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Habitual Dietary Patterns of Patients on Hemodialysis Indicate Nutritional Risk

2019; Elsevier BV; Volume: 30; Issue: 4 Linguagem: Inglês

10.1053/j.jrn.2019.09.010

1532-8503

Ayesha Sualeheen, Ban‐Hock Khor, Gaiyal Viliy Balasubramanian, Sharmela Sahathevan, Mohammad Syafiq Md Ali, Sreelakshmi Sankara Narayanan, Karuthan Chinna, Zulfitri Azuan Mat Daud, Pramod Khosla, Abdul Halim Abdul Gafor, Tilakavati Karupaiah, Bee Boon Cheak, Ghazali Ahmad, Bak Leong Goh, Soo Kun Lim, Ravindran Visvanathan, Rosnawati Yahya, Sunita Bavanandan, Zaki Morad,

Nutrition and Health in Aging

This study aimed to (i) determine habitual dietary patterns of Malaysian patients on hemodialysis (HD) and (ii) examine their association with nutritional status.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.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).These results indicated that a home-based diet inclusive of healthy food choices was associated with better nutritional status in this HD population.