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WeChat-Based Comprehensive Education on Egg White Protein Intake for Patients Undergoing Peritoneal Dialysis: A Combined Prospective and Retrospective Study. CONTRAST MEDIA & MOLECULAR IMAGING 2022; 2022:5651992. [PMID: 35965628 PMCID: PMC9357735 DOI: 10.1155/2022/5651992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Revised: 06/19/2022] [Accepted: 06/29/2022] [Indexed: 11/24/2022]
Abstract
Protein malnutrition is a well-described complication of peritoneal dialysis (PD), a standard mode of treatment for end-stage renal disease (ESRD), and contributes to morbidity, treatment failure, and mortality. To assess the usefulness of WeChat-based education for ensuring optimal protein intake through the consumption of egg white protein, 140 young and middle-aged patients undergoing PD are assigned to either the intervention group or the control group. The results show that reinforcing comprehensive PD education using WeChat can improve nutritional parameters, clinical parameters, and quality of life.
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Araújo MJS, Silva LF, Martins MTS, Matos CM, Lopes MB, Santos RFS, Santos L, Kraychete AC, Martins MTS, Silva FA, Lopes AA. A 3-day diary of dietary protein and calorie intake by serum phosphate concentration and binder use in hemodialysis patients. Int J Artif Organs 2017; 41:0. [PMID: 29148025 DOI: 10.5301/ijao.5000654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/03/2017] [Indexed: 11/20/2022]
Abstract
INTRODUCTION The use of phosphate binders to control hyperphosphatemia may allow diets less restricted in protein and calories for maintenance hemodialysis (MHD) patients. The study compared intakes of protein, calorie and phosphate among MHD patients with different serum phosphate concentrations, taking into account binder use. The hypothesis was that low serum phosphate would be associated with low intakes of protein and calories only in patients not on binders. METHODS A cross-sectional study of 443 patients enrolled in the Prospective Study of the Prognosis of Chronic Hemodialysis Patients (PROHEMO) in Salvador, Brazil, with stratified sampling on serum phosphate: ≤3.0 (n = 41), 3.5-5.5 (n = 328) and ≥7.0 mg/dL (n = 74). A 3-day diet diary was used to determine dietary intakes. RESULTS Approximately 49.0% confirmed binder use. Covariate-adjusted linear regression showed that associations between dietary intakes and serum phosphate were modified by the binder use. In patients not on binders, protein intake was >20% lower for serum phosphate ≤3.0 mg/dL compared to higher concentrations. Also in those not on binders, calorie intake was >30% lower for serum phosphate ≤3.0 mg/dL compared to ≥7.0 mg/dL. Differences in dietary intakes by serum phosphate were virtually absent in patients on binders. CONCLUSIONS The results are consistent with the hypothesis that low serum phosphate is associated with low protein and calorie intake only among MHD patients not on binders. This study supports recommendations to prevent hyperphosphatemia in MHD patients by adequate combination of binder use and selection of foods restricted in phosphors but not severely restricted in protein and calories.
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Affiliation(s)
- Meiry J S Araújo
- NEPHRON Clinic, Salvador, BA - Brazil
- Post-Graduate Program in Medicine and Health, Federal University of Bahia, Salvador, BA - Brazil
| | - Luciana F Silva
- Post-Graduate Program in Medicine and Health, Federal University of Bahia, Salvador, BA - Brazil
- Department of Life Sciences, University of the State of Bahia, Salvador, BA - Brazil
- Nephrology and Dialysis Institute (INED), Salvador, BA - Brazil
| | - Maria T S Martins
- NEPHRON Clinic, Salvador, BA - Brazil
- Post-Graduate Program in Medicine and Health, Federal University of Bahia, Salvador, BA - Brazil
| | - Cacia M Matos
- Post-Graduate Program in Medicine and Health, Federal University of Bahia, Salvador, BA - Brazil
- Nephrology and Dialysis Institute (INED), Salvador, BA - Brazil
| | - Marcelo B Lopes
- Post-Graduate Program in Medicine and Health, Federal University of Bahia, Salvador, BA - Brazil
| | - Rilma F S Santos
- NEPHRON Clinic, Salvador, BA - Brazil
- Post-Graduate Program in Health Sciences, Federal University of Bahia, Salvador, BA - Brazil
| | - LarissaS Santos
- NEPHRON Clinic, Salvador, BA - Brazil
- Kidney and Hyptertension Clinic (CLINIRIM), Salvador, BA - Brazil
| | - Angiolina C Kraychete
- Post-Graduate Program in Medicine and Health, Federal University of Bahia, Salvador, BA - Brazil
- Nephrology and Dialysis Institute (INED), Salvador, BA - Brazil
| | - Márcia T S Martins
- Post-Graduate Program in Medicine and Health, Federal University of Bahia, Salvador, BA - Brazil
- Kidney and Hyptertension Clinic (CLINIRIM), Salvador, BA - Brazil
| | - Fernanda A Silva
- NEPHRON Clinic, Salvador, BA - Brazil
- Post-Graduate Program in Medicine and Health, Federal University of Bahia, Salvador, BA - Brazil
| | - Antonio A Lopes
- Department of Internal Medicine and Diagnostic Support, Federal University of Bahia, Salvador, BA - Brazil
- Center for Clinical Epidemiology and Evidence-Based Medicine, Professor Edgard Santos University Hospital, Federal University of Bahia, Salvador, BA - Brazil
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