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Dietary intake of macronutrients and fiber in Mediterranean patients on chronic hemodialysis.

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.

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  • Authors+Show Affiliations

    ,

    Hemodialysis Service, Department of Surgery, Catholic University, Rome - Italy.

    , , , , , , , , , ,

    Source

    Journal of nephrology 26:5 pg 912-8

    MeSH

    Aged
    Calcium, Dietary
    Cardiovascular Diseases
    Diet Records
    Dietary Carbohydrates
    Dietary Fats
    Dietary Fiber
    Dietary Proteins
    Energy Intake
    Fatty Acids, Omega-3
    Fatty Acids, Omega-6
    Feeding Behavior
    Female
    Humans
    Italy
    Magnesium
    Male
    Middle Aged
    Nutrition Policy
    Phosphorus
    Renal Dialysis

    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 -