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Haemodialysis, Risk of Food Insecurity, and Dietary Behaviours in Trinidad and Tobago
Author(s) -
Nichols Selby,
Prout Patrice
Publication year - 2017
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.31.1_supplement.791.9
Subject(s) - medicine , food insecurity , odds ratio , environmental health , food security , confidence interval , diabetes mellitus , kidney disease , endocrinology , biology , ecology , agriculture
Objective The treatment of chronic kidney disease requires those afflicted to pay attention to diet. In many cases, they are asked to restrict the intakes, of sodium, potassium and proteins. These have implications for food and nutrition insecurity. In this study, we evaluated dietary intake patterns and risk of food insecurity among persons on haemodialysis. Methods A case‐control design was used in this study. Cases consisted of persons currently requiring weekly haemodialysis. Controls consisted of persons being treated for hypertension and diabetes mellitus. Face‐to‐face interviews were conducted on participants from September 1 st –October 31 st , 2016 using a standardized questionnaire consisting of dietary intake, and a food security items (U.S. Household Food Security Survey 18‐item questionnaire). The latter was used to calculate a food insecurity score. Results 390 persons (cases = 130, controls DM =130, HTN=130) participated in the study. Persons on haemodialysis consumed significantly lower amounts of fruit (p<0.001), vegetables (p<0.001), legumes (p<0.001) and staples (p<0.001) but not meat, dairy and eggs than participants who not on haemodialysis. They had significantly higher food insecurity scores than controls (p<0.001). Persons on haemodialysis were significantly more likely to be at risk for food insecurity (odds ratio (OR) = 5.0, 95% confidence intervals (CI): 3.1, 8.1) that participants who were not on haemodialysis. Food security score was inversely associated with nutrition risk scores in cases (r = −0.19; p = 0.03) and controls (r = −0.22; p <0.001) Conclusion Among participants, persons on haemodialysis were at increased risk for nutrient deficiency. They were also at higher risk for food insecurity. This may have implications for the overall management of persons on haemodialysis. Support or Funding Information none