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Habitual dietary patterns of patients on hemodialysis indicate nutritional risk


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


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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Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
DOI Number: https://doi.org/10.1053/j.jrn.2019.09.010
Publisher: Elsevier
Keywords: Dietary; Hemodialysis; Health
Depositing User: Ms. Nuraida Ibrahim
Date Deposited: 04 Sep 2021 00:06
Last Modified: 04 Sep 2021 00:06
Altmetrics: http://www.altmetric.com/details.php?domain=psasir.upm.edu.my&doi=10.1053/j.jrn.2019.09.010
URI: http://psasir.upm.edu.my/id/eprint/89143
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