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The Importance Of Nutritional Counseling For Hyperphosphatemia In Maintenance Hemodialysis Patients
Artigo | IMSEAR | ID: sea-218769
ABSTRACT

Aim:

To assess the impact of dietetic intervention on the nutritional status and calciumphosphorus metabolism in maintenance hemodialysis (MHD) patients. Material and

methods:

Six-month longitudinal intervention study of 162 MHD patients selected from one dialysis unit in Romania. They were divided into 4 groups according to serum albumin (SA) level and the comorbid condition of chronic liver disease (CLD). Clinical and biochemical parameters were measured at baseline and 6 months after PNC (personalized nutritional counseling). Nutritional status was assessed by mSGA (modified Subjective Global Assessment) and dietary calorie and protein intake by diet history with the help of 72 h recall method. Nutritional counselling and personalized diets were recommended by the dietician bimonthly for a period of 6 months only to groups I and III (groups with hypoalbuminemia).

Results:

Comparison of data collected prior PNC (T0) and 6 months after (T6) showed phosphorus (P) level decreased significantly in all 4 groups group I- T0 vs. T6 p=0.005, group II T0 vs. T6 p= 0.002; group III T0 vs. T6 p=0.001, and group IV T0 vs. T6 p=0.042; serum Ca followed a similar trend; serum parathyroid hormone (PTH) remained stationary; SA level was significantly improved in both nutrition counseling groups (group I T0 vs. T6 p= 0.001, group III T0 vs. T6 p=0.001, respectively).

Conclusions:

Our study suggests that dietetic intervention focused on phosphate and albumin control in MHD patients with hyperphosphatemia and hypoalbuminemia contributes to an improvement in important nutritional parameters and to a positive calcium-phosphorus balance.

Texto completo: DisponíveL Índice: IMSEAR (Sudeste Asiático) Ano de publicação: 2022 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: IMSEAR (Sudeste Asiático) Ano de publicação: 2022 Tipo de documento: Artigo