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Effect of protein and energy intakes on body composition in non-diabetic maintenance-hemodialysis patients.
J Nutr Sci Vitaminol (Tokyo). 2007 Oct; 53(5):410-8.JN

Abstract

This cross sectional study was performed to find the adequate amount and combination of dietary protein and energy for maintaining better nutritional status for stable non-diabetic maintenance hemodialysis (MHD) patients. The body composition including body fat, total body water, body cell mass and body protein were measured by multi-frequency bioelectrical impedance analysis in 200 stable MHD patients without diabetes (124 men, 76 women). Dietary energy intake (DEI) and dietary protein intake (DPI) were assessed by a brief self-administered diet history questionnaire (BDHQ), the DPI value being confirmed by calculating the normalized protein equivalent of total nitrogen appearance (nPNA). The nutritional status and the body composition were compared among 4 groups of patients in each gender that were divided by the combination of DEI and DPI; high energy (HE)/high protein (HP), HE/low protein (LP), low energy (LE)/HP and LE/LP groups. The mean DPI ranged between 1.17-1.23 and 0.89-0.95 g/kg IBW/d in the HP and LP groups, respectively for both genders, and the mean DEI was 35-37 and 24-25 kcal/kg IBW/d in HE and LE groups, respectively. BMI and serum albumin concentration were not different among the 4 groups. Body cell mass index (BCMI) was maintained in the HE groups regardless of DPI, and it was significantly higher in the HE/HP group than in the LE/LP group. Multiple regression analysis also showed that the BCMI was more greatly affected by DEI than DPI. These results indicated that a DPI of 0.89-0.95 g/kg IBW/d could be sufficient for maintaining BCMI, if DEI is kept over 35 kcal/kg IBW/d in stable non-diabetic MHD patients. This DPI level is lower than the recommended DPI proposed by dietary guidelines in the US and Japan.

Authors+Show Affiliations

Department of Food Management, School of Food and Nutritional Sciences, University of Shizuoka, Japan. ichity@u-shizuoka-ken.ac.jpNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

18079607

Citation

Ichikawa, Yoko, et al. "Effect of Protein and Energy Intakes On Body Composition in Non-diabetic Maintenance-hemodialysis Patients." Journal of Nutritional Science and Vitaminology, vol. 53, no. 5, 2007, pp. 410-8.
Ichikawa Y, Hiramatsu F, Hamada H, et al. Effect of protein and energy intakes on body composition in non-diabetic maintenance-hemodialysis patients. J Nutr Sci Vitaminol (Tokyo). 2007;53(5):410-8.
Ichikawa, Y., Hiramatsu, F., Hamada, H., Sakai, A., Hara, K., Kogirima, M., Kawahara, K., Minakuchi, J., Kawashima, S., & Yamamoto, S. (2007). Effect of protein and energy intakes on body composition in non-diabetic maintenance-hemodialysis patients. Journal of Nutritional Science and Vitaminology, 53(5), 410-8.
Ichikawa Y, et al. Effect of Protein and Energy Intakes On Body Composition in Non-diabetic Maintenance-hemodialysis Patients. J Nutr Sci Vitaminol (Tokyo). 2007;53(5):410-8. PubMed PMID: 18079607.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effect of protein and energy intakes on body composition in non-diabetic maintenance-hemodialysis patients. AU - Ichikawa,Yoko, AU - Hiramatsu,Fumie, AU - Hamada,Hisayo, AU - Sakai,Atsuko, AU - Hara,Keiko, AU - Kogirima,Miho, AU - Kawahara,Kazuhiko, AU - Minakuchi,Jun, AU - Kawashima,Shu, AU - Yamamoto,Shigeru, PY - 2007/12/15/pubmed PY - 2008/2/20/medline PY - 2007/12/15/entrez SP - 410 EP - 8 JF - Journal of nutritional science and vitaminology JO - J Nutr Sci Vitaminol (Tokyo) VL - 53 IS - 5 N2 - This cross sectional study was performed to find the adequate amount and combination of dietary protein and energy for maintaining better nutritional status for stable non-diabetic maintenance hemodialysis (MHD) patients. The body composition including body fat, total body water, body cell mass and body protein were measured by multi-frequency bioelectrical impedance analysis in 200 stable MHD patients without diabetes (124 men, 76 women). Dietary energy intake (DEI) and dietary protein intake (DPI) were assessed by a brief self-administered diet history questionnaire (BDHQ), the DPI value being confirmed by calculating the normalized protein equivalent of total nitrogen appearance (nPNA). The nutritional status and the body composition were compared among 4 groups of patients in each gender that were divided by the combination of DEI and DPI; high energy (HE)/high protein (HP), HE/low protein (LP), low energy (LE)/HP and LE/LP groups. The mean DPI ranged between 1.17-1.23 and 0.89-0.95 g/kg IBW/d in the HP and LP groups, respectively for both genders, and the mean DEI was 35-37 and 24-25 kcal/kg IBW/d in HE and LE groups, respectively. BMI and serum albumin concentration were not different among the 4 groups. Body cell mass index (BCMI) was maintained in the HE groups regardless of DPI, and it was significantly higher in the HE/HP group than in the LE/LP group. Multiple regression analysis also showed that the BCMI was more greatly affected by DEI than DPI. These results indicated that a DPI of 0.89-0.95 g/kg IBW/d could be sufficient for maintaining BCMI, if DEI is kept over 35 kcal/kg IBW/d in stable non-diabetic MHD patients. This DPI level is lower than the recommended DPI proposed by dietary guidelines in the US and Japan. SN - 0301-4800 UR - https://www.unboundmedicine.com/medline/citation/18079607/Effect_of_protein_and_energy_intakes_on_body_composition_in_non_diabetic_maintenance_hemodialysis_patients_ L2 - http://japanlinkcenter.org/JST.JSTAGE/jnsv/53.410?from=PubMed DB - PRIME DP - Unbound Medicine ER -