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Nutrients
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Nutrition in Hemodialysis
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Nutrition in Hemodialysis

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Clinical Nutrition".

Deadline for manuscript submissions: closed (27 March 2023) | Viewed by 9798

Special Issue Editor

Dr. Sherry Mansour

E-Mail Website
Guest Editor
Program of Applied Translational Research, Yale University School of Medicine, New Haven, CT, USA
Interests: identifying novel vessel repair biomarkers that can explain the link between acute kidney injury and long-term outcomes; understanding the role of vessel repair pathways in graft outcomes after kidney transplantation

Special Issue Information

Dear Colleagues,

Nearly 800,000 people are affected by end-stage kidney disease, and among them, about 70% are on dialysis. Once patients are placed on dialysis, their quality of life is significantly altered, with substantial emphasis on the importance of nutrition and dietary restrictions. Understanding the role of nutrition and the microbiome in hemodialysis is of vital importance to help improve patient care and promote kidney health.

Dr. Sherry Mansour
Guest Editor

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Keywords

  • end-stage kidney disease
  • protein intake
  • microbiome
  • sodium intake
  • potassium intake
  • nutrition
  • quality of life
  • survival

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Published Papers (3 papers)

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Research

12 pages, 304 KiB  
Article
A Sarcopenia Index Derived from Malnutrition Parameters in Elderly Haemodialysis Patients
by M. L. Sánchez-Tocino, S. Mas-Fontao, C. Gracia-Iguacel, M. Pereira, I. González-Ibarguren, A. Ortiz, M. D. Arenas and E. González Parra
Nutrients 2023, 15(5), 1115; https://doi.org/10.3390/nu15051115 - 23 Feb 2023
Cited by 4 | Viewed by 3162
Abstract
(1) Background: Persons with chronic kidney disease may have sarcopenia characterized by the loss of muscle mass and loss of muscle strength. However, EWGSOP2 criteria to diagnose sarcopenia are technically challenging, especially in elderly persons on hemodialysis. Sarcopenia may be associated with malnutrition. [...] Read more.
(1) Background: Persons with chronic kidney disease may have sarcopenia characterized by the loss of muscle mass and loss of muscle strength. However, EWGSOP2 criteria to diagnose sarcopenia are technically challenging, especially in elderly persons on hemodialysis. Sarcopenia may be associated with malnutrition. We aimed at defining a sarcopenia index derived from malnutrition parameters for use in elderly haemodialysis patients. (2) Methods: A retrospective study of 60 patients aged 75 to 95 years treated with chronic hemodialysis was conducted. Anthropometric and analytical variables, EWGSOP2 sarcopenia criteria and other nutrition-related variables were collected. Binomial logistic regressions were used to define the combination of anthropometric and nutritional parameters that best predict moderate or severe sarcopenia according to EWGSOP2, and performance for moderate and severe sarcopenia was assessed by the area under the curve (AUC) of receiver operating characteristic (ROC) curves. (3) Results: The combination of loss of strength, loss of muscle mass and low physical performance correlated with malnutrition. We developed regression-equation-related nutrition criteria that predicted moderate sarcopenia (elderly hemodialysis sarcopenia index-moderate, EHSI-M) and severe sarcopenia (EHSI-S) diagnosed according to EWGSOP2 with an AUC of 0.80 and 0.866, respectively. (4) Conclusions: There is a close relationship between nutrition and sarcopenia. The EHSI may identify EWGSOP2-diagnosed sarcopenia from easily accessible anthropometric and nutritional parameters. Full article
(This article belongs to the Special Issue Nutrition in Hemodialysis)
16 pages, 744 KiB  
Article
Nocturnal Hemodialysis Leads to Improvement in Physical Performance in Comparison with Conventional Hemodialysis
by Manouk Dam, Peter J. M. Weijs, Frans J. van Ittersum, Tiny Hoekstra, Caroline E. Douma and Brigit C. van Jaarsveld
Nutrients 2023, 15(1), 168; https://doi.org/10.3390/nu15010168 - 29 Dec 2022
Cited by 1 | Viewed by 3065
Abstract
End-stage kidney disease patients treated with conventional hemodialysis (CHD) are known to have impaired physical performance and protein-energy wasting (PEW). Nocturnal hemodialysis (NHD) was shown to improve clinical outcomes, but the evidence is limited on physical performance and PEW. We investigate whether NHD [...] Read more.
End-stage kidney disease patients treated with conventional hemodialysis (CHD) are known to have impaired physical performance and protein-energy wasting (PEW). Nocturnal hemodialysis (NHD) was shown to improve clinical outcomes, but the evidence is limited on physical performance and PEW. We investigate whether NHD improves physical performance and PEW. This prospective, multicenter, non-randomized cohort study compared patients who changed from CHD (2–4 times/week 3–5 h) to NHD (2–3 times/week 7–8 h), with patients who continued CHD. The primary outcome was physical performance at 3, 6 and 12 months, assessed with the short physical performance battery (SPPB). Secondary outcomes were a 6-minute walk test (6MWT), physical activity monitor, handgrip muscle strength, KDQOL-SF physical component score (PCS) and LAPAQ physical activity questionnaire. PEW was assessed with a dietary record, dual-energy X-ray absorptiometry, bioelectrical impedance spectroscopy and subjective global assessment (SGA). Linear mixed models were used to analyze the differences between groups. This study included 33 patients on CHD and 32 who converted to NHD (mean age 55 ± 15.3). No significant difference was found in the SPPB after 1-year of NHD compared to CHD (+0.24, [95% confidence interval −0.51 to 0.99], p = 0.53). Scores of 6MWT, PCS and SGA improved (+54.3 [95%CI 7.78 to 100.8], p = 0.02; +5.61 [−0.51 to 10.7], p = 0.03; +0.71 [0.36 to 1.05], p < 0.001; resp.) in NHD patients, no changes were found in other parameters. We conclude that NHD patients did not experience an improved SPPB score compared to CHD patients; they did obtain an improved walking distance and self-reported PCS as well as SGA after 1-year of NHD, which might be related to the younger age of these patients. Full article
(This article belongs to the Special Issue Nutrition in Hemodialysis)
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16 pages, 2771 KiB  
Article
Effects of the Malnutrition—Eat Additional Meal (MEAM) Diet on the Serum Levels of Albumin and C-Reactive Protein in Hemodialysis Patients
by Lucyna Kozlowska, Jolanta Gromadzinska, Rafal Zwiech, Zbigniew Zbrog and Wojciech Wasowicz
Nutrients 2022, 14(24), 5352; https://doi.org/10.3390/nu14245352 - 16 Dec 2022
Cited by 2 | Viewed by 2801
Abstract
The main objective of this project was to evaluate the efficiency of two kinds of nutritional intervention implemented in hemodialysis patients for 24 weeks (traditional nutritional intervention without a meal served before dialysis for group HG1, and nutritional intervention involving a meal served [...] Read more.
The main objective of this project was to evaluate the efficiency of two kinds of nutritional intervention implemented in hemodialysis patients for 24 weeks (traditional nutritional intervention without a meal served before dialysis for group HG1, and nutritional intervention involving a meal served before dialysis for group HG2), and their impact on nutritional status and serum concentrations of C-reactive protein (CRP). Nutritional status and serum biochemical parameters were analyzed in the control group (CG, n = 70) and in two homogeneous groups of patients, HG1 (n = 35) and HG2 (n = 35). There was an interesting trend in both groups of patients connected with increased intake, mainly of energy and protein. In HG1, the greatest increase in energy intake was observed on Sundays, and in HG2 on the days with dialysis. In HG2, after 24 weeks of the nutritional intervention, an increase in serum albumin (p = 0.0157) and a decrease in CRP concentration (p = 0.0306) were observed, whereas in HG1 there was a decrease in serum albumin concentration (p = 0.0043) with no significant change in CRP concentration. The nutritional intervention applied, called the Malnutrition—Eat Additional Meal (MEAM) diet with an easily digestible meal served before dialysis, was aimed at improving the patients’ nutritional status and the obtained results indicate the need not only for substantial reeducation of hemodialysis patients in the area of their diet, but also for undertaking further research and discussions on the possibility of ensuring adequate meals for hemodialysis patients before the dialysis procedure. Full article
(This article belongs to the Special Issue Nutrition in Hemodialysis)
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