Premium
APPETITE PREDICTS INTAKE AND NUTRITIONAL STATUS IN PATIENTS RECEIVING PERITONEAL DIALYSIS
Author(s) -
Young Valerie,
Balaam Sarah,
Orazio Linda,
Bates Annerley,
Badve Sunil V.,
Johnson David W.,
Campbell Katrina L.
Publication year - 2016
Publication title -
journal of renal care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.381
H-Index - 27
eISSN - 1755-6686
pISSN - 1755-6678
DOI - 10.1111/jorc.12156
Subject(s) - medicine , anorexia , appetite , malnutrition , poor appetite , peritoneal dialysis , population , environmental health
SUMMARY Background Sub‐optimal nutrition status is common amongst patients receiving peritoneal dialysis (PD) and leads to poor clinical outcome. This population experiences multi‐factorial challenges to achieving optimal nutritional status, particularly driven by inadequate intake. Objectives The aim of this investigation was to identify factors associated with inadequate protein intake and sub‐optimal nutritional status in patients undergoing PD. Design/Participants This was a cross‐sectional study of 67 adult patients receiving PD (mean age 59 ± 14 years; 57% male) within a single centre. Participants were consecutively recruited and interviewed by renal dietitians, collecting: Subjective Global Assessment (SGA); quality of life (using EQ‐5D); dietary intake (via dietary interview); and appetite (using Appetite and Diet Assessment Tool). Participant demographics were obtained via survey or medical charts. Main outcome measures were inadequate dietary protein intake (<1.1 g/kg adjusted body weight/day) and malnutrition (as defined by SGA rating B or C). Results Overall, 15 (22%) patients were malnourished and 29 (43%) had inadequate protein intake. Poor appetite (anorexia) was reported in 62% (18/29) of participants with inadequate protein malnourished patients reported anorexia versus 12 (23%) of the well‐nourished patients (p = 0.0001). Conclusion Anorexia was a key risk factor for inadequate protein intake and malnutrition in patients undergoing PD. These findings highlight a need to closely monitor patients with appetite disturbances.