Tags

Type your tag names separated by a space and hit enter

Menu suggestion: an effective way to improve dietary compliance in peritoneal dialysis patients.
J Ren Nutr. 2006 Apr; 16(2):132-6.JR

Abstract

OBJECTIVE

Poor compliance with the dietary prescriptions is quite common in dialysis patients. We believe that most of the noncompliance is caused by the patient's poor understanding of the dietary prescription. Therefore, in the present study, we tried to investigate the role of menu suggestion in improving the patient's compliance with the dietary prescription.

DESIGN AND SETTING

A longitudinal cohort study conducted at an outpatient dialysis clinic.

PATIENTS

Seventy clinically stable patients on peritoneal dialysis were included in this prospective study during April 1, 2004, to November 31, 2004, in a single center. Patients who had significant cognitive impairment and thus did not understand the food contents during the training course were not eligible for enrollment.

INTERVENTION

All the patients were randomly assigned to 1 of 2 groups. Group 1 patients received the traditional patient education method. Group 2 patients additionally received individualized menu suggestions based on their food preferences and education on how to exchange the foods at equivalent amounts according to the exchange list.

MAIN OUTCOME MEASURES

At present, there are no clear optimal dietary protein intake levels for peritoneal dialysis patients. Our experience is that a dietary protein intake level of 0.8 to 1.2 g/kg/d can maintain our patients in a good nutritional status. Thereafter, in this study we prescribed the dietary protein intake level at 0.8 to 1.2 g/kg/d and defined compliance as meeting this target protein intake level.

RESULTS

There were 35 patients in each group. The compliance was 22.9% in group 1 and 57.1% in group 2 (P < .05).

CONCLUSIONS

Our study suggests that menu suggestion may be an effective way of improving the compliance with the diet in peritoneal dialysis patients. It improves the patient's understanding of the dietary prescription.

Authors+Show Affiliations

Division of Nephrology, First Hospital, Peking University, Beijing, China.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

16567269

Citation

Chen, Wei, et al. "Menu Suggestion: an Effective Way to Improve Dietary Compliance in Peritoneal Dialysis Patients." Journal of Renal Nutrition : the Official Journal of the Council On Renal Nutrition of the National Kidney Foundation, vol. 16, no. 2, 2006, pp. 132-6.
Chen W, Lu XH, Wang T. Menu suggestion: an effective way to improve dietary compliance in peritoneal dialysis patients. J Ren Nutr. 2006;16(2):132-6.
Chen, W., Lu, X. H., & Wang, T. (2006). Menu suggestion: an effective way to improve dietary compliance in peritoneal dialysis patients. Journal of Renal Nutrition : the Official Journal of the Council On Renal Nutrition of the National Kidney Foundation, 16(2), 132-6.
Chen W, Lu XH, Wang T. Menu Suggestion: an Effective Way to Improve Dietary Compliance in Peritoneal Dialysis Patients. J Ren Nutr. 2006;16(2):132-6. PubMed PMID: 16567269.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Menu suggestion: an effective way to improve dietary compliance in peritoneal dialysis patients. AU - Chen,Wei, AU - Lu,Xin-hong, AU - Wang,Tao, PY - 2005/05/27/received PY - 2006/3/29/pubmed PY - 2006/6/6/medline PY - 2006/3/29/entrez SP - 132 EP - 6 JF - Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation JO - J Ren Nutr VL - 16 IS - 2 N2 - OBJECTIVE: Poor compliance with the dietary prescriptions is quite common in dialysis patients. We believe that most of the noncompliance is caused by the patient's poor understanding of the dietary prescription. Therefore, in the present study, we tried to investigate the role of menu suggestion in improving the patient's compliance with the dietary prescription. DESIGN AND SETTING: A longitudinal cohort study conducted at an outpatient dialysis clinic. PATIENTS: Seventy clinically stable patients on peritoneal dialysis were included in this prospective study during April 1, 2004, to November 31, 2004, in a single center. Patients who had significant cognitive impairment and thus did not understand the food contents during the training course were not eligible for enrollment. INTERVENTION: All the patients were randomly assigned to 1 of 2 groups. Group 1 patients received the traditional patient education method. Group 2 patients additionally received individualized menu suggestions based on their food preferences and education on how to exchange the foods at equivalent amounts according to the exchange list. MAIN OUTCOME MEASURES: At present, there are no clear optimal dietary protein intake levels for peritoneal dialysis patients. Our experience is that a dietary protein intake level of 0.8 to 1.2 g/kg/d can maintain our patients in a good nutritional status. Thereafter, in this study we prescribed the dietary protein intake level at 0.8 to 1.2 g/kg/d and defined compliance as meeting this target protein intake level. RESULTS: There were 35 patients in each group. The compliance was 22.9% in group 1 and 57.1% in group 2 (P < .05). CONCLUSIONS: Our study suggests that menu suggestion may be an effective way of improving the compliance with the diet in peritoneal dialysis patients. It improves the patient's understanding of the dietary prescription. SN - 1532-8503 UR - https://www.unboundmedicine.com/medline/citation/16567269/Menu_suggestion:_an_effective_way_to_improve_dietary_compliance_in_peritoneal_dialysis_patients_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1051-2276(06)00013-6 DB - PRIME DP - Unbound Medicine ER -