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Dietary adherence in Hispanic patients receiving hemodialysis.
J Ren Nutr. 2007 Mar; 17(2):138-47.JR

Abstract

OBJECTIVES

The study objective was to identify the factors that influence dietary adherence in Hispanic patients receiving maintenance hemodialysis and to determine the differences in dietary adherence between Hispanic and non-Hispanic patients.

DESIGN

We performed a cross-sectional study using a descriptive-comparative design.

SETTING

The study took place at hemodialysis centers at Winthrop-University Hospital, New York.

PARTICIPANTS

The participants were adult patients of Hispanic descent receiving maintenance hemodialysis three times per week for 3 months or more and an equal number of age- and sex-matched non-Hispanic patients.

INTERVENTION

Information was obtained by a questionnaire about knowledge of the diet, preferred language for education, consumption of potassium- (K(+)) and phosphorus- (PO(4)) containing foods, and adherence attitudes and behaviors. Serum albumin (SAlb), K(+), and PO(4) for the past 3 months were obtained from medical records and evaluated to assess dietary adherence.

MAIN OUTCOME MEASURE

The main outcome measure was a mean SAlb of 3.2g/dL or greater, K(+) of 5.5 mEq/L or less, and PO(4) of 5.5 mg/dL or less.

RESULTS

A total of 17 Hispanic and 17 comparison patients were included. Both groups were adherent to the diet because their mean levels of SAlb, K(+), and PO(4) were within acceptable limits. Dietary adherence was observed in 76% of the Hispanic patients for SAlb, 88% for K(+), and 65% for PO(4), whereas the rate of adherence was 59%, 88%, and 76%, respectively, for the comparison group.

CONCLUSION

Both groups were adherent to the restrictions of the renal diet. More patients from both groups were adherent to K(+) than to PO(4) restrictions. Among the factors that probably influenced dietary adherence to the renal diet in this dialysis facility are knowledge of the renal diet, language, food frequency consumption, socioeconomic status, family support, and attitudes toward the renal diet. Patient education provided in Spanish with family involvement is an important element for promoting adherence among Hispanic patients receiving dialysis.

Authors+Show Affiliations

C.W. Post Campus of Long Island University, Brookville, New York 11548, USA. morales_claudia@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

17321954

Citation

Morales López, Claudia, et al. "Dietary Adherence in Hispanic Patients Receiving Hemodialysis." Journal of Renal Nutrition : the Official Journal of the Council On Renal Nutrition of the National Kidney Foundation, vol. 17, no. 2, 2007, pp. 138-47.
Morales López C, Burrowes JD, Gizis F, et al. Dietary adherence in Hispanic patients receiving hemodialysis. J Ren Nutr. 2007;17(2):138-47.
Morales López, C., Burrowes, J. D., Gizis, F., & Brommage, D. (2007). Dietary adherence in Hispanic patients receiving hemodialysis. Journal of Renal Nutrition : the Official Journal of the Council On Renal Nutrition of the National Kidney Foundation, 17(2), 138-47.
Morales López C, et al. Dietary Adherence in Hispanic Patients Receiving Hemodialysis. J Ren Nutr. 2007;17(2):138-47. PubMed PMID: 17321954.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dietary adherence in Hispanic patients receiving hemodialysis. AU - Morales López,Claudia, AU - Burrowes,Jerrilynn D, AU - Gizis,Frances, AU - Brommage,Deborah, PY - 2005/11/16/received PY - 2007/2/27/pubmed PY - 2007/3/30/medline PY - 2007/2/27/entrez SP - 138 EP - 47 JF - Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation JO - J Ren Nutr VL - 17 IS - 2 N2 - OBJECTIVES: The study objective was to identify the factors that influence dietary adherence in Hispanic patients receiving maintenance hemodialysis and to determine the differences in dietary adherence between Hispanic and non-Hispanic patients. DESIGN: We performed a cross-sectional study using a descriptive-comparative design. SETTING: The study took place at hemodialysis centers at Winthrop-University Hospital, New York. PARTICIPANTS: The participants were adult patients of Hispanic descent receiving maintenance hemodialysis three times per week for 3 months or more and an equal number of age- and sex-matched non-Hispanic patients. INTERVENTION: Information was obtained by a questionnaire about knowledge of the diet, preferred language for education, consumption of potassium- (K(+)) and phosphorus- (PO(4)) containing foods, and adherence attitudes and behaviors. Serum albumin (SAlb), K(+), and PO(4) for the past 3 months were obtained from medical records and evaluated to assess dietary adherence. MAIN OUTCOME MEASURE: The main outcome measure was a mean SAlb of 3.2g/dL or greater, K(+) of 5.5 mEq/L or less, and PO(4) of 5.5 mg/dL or less. RESULTS: A total of 17 Hispanic and 17 comparison patients were included. Both groups were adherent to the diet because their mean levels of SAlb, K(+), and PO(4) were within acceptable limits. Dietary adherence was observed in 76% of the Hispanic patients for SAlb, 88% for K(+), and 65% for PO(4), whereas the rate of adherence was 59%, 88%, and 76%, respectively, for the comparison group. CONCLUSION: Both groups were adherent to the restrictions of the renal diet. More patients from both groups were adherent to K(+) than to PO(4) restrictions. Among the factors that probably influenced dietary adherence to the renal diet in this dialysis facility are knowledge of the renal diet, language, food frequency consumption, socioeconomic status, family support, and attitudes toward the renal diet. Patient education provided in Spanish with family involvement is an important element for promoting adherence among Hispanic patients receiving dialysis. SN - 1532-8503 UR - https://www.unboundmedicine.com/medline/citation/17321954/Dietary_adherence_in_Hispanic_patients_receiving_hemodialysis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1051-2276(06)00306-2 DB - PRIME DP - Unbound Medicine ER -