Nutritional Intervention Effectiveness on Slowing Time to Dialysis in Elderly Patients with Chronic Kidney Disease-A Retrospective Cohort Study.

chronic kidney disease dialysis glomerular filtration rate kidney nutritional intervention

Journal

Geriatrics (Basel, Switzerland)
ISSN: 2308-3417
Titre abrégé: Geriatrics (Basel)
Pays: Switzerland
ID NLM: 101704019

Informations de publication

Date de publication:
13 Aug 2022
Historique:
received: 17 07 2022
revised: 08 08 2022
accepted: 11 08 2022
entrez: 25 8 2022
pubmed: 26 8 2022
medline: 26 8 2022
Statut: epublish

Résumé

Chronic kidney disease (CKD) is a global health issue. Evidence of the effectiveness of nutritional intervention on slowing time to dialysis is limited in Arab countries. Therefore, this study aims to contribute to current research by providing new insights on the efficacy of personalized nutritional intervention in pre-dialysis patients in the Kingdom of Bahrain. This retrospective cohort study included 265 CKD patients (163 males and 108 females) who were admitted to the nephrology outpatient clinic at Salmaniya Medical Complex in Bahrain. The nutritional intervention group (NIG) receiving dietary advice by an expert renal dietitian consisted of 121 patients, while the non-nutritional intervention control group (non-NIG) that did not receive any nutritional support consisted of 150 patients. Patients were evaluated at baseline and follow-up. The NIG had a significant increase in the estimated glomerular filtration rate (eGFR) compared to the non-NIG that had a significant decrease (5.16 vs. -2.85 mL/min/1.73 m This study suggests that, in patients of CKD, nutritional intervention counselling plays a significant role in reducing the time needed for dialysis and improves nutritional-related biomarkers compared to patients not receiving this intervention.

Sections du résumé

BACKGROUND BACKGROUND
Chronic kidney disease (CKD) is a global health issue. Evidence of the effectiveness of nutritional intervention on slowing time to dialysis is limited in Arab countries. Therefore, this study aims to contribute to current research by providing new insights on the efficacy of personalized nutritional intervention in pre-dialysis patients in the Kingdom of Bahrain.
METHODS METHODS
This retrospective cohort study included 265 CKD patients (163 males and 108 females) who were admitted to the nephrology outpatient clinic at Salmaniya Medical Complex in Bahrain. The nutritional intervention group (NIG) receiving dietary advice by an expert renal dietitian consisted of 121 patients, while the non-nutritional intervention control group (non-NIG) that did not receive any nutritional support consisted of 150 patients. Patients were evaluated at baseline and follow-up.
RESULTS RESULTS
The NIG had a significant increase in the estimated glomerular filtration rate (eGFR) compared to the non-NIG that had a significant decrease (5.16 vs. -2.85 mL/min/1.73 m
CONCLUSIONS CONCLUSIONS
This study suggests that, in patients of CKD, nutritional intervention counselling plays a significant role in reducing the time needed for dialysis and improves nutritional-related biomarkers compared to patients not receiving this intervention.

Identifiants

pubmed: 36005259
pii: geriatrics7040083
doi: 10.3390/geriatrics7040083
pmc: PMC9408458
pii:
doi:

Types de publication

Journal Article

Langues

eng

Références

Nephrology (Carlton). 2020 May;25(5):390-397
pubmed: 31353675
Eur J Clin Nutr. 2015 Jul;69(7):761-8
pubmed: 25387901
Am J Kidney Dis. 2009 Mar;53(3 Suppl 3):S115-20
pubmed: 19231755
Eur Rev Med Pharmacol Sci. 2015 Sep;19(18):3351-9
pubmed: 26439028
J Ren Nutr. 2013 Mar;23(2):e43-6
pubmed: 23337089
J Ren Nutr. 2016 Jan;26(1):1-9
pubmed: 26391566
Am J Kidney Dis. 2020 Sep;76(3 Suppl 1):S1-S107
pubmed: 32829751
Lancet. 2018 Nov 10;392(10159):2052-2090
pubmed: 30340847
Cien Saude Colet. 2018 Aug;23(8):2555-2564
pubmed: 30137125
Korean J Intern Med. 2020 Nov;35(6):1279-1290
pubmed: 32872726
Am J Kidney Dis. 2012 Nov;60(5):850-86
pubmed: 23067652
Nephrology (Carlton). 2013 May;18(5):340-50
pubmed: 23506545
West J Nurs Res. 2013 Oct;35(9):1107-27
pubmed: 23618821
BMC Nephrol. 2016 Sep 06;17(1):124
pubmed: 27600818
Clin Nutr. 2008 Aug;27(4):537-44
pubmed: 18584924
J Ren Nutr. 2011 Mar;21(2):188-95
pubmed: 20650652
Am J Kidney Dis. 2011 Oct;58(4):583-90
pubmed: 21719177
Food Funct. 2010 Oct;1(1):110-5
pubmed: 21776461
Am J Kidney Dis. 2013 Aug;62(2):245-52
pubmed: 23566637
J Acad Nutr Diet. 2014 Jul;114(7):1077-1087
pubmed: 24582998

Auteurs

Simone Perna (S)

Department of Biology, College of Science, Sakhir Campus, University of Bahrain, Zallaq 32038, Bahrain.

Fatima Faisal (F)

Department of Biology, College of Science, Sakhir Campus, University of Bahrain, Zallaq 32038, Bahrain.

Daniele Spadaccini (D)

Department of Health Sciences, University of Piemonte Orientale, 28100 Novara, Italy.

Tariq A Alalwan (TA)

Department of Biology, College of Science, Sakhir Campus, University of Bahrain, Zallaq 32038, Bahrain.

Zahra Ilyas (Z)

Department of Biology, College of Science, Sakhir Campus, University of Bahrain, Zallaq 32038, Bahrain.

Clara Gasparri (C)

Endocrinology and Nutrition Unit, Azienda di Servizi alla Persona "Istituto Santa Margherita", University of Pavia, 27100 Pavia, Italy.

Mariangela Rondanelli (M)

IRCCS Mondino Foundation, 27100 Pavia, Italy.
Department of Public Health, Experimental and Forensic Medicine, University of Pavia, 27100 Pavia, Italy.

Classifications MeSH