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Dietary trends and management of hyperphosphatemia among patients with chronic kidney disease: an international survey of renal care professionals.
J Ren Nutr. 2014 Mar; 24(2):110-5.JR

Abstract

OBJECTIVE

The objective of this study was to review the opinions and experiences of renal care professionals to examine dietary trends among patients with chronic kidney disease (CKD) and problems associated with the clinical management of hyperphosphatemia.

DESIGN

This was an online survey comprising open and closed questions requesting information on patient dietary trends and the clinical management of hyperphosphatemia. The study was conducted in 4 European countries (the Netherlands, Spain, Sweden, and the United Kingdom).

SUBJECTS

Participants were 84 renal care professionals.

INTERVENTION

This was an online survey.

MAIN OUTCOME MEASURE

Responder-reported experiences and perceptions of patient dietary trends and hyperphosphatemia management were assessed.

RESULTS

Most survey responders (56%) observed an increase in the consumption of processed convenience food, 48% noticed an increase in the consumption of foods rich in phosphorus-containing additives, and 60% believed that there has been a trend of increasing patient awareness of the phosphorus content of food. Patients undergoing hemodialysis (HD) were most likely to experience difficulties in following advice on dietary phosphorus restriction (38% of responders estimated that 25-50% of their patients experienced difficulties, and 29% estimated that 51-75% experienced difficulties). Maintaining protein intake and restricting dietary phosphorus were perceived as being equally important by at least half of responders for predialysis patients (56%) and for those undergoing peritoneal dialysis and HD (54% and 50%, respectively). There were international variations in dietary trends and hyperphosphatemia management.

CONCLUSION

Although most responders have observed a trend of increasing awareness of the phosphorus content of food among patients with CKD, the survey results indicate that many patients continue to experience difficulties when attempting to restrict dietary phosphorus. The survey responses reflect the global trend of increasing consumption of processed convenience foods and phosphorus-containing additives, which has implications for the management of hyperphosphatemia in patients with CKD.

Authors+Show Affiliations

Department of Nephrology, Centre Hospitalier Lyon-Sud, CENS, CARMEN, Université de Lyon, Lyon, France. Electronic address: denis.fouque@chu-lyon.fr.Department of Nephrology, Hospital Universitario 12 de Octubre, Madrid, Spain.Department of Renal Medicine, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom.Dialysis Department, Codia Waterland B.V., Purmerend, the Netherlands.European Dialysis and Transplant Nurses Association/European Renal Care Association Secretariat and Conference Department, Prague, Czech Republic.Shire LLC, Internal Medicine BU, Wayne, Pennsylvania.Shire LLC, Clinical Development and Medical Affairs, Wayne, Pennsylvania.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

24447438

Citation

Fouque, Denis, et al. "Dietary Trends and Management of Hyperphosphatemia Among Patients With Chronic Kidney Disease: an International Survey of Renal Care Professionals." Journal of Renal Nutrition : the Official Journal of the Council On Renal Nutrition of the National Kidney Foundation, vol. 24, no. 2, 2014, pp. 110-5.
Fouque D, Cruz Casal M, Lindley E, et al. Dietary trends and management of hyperphosphatemia among patients with chronic kidney disease: an international survey of renal care professionals. J Ren Nutr. 2014;24(2):110-5.
Fouque, D., Cruz Casal, M., Lindley, E., Rogers, S., Pancířová, J., Kernc, J., & Copley, J. B. (2014). Dietary trends and management of hyperphosphatemia among patients with chronic kidney disease: an international survey of renal care professionals. Journal of Renal Nutrition : the Official Journal of the Council On Renal Nutrition of the National Kidney Foundation, 24(2), 110-5. https://doi.org/10.1053/j.jrn.2013.11.003
Fouque D, et al. Dietary Trends and Management of Hyperphosphatemia Among Patients With Chronic Kidney Disease: an International Survey of Renal Care Professionals. J Ren Nutr. 2014;24(2):110-5. PubMed PMID: 24447438.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dietary trends and management of hyperphosphatemia among patients with chronic kidney disease: an international survey of renal care professionals. AU - Fouque,Denis, AU - Cruz Casal,Maria, AU - Lindley,Elizabeth, AU - Rogers,Susan, AU - Pancířová,Jitka, AU - Kernc,Jennifer, AU - Copley,J Brian, Y1 - 2014/01/18/ PY - 2013/07/19/received PY - 2013/10/11/revised PY - 2013/11/22/accepted PY - 2014/1/23/entrez PY - 2014/1/23/pubmed PY - 2014/10/21/medline SP - 110 EP - 5 JF - Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation JO - J Ren Nutr VL - 24 IS - 2 N2 - OBJECTIVE: The objective of this study was to review the opinions and experiences of renal care professionals to examine dietary trends among patients with chronic kidney disease (CKD) and problems associated with the clinical management of hyperphosphatemia. DESIGN: This was an online survey comprising open and closed questions requesting information on patient dietary trends and the clinical management of hyperphosphatemia. The study was conducted in 4 European countries (the Netherlands, Spain, Sweden, and the United Kingdom). SUBJECTS: Participants were 84 renal care professionals. INTERVENTION: This was an online survey. MAIN OUTCOME MEASURE: Responder-reported experiences and perceptions of patient dietary trends and hyperphosphatemia management were assessed. RESULTS: Most survey responders (56%) observed an increase in the consumption of processed convenience food, 48% noticed an increase in the consumption of foods rich in phosphorus-containing additives, and 60% believed that there has been a trend of increasing patient awareness of the phosphorus content of food. Patients undergoing hemodialysis (HD) were most likely to experience difficulties in following advice on dietary phosphorus restriction (38% of responders estimated that 25-50% of their patients experienced difficulties, and 29% estimated that 51-75% experienced difficulties). Maintaining protein intake and restricting dietary phosphorus were perceived as being equally important by at least half of responders for predialysis patients (56%) and for those undergoing peritoneal dialysis and HD (54% and 50%, respectively). There were international variations in dietary trends and hyperphosphatemia management. CONCLUSION: Although most responders have observed a trend of increasing awareness of the phosphorus content of food among patients with CKD, the survey results indicate that many patients continue to experience difficulties when attempting to restrict dietary phosphorus. The survey responses reflect the global trend of increasing consumption of processed convenience foods and phosphorus-containing additives, which has implications for the management of hyperphosphatemia in patients with CKD. SN - 1532-8503 UR - https://www.unboundmedicine.com/medline/citation/24447438/Dietary_trends_and_management_of_hyperphosphatemia_among_patients_with_chronic_kidney_disease:_an_international_survey_of_renal_care_professionals_ DB - PRIME DP - Unbound Medicine ER -