Providing In-Between Meals During Dialysis Treatment Contributes to an Adequate Protein And Energy Intake in Hemodialysis Patients: A Non-Randomized Intervention Study

¹Department of Nutrition and Dietetics, Internal Medicine, VU University Medical Center, Amsterdam, Netherlands.

²Department of Nephrology, VU University Medical Center, Amsterdam, Netherlands.

³School of Sports and Nutrition, Amsterdam University of Applied Sciences, Amsterdam, Netherlands.

Corresponding Author:Geertrude I. Struijk-Wielinga, RD, Department of Dietetic and Nutrition, Internal Medicine, VU University Medical Center, De Boelelaan 1117, 1081HV Amsterdam, Netherlands,Tel: 0031 20 4441997; E-Mail:[email protected]

Received Date: 08 Jun 2016   
Accepted Date: 27 Jun 2016   
Published Date: 08 Jul 2016

Copyright © 2016 Struijk-Wielinga GI

Citation:Struijk-Wielinga GI, Romijn M, Neelemaat F, ter Wee PM, et al. (2016). Providing In-Between Meals During Dialysis Treatment Contributes to an Adequate Protein And Energy Intake in Hemodialysis Patients: A Non-Randomized Intervention Study. Mathews J Nutr Diet. 1(2): 006.

ABSTRACT

Reduced protein intake, imbalance between protein synthesis and degradation during hemodialysis treatment are causes of protein-energy wasting. The latter predicts morbidity and mortality in these patients. This study aimed to achieve adequate protein and energy intake on dialysis days. During a six week intervention period all consenting adult chronic hemodialysis patients in an outpatient dialysis clinic an in-between meal were offered. At start protein and energy requirements were calculated, nutritional status determined. 24-hour dietary recall was completed for two dialysis days pre and post-intervention. In 23 patients protein intake increased from 1.0 ± 0.5 g/kg to 1.2 ± 0.5 g/kg (p = 0.002) and energy intake increased from 25 ± 10 kcal/kg (85 % of the energy requirement) to 29 ± 10 kcal/kg (95%) (p = 0.051). At least 90% of their protein requirement was achieved in 35% of the patients before versus 61% after intervention. At least 90% of their energy requirements was achieved in 44% of the patients versus 57% after intervention. Protein and energy intake on days of dialysis treatment is adequate in only one out of three patients. In-between meals improved adequate protein and energy intake to two out of three patients.

KEYWORDS

Hemodialysis; Protein Energy Wasting; Malnutrition, In-Between Meal; Protein, Energy.