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Dietary assessment of hemodialysis patients in Tehran, Iran
Inadequate dietary intakes are a major determinant of malnutrition in hemodialysis (HD) patients. Considering the lack of information available on dietary intakes of HD patients in Iran, the present study was designed to assess the dietary intakes of HD patients in Tehran, Iran. For this cross‐secti...
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Published in: | Hemodialysis international 2011-10, Vol.15 (4), p.530-537 |
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creator | AS'HABI, Atefeh TABIBI, Hadi HOUSHIAR RAD, Anahita NOZARY HESHMATI, Behnaz MAHDAVI-MAZDEH, Mitra HEDAYATI, Mehdi |
description | Inadequate dietary intakes are a major determinant of malnutrition in hemodialysis (HD) patients. Considering the lack of information available on dietary intakes of HD patients in Iran, the present study was designed to assess the dietary intakes of HD patients in Tehran, Iran. For this cross‐sectional study, from among adult HD patients of 50 Tehran hemodialysis centers, 291 patients were randomly selected. Dietary intakes of these patients were assessed using a 4‐day dietary recall. In addition, 4 mL of blood was obtained from each patient before dialysis to measure serum urea, creatinine, albumin, phosphorus, calcium, potassium, and high sensitive C‐reactive protein levels. Dietary intakes of energy, protein and fiber were lower than recommended intakes in 88%, 84.5%, and 99% of HD patients, respectively. There were significant associations between dietary energy intake with the patient's age (p |
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Considering the lack of information available on dietary intakes of HD patients in Iran, the present study was designed to assess the dietary intakes of HD patients in Tehran, Iran. For this cross‐sectional study, from among adult HD patients of 50 Tehran hemodialysis centers, 291 patients were randomly selected. Dietary intakes of these patients were assessed using a 4‐day dietary recall. In addition, 4 mL of blood was obtained from each patient before dialysis to measure serum urea, creatinine, albumin, phosphorus, calcium, potassium, and high sensitive C‐reactive protein levels. Dietary intakes of energy, protein and fiber were lower than recommended intakes in 88%, 84.5%, and 99% of HD patients, respectively. There were significant associations between dietary energy intake with the patient's age (p < 0.05), and HD vintage (P < 0.001). In addition, a significant association was found between dietary protein intake and sex (P < 0.05). Intakes of vitamins B1, B2, B3, B6, B12, C, E, folic acid, and of the minerals calcium and zinc (from both the diet and supplements) were lower than recommended intakes in 13.5%, 41.5%, 19%, 66%, 61%, 78%, 77%, 24%, 34%, and 98.5% of HD patients, respectively. Inadequate intakes of energy and various nutrients are prevalent in HD patients in Tehran, Iran, which may contribute to increased morbidity and mortality in these patients. Therefore, nutrition counseling and the administration of vitamin and mineral supplements are necessary in Iranian HD patients.</description><identifier>ISSN: 1492-7535</identifier><identifier>EISSN: 1542-4758</identifier><identifier>DOI: 10.1111/j.1542-4758.2011.00582.x</identifier><identifier>PMID: 22111822</identifier><language>eng</language><publisher>Canada: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Albumins - metabolism ; C-Reactive Protein ; Calcium - blood ; Creatinine - blood ; Cross-Sectional Studies ; Diet Surveys ; Dietary intakes ; Dietary Proteins - administration & dosage ; Dietary Supplements ; Eating ; Energy Intake ; hemodialysis ; Humans ; Iran ; Male ; Middle Aged ; Potassium - blood ; Renal Dialysis ; supplements ; Urea - blood ; Vitamins - administration & dosage ; Vitamins - blood ; Zinc - blood</subject><ispartof>Hemodialysis international, 2011-10, Vol.15 (4), p.530-537</ispartof><rights>2011 The Authors; Hemodialysis International © 2011 International Society for Hemodialysis</rights><rights>2011 The Authors; Hemodialysis International © 2011 International Society for Hemodialysis.</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22111822$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>AS'HABI, Atefeh</creatorcontrib><creatorcontrib>TABIBI, Hadi</creatorcontrib><creatorcontrib>HOUSHIAR RAD, Anahita</creatorcontrib><creatorcontrib>NOZARY HESHMATI, Behnaz</creatorcontrib><creatorcontrib>MAHDAVI-MAZDEH, Mitra</creatorcontrib><creatorcontrib>HEDAYATI, Mehdi</creatorcontrib><title>Dietary assessment of hemodialysis patients in Tehran, Iran</title><title>Hemodialysis international</title><addtitle>Hemodial Int</addtitle><description>Inadequate dietary intakes are a major determinant of malnutrition in hemodialysis (HD) patients. Considering the lack of information available on dietary intakes of HD patients in Iran, the present study was designed to assess the dietary intakes of HD patients in Tehran, Iran. For this cross‐sectional study, from among adult HD patients of 50 Tehran hemodialysis centers, 291 patients were randomly selected. Dietary intakes of these patients were assessed using a 4‐day dietary recall. In addition, 4 mL of blood was obtained from each patient before dialysis to measure serum urea, creatinine, albumin, phosphorus, calcium, potassium, and high sensitive C‐reactive protein levels. Dietary intakes of energy, protein and fiber were lower than recommended intakes in 88%, 84.5%, and 99% of HD patients, respectively. There were significant associations between dietary energy intake with the patient's age (p < 0.05), and HD vintage (P < 0.001). In addition, a significant association was found between dietary protein intake and sex (P < 0.05). Intakes of vitamins B1, B2, B3, B6, B12, C, E, folic acid, and of the minerals calcium and zinc (from both the diet and supplements) were lower than recommended intakes in 13.5%, 41.5%, 19%, 66%, 61%, 78%, 77%, 24%, 34%, and 98.5% of HD patients, respectively. Inadequate intakes of energy and various nutrients are prevalent in HD patients in Tehran, Iran, which may contribute to increased morbidity and mortality in these patients. Therefore, nutrition counseling and the administration of vitamin and mineral supplements are necessary in Iranian HD patients.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Albumins - metabolism</subject><subject>C-Reactive Protein</subject><subject>Calcium - blood</subject><subject>Creatinine - blood</subject><subject>Cross-Sectional Studies</subject><subject>Diet Surveys</subject><subject>Dietary intakes</subject><subject>Dietary Proteins - administration & dosage</subject><subject>Dietary Supplements</subject><subject>Eating</subject><subject>Energy Intake</subject><subject>hemodialysis</subject><subject>Humans</subject><subject>Iran</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Potassium - blood</subject><subject>Renal Dialysis</subject><subject>supplements</subject><subject>Urea - blood</subject><subject>Vitamins - administration & dosage</subject><subject>Vitamins - blood</subject><subject>Zinc - blood</subject><issn>1492-7535</issn><issn>1542-4758</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNo9kMFOwzAMhiMEYmPwCig3LrQ4SZO0ggvaYBuagMMQxyhtUy2j7UbTie3tSdmYD7Zl_78lfwhhAiHxcbcMCY9oEEkehxQICQF4TMPtCeofF6e-jxIaSM54D104twSgBECcox6l_kpMaR_dj6xpdbPD2jnjXGXqFq8KvDDVKre63Dnr8Fq31s8dtjWem0Wj61s89fkSnRW6dObqUAfo4_lpPpwEs7fxdPg4CywDQoMMikSYVAMB4QNMnoGJCiIzYSKpkzylLOI55DIuRC5ooiXJRFFwzrM0lgkboJv93XWz-t4Y16rKusyUpa7NauNUApJELAbmldcH5SatTK7Wja38c-r_Xy942At-bGl2xz0B1XFVS9XhUx0-1XFVf1zVVk1GU994e7C3W9ea7dGumy8lJJNcfb6O1Yi-cMrFu6LsF31LeN4</recordid><startdate>201110</startdate><enddate>201110</enddate><creator>AS'HABI, Atefeh</creator><creator>TABIBI, Hadi</creator><creator>HOUSHIAR RAD, Anahita</creator><creator>NOZARY HESHMATI, Behnaz</creator><creator>MAHDAVI-MAZDEH, Mitra</creator><creator>HEDAYATI, Mehdi</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201110</creationdate><title>Dietary assessment of hemodialysis patients in Tehran, Iran</title><author>AS'HABI, Atefeh ; TABIBI, Hadi ; HOUSHIAR RAD, Anahita ; NOZARY HESHMATI, Behnaz ; MAHDAVI-MAZDEH, Mitra ; HEDAYATI, Mehdi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-i3012-c0f96eba01066660edc0e4f17c6e47a9db2345d0d78f6d629a71c6ff555cb8793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Albumins - metabolism</topic><topic>C-Reactive Protein</topic><topic>Calcium - blood</topic><topic>Creatinine - blood</topic><topic>Cross-Sectional Studies</topic><topic>Diet Surveys</topic><topic>Dietary intakes</topic><topic>Dietary Proteins - administration & dosage</topic><topic>Dietary Supplements</topic><topic>Eating</topic><topic>Energy Intake</topic><topic>hemodialysis</topic><topic>Humans</topic><topic>Iran</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Potassium - blood</topic><topic>Renal Dialysis</topic><topic>supplements</topic><topic>Urea - blood</topic><topic>Vitamins - administration & dosage</topic><topic>Vitamins - blood</topic><topic>Zinc - blood</topic><toplevel>online_resources</toplevel><creatorcontrib>AS'HABI, Atefeh</creatorcontrib><creatorcontrib>TABIBI, Hadi</creatorcontrib><creatorcontrib>HOUSHIAR RAD, Anahita</creatorcontrib><creatorcontrib>NOZARY HESHMATI, Behnaz</creatorcontrib><creatorcontrib>MAHDAVI-MAZDEH, Mitra</creatorcontrib><creatorcontrib>HEDAYATI, Mehdi</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Hemodialysis international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>AS'HABI, Atefeh</au><au>TABIBI, Hadi</au><au>HOUSHIAR RAD, Anahita</au><au>NOZARY HESHMATI, Behnaz</au><au>MAHDAVI-MAZDEH, Mitra</au><au>HEDAYATI, Mehdi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dietary assessment of hemodialysis patients in Tehran, Iran</atitle><jtitle>Hemodialysis international</jtitle><addtitle>Hemodial Int</addtitle><date>2011-10</date><risdate>2011</risdate><volume>15</volume><issue>4</issue><spage>530</spage><epage>537</epage><pages>530-537</pages><issn>1492-7535</issn><eissn>1542-4758</eissn><abstract>Inadequate dietary intakes are a major determinant of malnutrition in hemodialysis (HD) patients. Considering the lack of information available on dietary intakes of HD patients in Iran, the present study was designed to assess the dietary intakes of HD patients in Tehran, Iran. For this cross‐sectional study, from among adult HD patients of 50 Tehran hemodialysis centers, 291 patients were randomly selected. Dietary intakes of these patients were assessed using a 4‐day dietary recall. In addition, 4 mL of blood was obtained from each patient before dialysis to measure serum urea, creatinine, albumin, phosphorus, calcium, potassium, and high sensitive C‐reactive protein levels. Dietary intakes of energy, protein and fiber were lower than recommended intakes in 88%, 84.5%, and 99% of HD patients, respectively. There were significant associations between dietary energy intake with the patient's age (p < 0.05), and HD vintage (P < 0.001). In addition, a significant association was found between dietary protein intake and sex (P < 0.05). Intakes of vitamins B1, B2, B3, B6, B12, C, E, folic acid, and of the minerals calcium and zinc (from both the diet and supplements) were lower than recommended intakes in 13.5%, 41.5%, 19%, 66%, 61%, 78%, 77%, 24%, 34%, and 98.5% of HD patients, respectively. Inadequate intakes of energy and various nutrients are prevalent in HD patients in Tehran, Iran, which may contribute to increased morbidity and mortality in these patients. Therefore, nutrition counseling and the administration of vitamin and mineral supplements are necessary in Iranian HD patients.</abstract><cop>Canada</cop><pub>Blackwell Publishing Ltd</pub><pmid>22111822</pmid><doi>10.1111/j.1542-4758.2011.00582.x</doi><tpages>8</tpages></addata></record> |
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subjects | Adolescent Adult Albumins - metabolism C-Reactive Protein Calcium - blood Creatinine - blood Cross-Sectional Studies Diet Surveys Dietary intakes Dietary Proteins - administration & dosage Dietary Supplements Eating Energy Intake hemodialysis Humans Iran Male Middle Aged Potassium - blood Renal Dialysis supplements Urea - blood Vitamins - administration & dosage Vitamins - blood Zinc - blood |
title | Dietary assessment of hemodialysis patients in Tehran, Iran |
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