: http://www.jrnjournal.org/article/S1051-2276(14)00160-5/pdf.

Comments

Post a Comment

Popular posts from this blog

Do you struggle with pre and post exercise nutrition?

-
Image
What should i eat before and after a workout? First things first…carbohydrates, proteins and fats are important for the body before  and after exercise. Exercising muscle preferentially uses carbohydrates from stored glycogen, but fats are also an important fuel source for energy production during exercise. Fats and carbohydrates are the two major fuel sources during exercise. Fats must be translocated and broken down from their storage form before they are used. Typically there is enough carbohydrate stored as muscle glycogen for exercise but as muscle glycogen stores decline, the skeletal muscle will then use some amino acids (basic components of all protein). More specifically, the amino acid leucine is used for energy.              It is important to consume an adequate amount of carbohydrates exercise to delay fatigue and minimize gastrointestinal distress. It is also important to consume enough fluids to prevent hypohydration. Now, lets talk about pre-exercise me
Read more

Child Malnutrition

-
New approach to childhood malnutrition may reduce relapses, deaths http://www.sciencedaily.com/releases/2015/02/150211124024.htm               Moderate acute malnutrition is experienced by 35 million children worldwide. A new study led by researchers from Washington University School of Medicine in St. Louis has suggested that feeding children until they have met target measures of arm circumference and weight may be more important than a set 12 week feeding time. However, researchers have found that the current targets, set by the World Health Organization (WHO) may not be sufficient and raising these targets slightly could significantly reduce the risk of relapse in malnourished children; a condition that has a 37% relapse rate. The study took place in rural Malawi and was comprised of 2,349 moderately malnourished children aged 6 months to 5 years old. Children were evaluated 12 months after treatment; 1,967 received a soy-based supplement for 12 weeks while the other 3
Read more

Harvest of the Month

-
Image
Harvest of the Month  August – Corn Good source of  fiber Carbohydrate source for energy Antioxidants Contains vitamins and minerals ½ cup or 1 ear = 80 calories   http://www.whfoods.com/genpage.php?tname=foodspice&dbid=90 September – Watermelon High in vitamin A and vitamin C Antioxidants and anti-inflammatory support 1 cup cubed = 46 calories http://www.whfoods.com/genpage.php?tname=foodspice&dbid=31 October – Apples High in fiber Vitamin C Abundant amount of antioxidants 1 medium = 95 calories  http://www.whfoods.com/genpage.php?tname=foodspice&dbid=15 November – Squash and Pumpkin High in vitamin A, vitamin C, vitamin K, vitamin B2, B3 & B6 Many minerals  High in fiber Multiple antioxidant properties  1 cup = 76 calories  http://www.whfoods.com/genpage.php?tname=foodspice&dbid=63 December – Pears Contains fiber Vitami
Read more