Please use this identifier to cite or link to this item:
https://hdl.handle.net/10216/135316
Author(s): | Martins, VS Adragao, T Aguiar, L Fortes, A Costa, O Borges, Nuno Calhau, C Macario, F |
Title: | Can an intradialytic snack model compensate the catabolic impact of hemodialysis? |
Issue Date: | 2021 |
Abstract: | Background and aims: Hemodialysis (HD) has a catabolic effect caused by alterations in protein metabolism, increase in resting energy expenditure (REE) and protein needs due to inflammation, HD circuit blood and heat losses, protein losses to dialysate and HD filter membrane biocompatibility. We aim to determine, as a proof of concept, whether a standardized intradialytic snack model is adequate to compensate the catabolic impact of HD. Methods: Cross sectional analysis of patients' chosen intradialytic intake according to a snack model, at the day of blood sample collection of three different months. As targets for the compensation of the catabolic impact of HD, we considered 316.8kCal (1.32 (+/- 0.18) kcal/min - 240' of HD) for the estimated increase in REE and at least 7 g of protein losses/HD treatment. Results: A total of 448 meals were analyzed, with 383 given during daytime shifts. No intolerances were registered. The mean nutritional profile of the daytime shifts intakes was 378.8 (+/- 151.4) kcal, 13.5 (+/- 7.2) g of protein, 676 (+/- 334) mg of sodium (Na), 361.0 (+/- 240.3) mg of potassium (K) and 249.3 (+/- 143.0) mg of phosphates (P). We found that 68% of the meals provided an intake >= 316.8kCal and 82% a protein intake >= 7 g, with a significant association found between treatment shift and energy (p < 0.028), protein (p < 0.028), lipids (p < 0.004), Na (p < 0.004), K (p < 0.009) and P (p < 0.039) intakes. Conclusions: We found that this intradialytic snack model meets the target for the treatment-related increases in protein and energy needs. Although sodium intake was found to be high, potassium and phosphate intake was considered adequate. |
Subject: | Ciências da Saúde, Ciências médicas e da saúde Health sciences, Medical and Health sciences |
Scientific areas: | Ciências médicas e da saúde Medical and Health sciences |
URI: | https://hdl.handle.net/10216/135316 |
Document Type: | Artigo em Revista Científica Internacional |
Rights: | restrictedAccess |
Appears in Collections: | FCNAUP - Artigo em Revista Científica Internacional |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
486223.pdf Restricted Access | 1.33 MB | Adobe PDF | Request a copy from the Author(s) |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.