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https://irlib.pccu.edu.tw/handle/987654321/41875
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| 題名: | Associations of dietary macronutrients and micronutrients with the traditional and nontraditional risk factors for cardiovascular disease among hemodialysis patients A clinical cross-sectional study |
| 作者: | Duong, DT (Tuyen Van Duong)
Wong, TC (Wong, Te-Chih)
Su, CT (Su, Chien-Tien)
Chen, HH (Chen, Hsi-Hsien)
Chen, TW (Chen, Tzen-Wen)
Chen, TH (Chen, Tso-Hsiao)
Hsu, YH (Hsu, Yung-Ho)
Peng, SJ (Peng, Sheng-Jeng)
Kuo, KL (Kuo, Ko-Lin)
Liu, HC (Liu, Hsiang-Chung)
Lin, ET (Lin, En-Tsu)
Yang, SH (Yang, Shwu-Huey) |
| 貢獻者: | 保健營養學系 |
| 關鍵詞: | CHRONIC KIDNEY-DISEASE
ALL-CAUSE MORTALITY
C-REACTIVE PROTEIN
DIALYSIS PATIENTS
RENAL-DISEASE
SERUM
NUTRITION
INTERVENTION
EPIDEMIOLOGY
PREVALENCE |
| 日期: | 2018-06 |
| 上傳時間: | 2019-01-17 14:41:41 (UTC+8) |
| 摘要: | The current study was to examine the association of adequate intake of macronutrients and micronutrients with traditional and nontraditional cardiovascular risk factors in hemodialysis patients.
A clinical cross-sectional study was conducted between September 2013 and April 2017 on 492 hemodialysis patients aged 20 years and above, received thrice-weekly hemodialysis treatment for at least 3 months, adequate dialysis quality (equilibrated Kt/V >= .2g/kg/d) from 7 hospital-based hemodialysis centers in Taiwan. The dietary intake was evaluated by the 3-day dietary record, and a 24-hour dietary recall. Biochemical parameters were archived from laboratory tests. The cardiovascular disease (CVD) risk factors were defined by the Kidney Disease Outcomes Quality Initiative (K/DOQI) Clinical Practice Guidelines, The adequate dietary intake of macronutrients and micronutrients was recommended by the European Best Practice Guidelines, K/DOQI, and Institute of Medicine guidelines. Logistic regression analysis was used.
All hemodialysis patients had CVD risks, the lowest proportion of patients with adequate intake of macronutrients and micronutrients were 8.7% and 1.8%, respectively. The adequate dietary intake associated with lower likelihood of having CVD risks in hemodialysis patient by 47% to 84%, including 39% to 58% lower hypertension, 37% to 50% lower dyslipidemia, 42% to 63% diabetes mellitus, 44% to 84% lower obesity, 58 % lower low calcium, 38% lower hyperparathyroidism, 47% to 64% lower hyperhomocysteinemia, and 41% to 67% lower inflammation, 63% to 74% lower hypoalbumin, 73% lower inadequate normalized protein nitrogen appearance.
Adequate dietary nutrients intake may reduce the cardiovascular risks factors, in turn, to prevent the cardiovascular morbidity and mortality. |
| 顯示於類別: | [保健營養學系 ] 期刊論文
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