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Open AccessArticle

Dietary Sodium and Other Nutrient Intakes among Patients Undergoing Hemodialysis in New Zealand

1
Department of Human Nutrition, University of Otago, Dunedin 9054, New Zealand
2
Department of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, Dunedin 9054, New Zealand
3
Department of Renal Medicine, School of Medicine, University of Auckland, Auckland 1023, New Zealand
4
Department of Renal Medicine, Counties Manukau District Health Board, Auckland 2025, New Zealand
5
Baxter Healthcare (Asia) Pte Ltd., Singapore 189720, Singapore
*
Author to whom correspondence should be addressed.
Nutrients 2018, 10(4), 502; https://doi.org/10.3390/nu10040502
Received: 28 March 2018 / Revised: 12 April 2018 / Accepted: 13 April 2018 / Published: 18 April 2018
(This article belongs to the Special Issue Nutrients and Renal Function)
This study describes baseline intakes of sodium and other nutrients in a multi-ethnic sample of hemodialysis patients in New Zealand participating in the SoLID Trial between May/2013 to May/2016. Baseline 3-day weighed food record collections were analyzed using Foodworks 8 Professional food composition database, supplemented by other sources of nutrient information. Intakes of dietary sodium and other nutrients were compared with relevant guidelines and clinical recommendations. Eighty-five participants completed a 3-day weighed food record. The mean (SD) sodium intake was 2502 (957) mg/day at and more than half of the participants exceeded recommended intake levels. Sodium intake was positively associated with energy intake. Only 5% of participants met the recommended calorie density; nine percent of participants ate the recommended minimum of 1.2 g/kg of protein per day; 68% of participants were consuming inadequate fiber at baseline. A high proportion of dialysis patients in SoLID Trial did not meet current renal-specific dietary recommendations. The data show excess sodium intake. It is also evident that there was poor adherence to dietary guidelines for a range of other nutrients. A total diet approach is needed to lower sodium intake and improve total diet quality among hemodialysis patients in New Zealand. View Full-Text
Keywords: renal dialysis; sodium dietary; diet; energy intake; New Zealand renal dialysis; sodium dietary; diet; energy intake; New Zealand
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Xie, Z.; McLean, R.; Marshall, M. Dietary Sodium and Other Nutrient Intakes among Patients Undergoing Hemodialysis in New Zealand. Nutrients 2018, 10, 502.

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