Assessment of nutrition status of chronic kidney disease patients “on dialysis” and “not on dialysis”: a diet-based analysis

Authors

  • Shailvi Verma Department of Medicine, King George’s Medical University, Lucknow, Uttar Pradesh, India
  • Satyendra Kumar Sonkar Department of Medicine, King George’s Medical University, Lucknow, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20242606

Keywords:

Chronic kidney disease, Nutrition, Kidney disease, T2DM

Abstract

Background: Nutritional status and micronutrient levels of CKD patients are very critical aspects of their overall health. CKD patients with T2DM face additional challenges in managing their nutritional status. This is because of the correlation between T2DM-related dietary considerations and CKD. CKD patients with T2DM require management of both conditions simultaneously. This needs a careful balance of dietary restrictions and recommendations. Thus, the focus of present research was to assess nutrition status of CKD patients suffering with T2DM on dialysis and not on dialysis.

Methods: Total 80 patients were considered in this research, 40 patients of T2DM related CKD on dialysis and 40 patients of T2DM related CKD not on dialysis. Central tendency tests have been conducted here.

Results: For T2DM CKD patients not on dialysis, vegetarians consumed maximum water followed by eggetarian. Non vegetarians consumed minimum water in comparison to other two. Maximum vegetarians don’t have hypertension, all eggetarians have hypertension, and more than half non vegetarians have hypertension. All vegetarians were males, more than half females were non vegetarians, equal number of males and females were eggetarian.

Conclusions: The type of diet that is vegetarian, non-vegetarian or eggetarian also decides the type and quantity of nutrition being consumed. Thus it is critical to assess the nutrition based on diet type for T2DM CKD patients on dialysis and not on dialysis.

References

Chan W. Chronic kidney disease and nutrition support. Nutr Clin Pract. 2021;36(2):312-30.

Dizdar OS, Yıldız A, Gul CB, Gunal AI, Ersoy A, Gundogan K. The effect of hemodialysis, peritoneal dialysis and renal transplantation on nutritional status and serum micronutrient levels in patients with end-stage renal disease; Multicenter, 6-month period, longitudinal study. J Trace Elem Med Biol. 2020;60:126498.

Cupisti A, Gallieni M, Avesani CM, D’Alessandro C, Carrero JJ, Piccoli GB. Medical nutritional therapy for patients with chronic kidney disease not on dialysis: the low protein diet as a medication. J Clin Med. 2020;9(11):3644.

Kiebalo T, Holotka J, Habura I, Pawlaczyk K. Nutritional status in peritoneal dialysis: nutritional guidelines, adequacy and the management of malnutrition. Nutrients. 2020;12(6):1715.

Barutcu Atas D, Tugcu M, Asicioglu E, Velioglu A, Arikan H, Koc M, et al. Prognostic nutritional index is a predictor of mortality in elderly patients with chronic kidney disease. Int Urol Nephrol. 2022:1-8.

Provenzano M, Serra R, Michael A, Bolignano D, Coppolino G, Ielapi N, et al. Smoking habit as a risk amplifier in chronic kidney disease patients. Sci Rep. 2021;11(1):14778.

Lee S, Kang S, Joo YS, Lee C, Nam KH, Yun HR, et al. Smoking, smoking cessation, and progression of chronic kidney disease: results from KNOW-CKD study. Nicotine Tobacco Res. 2021;23(1):92-8.

Świątek Ł, Jeske J, Miedziaszczyk M, Idasiak-Piechocka I. The impact of a vegetarian diet on chronic kidney disease (CKD) progression- a systematic review. BMC Nephrol. 2023;24(1):168.

Beetham KS, Krishnasamy R, Stanton T, Sacre JW, Douglas B, Isbel NM, et al. Effect of a 3-year lifestyle intervention in patients with chronic kidney disease: a randomized clinical trial. J Am Soc Nephrol. 2022;33(2):431-41.

Li Y, Zhu B, Song N, Shi Y, Fang Y, Ding X. Alcohol consumption and its association with chronic kidney disease: Evidence from a 12-year China health and Nutrition Survey. Nutr Metab Cardiovasc Dis. 2022;32(6):1392-401.

Xu K, Cui X, Wang B, Tang Q, Cai J, Shen X. Healthy adult vegetarians have better renal function than matched omnivores: a cross-sectional study in China. BMC Nephrol. 2020;21:1-10.

Hou YC, Huang HF, Tsai WH, Huang SY, Liu HW, Liu JS, et al. Vegetarian diet was associated with a lower risk of chronic kidney disease in diabetic patients. Front Nutr. 2022;9:843357.

Joo YS, Koh H, Nam KH, Lee S, Kim J, Lee C, et al. Alcohol consumption and progression of chronic kidney disease: results from the Korean cohort study for outcome in patients with chronic kidney disease. Mayo Clin Proceed. 2020;95(2):293-305.

Narasaki Y, Kalantar-Zadeh K, Rhee CM, Brunori G, Zarantonello D. Vegetarian nutrition in chronic kidney disease. Nutrients. 2024;16(1):66.

González-Ortiz A, Xu H, Ramos-Acevedo S, Avesani CM, Lindholm B, Correa-Rotter R, et al. Nutritional status, hyperkalaemia and attainment of energy/protein intake targets in haemodialysis patients following plant-based diets: a longitudinal cohort study. Nephrol Dial Transplant. 2021;36(4):681-8.

Downloads

Published

2024-08-31

How to Cite

Verma, S., & Sonkar, S. K. (2024). Assessment of nutrition status of chronic kidney disease patients “on dialysis” and “not on dialysis”: a diet-based analysis. International Journal of Research in Medical Sciences, 12(9), 3297–3304. https://doi.org/10.18203/2320-6012.ijrms20242606

Issue

Section

Original Research Articles