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Dietary intake of macronutrients and fiber in Mediterranean patients on chronic hemodialysis.
J Nephrol 2013 Sep-Oct; 26(5):912-8JN

Abstract

BACKGROUND

We aimed to measure the dietary intake of calories, proteins, carbohydrates, lipids and fiber in patients on chronic hemodialysis (HD) at 3 centers in 1 metropolitan and 2 urban areas of Italy, and to evaluate whether it met the dietary guidelines for cardiovascular risk reduction.

METHODS

Daily dietary intake was assessed through a 3-day diet diary in 128 HD patients at the hemodialysis units of the Catholic University of Rome, Hospital A. Murri of Jesi and Hospital Principe di Piemonte of Senigallia, Italy.

RESULTS

Mean dietary calorie and protein intakes were 22.9 ± 9.1 kcal/kg per day and 0.95 ± 0.76 g protein/kg per day, respectively. Daily carbohydrate and lipid intakes as a percentage of total calorie intake were 51.8% ± 8.9% and 32.1% ± 7.1%. Mean daily dietary cholesterol intake was 206.6 ± 173.6 mg. Mean daily dietary intakes of omega-3 and omega-6 fatty acids were 0.49 ± 0.28 g and 5.1 ± 2.5 g, respectively, while the mean ratio of omega-6 to omega-3 intake was 11.5 ± 4.8. Forty-eighty percent of patients had an omega-6 to omega-3 ratio =10. Mean daily dietary intakes of saturated fatty acids (SFAs), monounsaturated fatty acids and polyunsaturated fatty acids were 5.5 ± 3.3 g, 28.9 ± 9.1 g and 3.1 ± 1.7 g, respectively. Ninety-six percent of HD patients had an SFA intake <10% of total calories. Most unsaturated fatty acids intakes were under the value of =30%. Mean daily dietary fiber intake was 11.8 ± 6.1 g.

CONCLUSION

In HD patients from a Mediterranean country (Italy), daily intakes of calories, proteins and fiber were lower than the recommended values, whereas the intake of lipids was closer to being adequate.

Authors+Show Affiliations

Hemodialysis Service, Department of Surgery, Catholic University, Rome - Italy.No 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 availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

23065914

Citation

Bossola, Maurizio, et al. "Dietary Intake of Macronutrients and Fiber in Mediterranean Patients On Chronic Hemodialysis." Journal of Nephrology, vol. 26, no. 5, 2013, pp. 912-8.
Bossola M, Leo A, Viola A, et al. Dietary intake of macronutrients and fiber in Mediterranean patients on chronic hemodialysis. J Nephrol. 2013;26(5):912-8.
Bossola, M., Leo, A., Viola, A., Carlomagno, G., Monteburini, T., Cenerelli, S., ... Tazza, L. (2013). Dietary intake of macronutrients and fiber in Mediterranean patients on chronic hemodialysis. Journal of Nephrology, 26(5), pp. 912-8. doi:10.5301/jn.5000222.
Bossola M, et al. Dietary Intake of Macronutrients and Fiber in Mediterranean Patients On Chronic Hemodialysis. J Nephrol. 2013;26(5):912-8. PubMed PMID: 23065914.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dietary intake of macronutrients and fiber in Mediterranean patients on chronic hemodialysis. AU - Bossola,Maurizio, AU - Leo,Alessandra, AU - Viola,Antonella, AU - Carlomagno,Giusy, AU - Monteburini,Tania, AU - Cenerelli,Stefano, AU - Santarelli,Stefano, AU - Boggi,Rolando, AU - Miggiano,Giacinto, AU - Vulpio,Carlo, AU - Mele,Cristina, AU - Tazza,Luigi, Y1 - 2012/10/08/ PY - 2012/08/06/accepted PY - 2012/10/16/entrez PY - 2012/10/16/pubmed PY - 2015/6/5/medline SP - 912 EP - 8 JF - Journal of nephrology JO - J. Nephrol. VL - 26 IS - 5 N2 - BACKGROUND: We aimed to measure the dietary intake of calories, proteins, carbohydrates, lipids and fiber in patients on chronic hemodialysis (HD) at 3 centers in 1 metropolitan and 2 urban areas of Italy, and to evaluate whether it met the dietary guidelines for cardiovascular risk reduction. METHODS: Daily dietary intake was assessed through a 3-day diet diary in 128 HD patients at the hemodialysis units of the Catholic University of Rome, Hospital A. Murri of Jesi and Hospital Principe di Piemonte of Senigallia, Italy. RESULTS: Mean dietary calorie and protein intakes were 22.9 ± 9.1 kcal/kg per day and 0.95 ± 0.76 g protein/kg per day, respectively. Daily carbohydrate and lipid intakes as a percentage of total calorie intake were 51.8% ± 8.9% and 32.1% ± 7.1%. Mean daily dietary cholesterol intake was 206.6 ± 173.6 mg. Mean daily dietary intakes of omega-3 and omega-6 fatty acids were 0.49 ± 0.28 g and 5.1 ± 2.5 g, respectively, while the mean ratio of omega-6 to omega-3 intake was 11.5 ± 4.8. Forty-eighty percent of patients had an omega-6 to omega-3 ratio =10. Mean daily dietary intakes of saturated fatty acids (SFAs), monounsaturated fatty acids and polyunsaturated fatty acids were 5.5 ± 3.3 g, 28.9 ± 9.1 g and 3.1 ± 1.7 g, respectively. Ninety-six percent of HD patients had an SFA intake <10% of total calories. Most unsaturated fatty acids intakes were under the value of =30%. Mean daily dietary fiber intake was 11.8 ± 6.1 g. CONCLUSION: In HD patients from a Mediterranean country (Italy), daily intakes of calories, proteins and fiber were lower than the recommended values, whereas the intake of lipids was closer to being adequate. SN - 1724-6059 UR - https://www.unboundmedicine.com/medline/citation/23065914/Dietary_intake_of_macronutrients_and_fiber_in_Mediterranean_patients_on_chronic_hemodialysis_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&amp;PAGE=linkout&amp;SEARCH=23065914.ui DB - PRIME DP - Unbound Medicine ER -