scholarly journals Nutritional status, hyperkalaemia and attainment of energy/protein intake targets in haemodialysis patients following plant-based diets: a longitudinal cohort study

2020 ◽  
Author(s):  
Ailema González-Ortiz ◽  
Hong Xu ◽  
Samuel Ramos-Acevedo ◽  
Carla M Avesani ◽  
Bengt Lindholm ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Energy Intake ◽  
Serum Potassium ◽  
Protein Intake ◽  
Fruits And Vegetables ◽  
Dietary Assessment ◽  
Healthy Plant ◽  
Low Protein ◽  
Single Centre Study ◽  
Current Guidelines

Abstract Background Patients undergoing haemodialysis (HD) are often discouraged from eating fruits and vegetables because of fears of hyperkalaemia and undernutrition, yet evidence to support these claims is scarce. We here explore the association between adherence to a healthy plant-based diet with serum potassium, surrogates of nutritional status and attainment of energy/protein intake targets in HD patients. Methods We performed an observational single-centre study of stable patients undergoing HD with repeated dietary assessment every 3 months. Patients were provided with personalized nutritional counselling according to current guidelines. The diet was evaluated by 3-day food records and characterized by a healthy plant-based diet score (HPDS), which scores positively the intake of plant foods and negatively animal foods and sugar. The malnutrition inflammation score (MIS) and serum potassium were also assessed at each visit. We used mixed-effects models to evaluate the association of the HPDS with markers of nutritional status, serum potassium levels and attainment of energy/protein intake targets. Results After applying inclusion and exclusion criteria, a total of 150 patients contributing to 470 trimestral observations were included. Their mean age was 42 years [standard deviation (SD) 18] and 59% were women. In multivariable models, a higher HPDS was not associated with serum potassium levels or odds of hyperkalaemia {potassium >5.5 mEq/L; odds ratio [OR] 1.00 [95% confidence interval (CI) 0.94–1.07] per HPDS unit higher}. Patients with a higher HPDS did not differ in terms of energy intake [OR for consuming <30 kcal/kg day 1.05 (95% CI 0.97–1.13)] but were at risk of low protein intake [OR for consuming <1.1 g of protein/kg/day 1.11 (95% CI 1.04–1.19)]. A higher HPDS was associated with a lower MIS, indicating better nutritional status. Conclusions In patients undergoing HD, adherence to a healthy plant-based diet was not associated with serum potassium, hyperkalaemia or differences in energy intake. Although these patients were less likely to reach daily protein intake targets, they appeared to associate with better nutritional status over time.

scholarly journals Education Level, Energy Intake and Protein With Nutritional Status Of Pregnant Women In Bungoro Health Center Work Area

2019 ◽  
Vol 25 (2) ◽  
pp. 38
Author(s):  
Khaeriya Megauleng ◽  
Mustamin Mustamin ◽  
Sunarto Sunarto
Keyword(s):  
Nutritional Status ◽  
Pregnant Women ◽  
Health Center ◽  
Energy Intake ◽  
Protein Intake ◽  
Education Level ◽  
Level Energy ◽  
Cross Sectional ◽  
Work Area ◽  
The Relationship

Education influences a changes in knowledge, attitudes, and lifestyle patterns in the selection of the type and amount of food consumed. The health of a pregnant women affects the fetus in her womb. Nutrient content consumed by the mother will be absorbed by the fetus which is important for the growth of the fetus itself. This study aims to determine the relationship of education level, energy intake and protein nutritional status of pregnant women in the Bungoro Health Center Work Area of Bungoro District, Pangkep Regency. This research is an analytical study with cross-sectional design. Samples were pregnant women, amount to 40 people. The level of education is obtained through a questionnaire. Energy and protein intake was obtained through 2x24 hours recall and then processed using menu A software. To find out the relationship between variables of education level, energy and protein intake with nutritional status, Chi-Square was tested using the SPSS program. Data is presented in the form of tables and narratives. The results showed that 77.5% of the sample education level was high. Sample energy intake was classified as less than 82.5% and 17.5% classified as good. Sample protein intake of 95% classified as poor and 5% classified as good. Nutritional status of pregnant women is 70% experiencing KEK and 30% normal. Statistical test results show that there is no relationship between education level, energy and protein intake and nutritional status of pregnant women in the Bungoro Health Center Work Area, Bungoro District, Pangkep Regency.

The associative effect of level of energy and protein intake in the dairy cow

1970 ◽  
Vol 37 (3) ◽  
pp. 481-491 ◽  
Author(s):  
F. J. Gordon ◽  
T. J. Forbes
Keyword(s):  
Energy Intake ◽  
Milk Yield ◽  
Protein Level ◽  
Protein Intake ◽  
Latin Square ◽  
Metabolizable Energy ◽  
Energy Output ◽  
Additional Energy ◽  
Protein Nitrogen ◽  
Low Protein

SummaryEight lactating cows were used in a Latin square experiment, to study the associative effects of level of energy and protein intake on milk yield and composition. Four diets were used, supplying 80 and 120% of estimated energy requirements and 80 and 120% of estimated protein requirements. The level of energy intake significantly affected milk yield, milk energy output, percentage butterfat, ash and non-protein nitrogen. The level of protein intake only significantly affected milk energy output and the non-protein nitrogen content of the milk. Although only the interaction of the effects of energy and protein intake on the milk content of solidsnot-fat (SNF) and ash was significant, it was evident that the effect of each of these factors on milk yield or composition was related to the level of the other in the diet.Input-output relationships within each protein level were used to compute the response in milk energy output and bodyweight change to a change in energy intake. These showed a greater partitioning of additional energy toward milk energy output with the high than with the low protein level. Multiple regression analysis within each level of protein intake was used to partition energy intake between that used for maintenance, milk energy output and liveweight change. The results showed efficiencies of utilization of metabolizable energy for milk output of 63 and 50% on the high- and low-protein diets, respectively.Nitrogen balance data are presented.

Dyspepsia is Associated with Low Protein and Caloric Intake among End-Stage Renal Disease Patients

2015 ◽  
Vol 85 (3-4) ◽  
pp. 112-118 ◽  
Author(s):  
Paulo Roberto Santos ◽  
Diego Levi Silveira Monteiro ◽  
Paulo Henrique Alexandre de Paula ◽  
Vicente Lopes Monte Neto ◽  
Maria Leilah Ponte Monte Coelho ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Protein Intake ◽  
Calorie Intake ◽  
Low Protein ◽  
Dyspeptic Symptoms ◽  
Stage Renal Disease ◽  
End Stage ◽  
Esrd Patients

Abstract. Background: Dyspepsia is highly prevalent and easily assessed in end-stage renal disease (ESRD) patients undergoing hemodialysis (HD) and is not a traditional predictor of malnutrition. We sought to establish an association between dyspeptic symptoms and nutritional status in ESRD patients undergoing maintenance HD. Methods: We studied 106 ESRD patients on HD. Dyspepsia was assessed through the Porto Alegre Dyspeptic Symptoms Questionnaire (PADYQ). Scores equal to or greater than 6 classified patients as dyspeptic. Nutritional status was evaluated using serum chemistry, total body mass, muscle mass, and dietary intake. Nutritional status was compared between dyspeptic and non-dyspeptic patients. The association of PADYQ scores and the presence of dyspepsia with nutritional variables were tested. Multivariate analysis was performed to test dyspepsia as an independent predictor for dietary intake. Results: There were 41 (38.7 %) dyspeptics. Protein intake (g/kg/day) and calorie intake (kcal/kg/day) were lower among dyspeptics compared to non-dyspeptics, 1.0 ± 0.5 vs 1.3 ± 0.5 (p = 0.01) and 23.0 ± 9.2 vs 27.4 ± 10.0 (p = 0.02), respectively. More dyspeptics than non-dyspeptics presenting protein-energy wasting based on protein and calorie intake, 41.4 vs 15.3 % (p = 0.01) and 68.2 vs 38.4 % (p = 0.02), respectively. PAQYQ score was negatively correlated with protein intake (r = - 0.20; p = 0.03) and calorie intake (r = - 0.19; p = 0.04). Dyspepsia was able to predict protein (b = - 0.26; p = 0.01) and calorie (b = - 4.42; p = 0.02) intake. Conclusions: Dyspepsia is associated with low protein and calorie intake. Screening of dyspeptic symptoms can be routinely performed aiming to improve HD patients’ nutritional status.

Identifikasi risiko malnutrisi dan evaluasi status nutrisi pasien kanker anak dengan pengobatan kemoterapi

2019 ◽  
Vol 15 (4) ◽  
pp. 137
Author(s):  
Agus Santosa ◽  
Sri Mulatsih ◽  
Susetyowati Susetyowati
Keyword(s):  
Weight Loss ◽  
Nutritional Status ◽  
Childhood Cancer ◽  
Cancer Patients ◽  
Energy Intake ◽  
Protein Intake ◽  
Nutrition Status ◽  
Observational Research ◽  
Hospitalization Period ◽  
Poor Nutritional Status

Identification of malnutritional risk and nutrition status evaluation of pediatric cancer patients with chemotherapy treatmentBackground: Hospitalized childhood cancer patients had a high risk for malnutrition, either caused by the disease or effects of cancer treatment. Malnutrition in cancer patients gives negative impacts on treatment outcomes in the form of increasing morbidity and mortality rates. Nutrition screening for identifying malnutrition risks could prevent malnutrition in hospitals.Objectives: Investigating the influence of malnutrition risk during hospitalization on the changes in the nutritional status of childhood cancer patients with chemotherapy treatment. Methods: This research was observational research with the nested case-control design. The research subjects were childhood cancer patients aged 2-18 years old meeting the inclusion criteria. They were 64 in number consisting of the case group involving 32 patients and a control group involving the rest. During hospitalization, analyses of nutritional intake, change in body weight, nutritional status, and hospitalization period. Furthermore, the analyses of the influence of malnutrition risk on the outcome between those two groups were then compared. Results: There was a significant influence of malnutrition risk on less energy intake (p<0.001), less protein intake (p=0.002), weight loss >2% (p<0.001), poor nutritional status based on the BMI/U (p=0.011), and longer hospitalization (p=0.034). The group of patients with malnutrition risks had risks of 15.5 (CI 95%: 3.991-63.359) times higher for less energy intake, 6.12 (CI 95%: 1.675-24.906) times higher for less protein intake, and 45.3 (CI 95%: 5.666-1940.768) times higher for weight loss > 2% than the group of patients without malnutrition risks.Conclusions: Patients with a significant risk of malnutrition had less energy and protein intake, weight loss > 2%, poor nutritional status based on BMI/U, and longer hospitalization.

scholarly journals Association between Low Protein Intake and Mortality in Patients with Type 2 Diabetes

Nutrients ◽  
2020 ◽  
Vol 12 (6) ◽  
pp. 1629 ◽  
Author(s):  
Takuya Yamaoka ◽  
Atsushi Araki ◽  
Yoshiaki Tamura ◽  
Shiro Tanaka ◽  
Kazuya Fujihara ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Body Weight ◽  
Total Energy ◽  
Energy Intake ◽  
Protein Intake ◽  
Total Energy Intake ◽  
Diabetic Patients ◽  
Low Protein ◽  
Prospective Longitudinal

The aim of this study was to investigate the association between protein intake and mortality risk in patients with type 2 diabetes. We analyzed a pooled data of 2494 diabetic patients from two prospective longitudinal studies. Nutritional intake was assessed using a Food Frequency Questionnaire at baseline. Protein intake per body weight (kg) per day was categorized into quartile groups. Adjusted hazard ratios (HRs) and 95% confidence interval (CI) were calculated using Cox regression analysis. During the six-year follow-up, there were 152 incidents of all-cause mortality. The HR for mortality in the lowest quartile of protein intake per body weight compared with the highest quartile was 2.26 (95% CI: 1.34–3.82, p = 0.002) after adjustment for covariates. Subgroup analyses revealed significant associations between low protein intake and mortality in patients aged over 75 years or under 65 years. After further adjustment of the total energy intake, a significant association between protein intake and mortality remained in patients aged ≥ 75 years, whereas the association was attenuated in those aged < 65 years. Our results suggest that adequate protein intake is necessary in older diabetic patients over 75 years, whereas with diabetes, whereas whole optimal total energy intake is required in younger patients with type 2 diabetes.

scholarly journals Energy and protein intake in the Colombian population: results of the 2015 ENSIN population survey

2021 ◽  
Vol 10 ◽  
Author(s):  
Oscar F. Herrán ◽  
Edna M. Gamboa-Delgado ◽  
María Del Pilar Zea
Keyword(s):  
Nutritional Status ◽  
Total Energy ◽  
Energy Intake ◽  
Protein Intake ◽  
Total Energy Intake ◽  
Dietary Guidelines ◽  
Nutrition Survey ◽  
Cross Sectional ◽  
Dietary Recall ◽  
Total Protein Intake

Abstract The present study was aimed at (1) the differences between current weight v. ideal weight, (2) total energy intake and comparing it with required energy (Rkeer), (3) absolute protein intake in g/kg per d and g/1000 calories, (4) how energy and protein intake relate to the nutritional status of the subjects in terms of overall overweight (OEW) [overweight + obesity] and conservative overweight (CEW) [obesity] and (5) the contribution (%) of protein to total energy intake based on the acceptable macronutrient distribution range (AMDR). A dietary study was carried out in Colombia with 29 259 subjects between 1 and 64 years of age, based on cross-sectional data collected in 2015 by a 24-h dietary recall (24HR) administered as part of the National Nutrition Survey. Energy and protein intake did not differ by nutritional status. In the general population, energy intake was 2117 kcal/d (95 % CI 1969, 2264). The total protein intake was 64⋅3 g/d (95 % CI 61⋅4, 67⋅3). Adequate energy intake ranged from 90 to 100 %, except for the 1–4-year-old group, which ranged from 144 to 155 %. Protein intake was 1⋅64 g/kg per d (95 % CI 1⋅53, 1⋅75). The mean AMDR for protein to total energy intake was 13⋅3 % (95 % CI 12⋅9, 13⋅7). Excess weight began during the first 4 years of age. In conclusion, it is worth reviewing and updating energy and protein intake recommendations and dietary guidelines for the Colombian population and designing and modifying public policy.

scholarly journals Pengetahuan, Asupan Energy dan Zat Gizi Berhubungan dengan Kekurangan Energy Kronis pada Wanita Prakonsepsi

2018 ◽  
Vol 1 (1) ◽  
pp. 015
Author(s):  
Novika Hubu ◽  
Nuryani Nuryani ◽  
Yanti Hz Hano
Keyword(s):  
Energy Intake ◽  
Protein Intake ◽  
Nutrition Knowledge ◽  
Low Energy ◽  
Bivariate Analysis ◽  
Chi Square ◽  
Low Protein ◽  
Chi Square Test ◽  
Chisquare Test ◽  
High Level

Choronic energy malnutrition is health problems in women reproductiveage. The purpose of this study was assessed association betweennutrition knowledge, energy and protein intake with chronic energymalnutrition. Design study was observational study with cross sectionaldesign. The Sample were taken by exshautive sampling with collected152 praconseption women. Study was conducted in Boalemo regency.Data analysis using univariate and bivariate analysis which was chisquare test. The result showed that there were only 2,6% in age lessthan 20 years, most of educational level les than nine years 66,4%,92,8% had occupation as house wife, 28,8 % choronic energymalnutrition, 52,6% low nutrition knowledge, 55,9% low energy intakeand 54,6% low protein intake. Bivariate analysis showed women whohad CEM with low nutrition knowledge 51,3% higher than high level ofnutrition knowledge 2,7%, low penergy intake 37,6% higher thanadequate energy intake 16,4%, low protein intake 36,1% higher thanadequate protein intake 18,8%. Chi square test showed there wereassociation between nutrition knowledge (p = 0,000), energy intake (p =0,007) and protein intake (p = 0,029) with chronic energy malnutrition inpraconseption women. It was concluded tha low nutrition knowledge,low energy and protein intake had association with chronic energymalnutrion.

scholarly journals ASUPAN ENERGI, PROTEIN, DAN STATUS GIZI DENGAN KADAR UREUM PADA PENDERITA PENYAKIT GINJAL KRONIK DENGAN HEMODIALISA

2018 ◽  
Vol 7 (2) ◽  
pp. 164-168
Author(s):  
Sri Era Wahyuni
Keyword(s):  
Nutritional Status ◽  
Energy Intake ◽  
Research Design ◽  
Protein Intake ◽  
Total Population ◽  
Sampling Technique ◽  
Cross Sectional ◽  
Independent Variables ◽  
Relationship Of ◽  
The Relationship

Energy and protein intake decreased menurun (<1600 kkal and  <40 gr)  in patients with CKD RSUD M.Yunus Bengkulu, which can affect the nutritional status of the state can be seen from the LLA.The purpose of this study to examine the relationship of energy intake, protein and nutritional status based on LLA with urea levels in patients with CKD undergoing hemodialysis in hemodialysis installation RSUD dr. M. Yunus Bengkulu in 2013. Type a descriptive analytic study using cross-sectional research design with the independent variables (intake of energy, protein, nutritional status) and the dependent variable (urea levels). Total population of 140 people with 58 sample was taken by purposive sampling technique. The results of this study found that there was no significant correlation between energy intake with urea levels, there was a significant association between the intake of protein with urea levels and no significant correlation between the levels of nutritional status on penderta urem CKD undergoing hemodialysis in hemodialysis Installation RSUD  dr . M. Yunus Bengkulu in 2013.

scholarly journals Associations between nutrition knowledge, protein-energy intake and nutritional status of adolescents

2021 ◽  
Vol 10 (2) ◽  
Author(s):  
Antika Prycilla Veronika ◽  
Theresia Puspitawati ◽  
Ayu Fitriani
Keyword(s):  
High School ◽  
Nutritional Status ◽  
Energy Intake ◽  
Significant Relationship ◽  
Protein Intake ◽  
Nutrition Knowledge ◽  
Bivariate Analysis ◽  
Vocational High School ◽  
District Health ◽  
Protein Energy

Background: Adolescence is a period of life with specific health and developmental needs. Nutrition in adolescents is necessary to be considered because it has to be in a  balanced form. The data of Sleman District Health Office 2016 showed that 114 adolescents in Public Health Center of Mlati 1 had undernutrition. Also, it showed that the highest prevalence was at Vocational High School of Muhammadiyah Mlati, which was 42% male and 31% female students. This study aims to know the association of nutrition knowledge, protein-energy intake and adolescents’ nutritional status at Vocational High School of Muhammadiyah Mlati, Sleman Yogyakarta.Design and Methods: This was an observational analytical study with a cross-sectional design. The subjects were adolescents aged 15-18 years, selected using stratified random sampling with a total of 58 persons. Data collected were analyzed using the Spearman Rank Correlation for bivariate technique (where α = 0.05).Results: It was shown that 81.0%  had a good nutrition knowledge, 91.4% had deficit energy intake, 82.8 %  had deficit protein intake, and 58.6% had severe nutritional status. Bivariate analysis showed that there was no significant relationship between nutrition knowledge and nutritional status (p=0.394), but energy intake and nutritional status were related (p=0.010 <α = 0.05). Furthermore, protein intake and nutritional status had a significant relationship (p=0.039 <α = 0.05).Conclusions: To be concluded,  there was a correlation between the protein and energy intake and nutritional status of adolescents.

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