Habitual dietary patterns of patients on hemodialysis indicate nutritional risk
Objective: This study aimed to (i) determine habitual dietary patterns of Malaysian patients on hemodialysis (HD) and (ii) examine their association with nutritional status. Methods: An à posteriori approach examined 3-day dietary recalls of 382 multiethnic Malaysian patients on HD, leading to short...
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2020
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my.upm.eprints.891432021-09-04T00:06:05Z http://psasir.upm.edu.my/id/eprint/89143/ Habitual dietary patterns of patients on hemodialysis indicate nutritional risk Sualeheen, Ayesha Khor, Ban Hock Balasubramanian, Gaiyal V. Sahathevan, Sharmela Md Ali, Mohammad Syafiq Narayanan, Sreelakshmi S. Chinna, Karuthan Mat Daud, Zulfitri 'Azuan Khosla, Pramod A. Gafor, Abdul Halim Karupaiah, Tilakavati Objective: This study aimed to (i) determine habitual dietary patterns of Malaysian patients on hemodialysis (HD) and (ii) examine their association with nutritional status. Methods: An à posteriori approach examined 3-day dietary recalls of 382 multiethnic Malaysian patients on HD, leading to short-listing of 31 food groups. Dietary patterns were derived through principal component analysis. Sociodemographic and lifestyle characteristics together with nutritional parameters were examined for associations with specific dietary patterns. Results: Four dietary patterns emerged, namely, “Home Food,” “Eating Out (EO)-Rice,” “EO-Sugar sweetened beverages,” and “EO-Noodle.” Younger patients, male gender, Malay, and patients with working status were more likely to follow “EO-Rice” and “EO-Sugar sweetened beverages” patterns, while Chinese patients were more likely to consume “EO-Noodle” pattern (all P values < .05). The EO frequency was directly associated with “EO-Rice” (P = .030), “EO-Sugar sweetened beverages” (P = .040), and “EO-Noodle” (P = .001) patterns. The highest tertile of the “Home Food” pattern related to higher handgrip strength (T3 = 21.3 ± 0.74 vs. 18.0 ± 0.73 kg, P = .006), higher serum albumin (T3 = 3.99 ± 0.04 vs. T1 = 3.84 ± 0.04 g/dL, P = .027), and lower Malnutrition-Inflammation Score (T3 = 4.9 ± 0.36 vs. T1 = 6.4 ± 0.34, P = .010), along with lower Diet Monotony Index (T3 = 29.0 ± 1.1 vs. T1 = 33.0 ± 1.0, P = .030). while “EO-Rice” and “EO-Sugar sweetened beverage” patterns were associated only with higher energy intake (all P values < .001). Conclusions: These results indicated that a home-based diet inclusive of healthy food choices was associated with better nutritional status in this HD population. Elsevier 2020 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/89143/1/HEMO.pdf Sualeheen, Ayesha and Khor, Ban Hock and Balasubramanian, Gaiyal V. and Sahathevan, Sharmela and Md Ali, Mohammad Syafiq and Narayanan, Sreelakshmi S. and Chinna, Karuthan and Mat Daud, Zulfitri 'Azuan and Khosla, Pramod and A. Gafor, Abdul Halim and Karupaiah, Tilakavati (2020) Habitual dietary patterns of patients on hemodialysis indicate nutritional risk. Journal of Renal Nutrition, 30 (4). 322 - 332. ISSN 1051-2276; ESSN: 1532-8503 https://linkinghub.elsevier.com/retrieve/pii/S1051-2276(19)30349-8 10.1053/j.jrn.2019.09.010 |
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Objective: This study aimed to (i) determine habitual dietary patterns of Malaysian patients on hemodialysis (HD) and (ii) examine their association with nutritional status. Methods: An à posteriori approach examined 3-day dietary recalls of 382 multiethnic Malaysian patients on HD, leading to short-listing of 31 food groups. Dietary patterns were derived through principal component analysis. Sociodemographic and lifestyle characteristics together with nutritional parameters were examined for associations with specific dietary patterns. Results: Four dietary patterns emerged, namely, “Home Food,” “Eating Out (EO)-Rice,” “EO-Sugar sweetened beverages,” and “EO-Noodle.” Younger patients, male gender, Malay, and patients with working status were more likely to follow “EO-Rice” and “EO-Sugar sweetened beverages” patterns, while Chinese patients were more likely to consume “EO-Noodle” pattern (all P values < .05). The EO frequency was directly associated with “EO-Rice” (P = .030), “EO-Sugar sweetened beverages” (P = .040), and “EO-Noodle” (P = .001) patterns. The highest tertile of the “Home Food” pattern related to higher handgrip strength (T3 = 21.3 ± 0.74 vs. 18.0 ± 0.73 kg, P = .006), higher serum albumin (T3 = 3.99 ± 0.04 vs. T1 = 3.84 ± 0.04 g/dL, P = .027), and lower Malnutrition-Inflammation Score (T3 = 4.9 ± 0.36 vs. T1 = 6.4 ± 0.34, P = .010), along with lower Diet Monotony Index (T3 = 29.0 ± 1.1 vs. T1 = 33.0 ± 1.0, P = .030). while “EO-Rice” and “EO-Sugar sweetened beverage” patterns were associated only with higher energy intake (all P values < .001).
Conclusions: These results indicated that a home-based diet inclusive of healthy food choices was associated with better nutritional status in this HD population. |
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author |
Sualeheen, Ayesha Khor, Ban Hock Balasubramanian, Gaiyal V. Sahathevan, Sharmela Md Ali, Mohammad Syafiq Narayanan, Sreelakshmi S. Chinna, Karuthan Mat Daud, Zulfitri 'Azuan Khosla, Pramod A. Gafor, Abdul Halim Karupaiah, Tilakavati |
spellingShingle |
Sualeheen, Ayesha Khor, Ban Hock Balasubramanian, Gaiyal V. Sahathevan, Sharmela Md Ali, Mohammad Syafiq Narayanan, Sreelakshmi S. Chinna, Karuthan Mat Daud, Zulfitri 'Azuan Khosla, Pramod A. Gafor, Abdul Halim Karupaiah, Tilakavati Habitual dietary patterns of patients on hemodialysis indicate nutritional risk |
author_facet |
Sualeheen, Ayesha Khor, Ban Hock Balasubramanian, Gaiyal V. Sahathevan, Sharmela Md Ali, Mohammad Syafiq Narayanan, Sreelakshmi S. Chinna, Karuthan Mat Daud, Zulfitri 'Azuan Khosla, Pramod A. Gafor, Abdul Halim Karupaiah, Tilakavati |
author_sort |
Sualeheen, Ayesha |
title |
Habitual dietary patterns of patients on hemodialysis indicate nutritional risk |
title_short |
Habitual dietary patterns of patients on hemodialysis indicate nutritional risk |
title_full |
Habitual dietary patterns of patients on hemodialysis indicate nutritional risk |
title_fullStr |
Habitual dietary patterns of patients on hemodialysis indicate nutritional risk |
title_full_unstemmed |
Habitual dietary patterns of patients on hemodialysis indicate nutritional risk |
title_sort |
habitual dietary patterns of patients on hemodialysis indicate nutritional risk |
publisher |
Elsevier |
publishDate |
2020 |
url |
http://psasir.upm.edu.my/id/eprint/89143/1/HEMO.pdf http://psasir.upm.edu.my/id/eprint/89143/ https://linkinghub.elsevier.com/retrieve/pii/S1051-2276(19)30349-8 |
_version_ |
1710677167101181952 |
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13.18916 |