Associations of dietary macronutrients and micronutrients with the traditional and nontraditional risk factors for cardiovascular disease among hemodialysis patients

Tuyen Van Duong, Te Chih Wong, Chien Tien Su, Hsi Hsien Chen, Tzen Wen Chen, Tso Hsiao Chen, Yung Ho Hsu, Sheng Jeng Peng, Ko Lin Kuo, Hsiang Chung Liu, En Tsu Lin, Shwu Huey Yang

研究成果: 雜誌貢獻文章

6 引文 (Scopus)

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 ≥ 1.2 g/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.
原文英語
文章編號e11306
期刊Medicine (United States)
97
發行號26
DOIs
出版狀態已發佈 - 六月 1 2018

指紋

Micronutrients
Renal Dialysis
Cardiovascular Diseases
Practice Guidelines
Kidney Diseases
Diet Records
Hyperhomocysteinemia
National Academies of Science, Engineering, and Medicine (U.S.) Health and Medicine Division
Hyperparathyroidism
Dyslipidemias
Taiwan
Dialysis
Diabetes Mellitus
Nitrogen
Obesity
Cross-Sectional Studies
Logistic Models
Regression Analysis
Guidelines
Hypertension

ASJC Scopus subject areas

  • Medicine(all)

引用此文

Associations of dietary macronutrients and micronutrients with the traditional and nontraditional risk factors for cardiovascular disease among hemodialysis patients. / Duong, Tuyen Van; Wong, Te Chih; Su, Chien Tien; Chen, Hsi Hsien; Chen, Tzen Wen; Chen, Tso Hsiao; Hsu, Yung Ho; Peng, Sheng Jeng; Kuo, Ko Lin; Liu, Hsiang Chung; Lin, En Tsu; Yang, Shwu Huey.

於: Medicine (United States), 卷 97, 編號 26, e11306, 01.06.2018.

研究成果: 雜誌貢獻文章

@article{4f70bd0a49304006a6a3a994601338a2,
title = "Associations of dietary macronutrients and micronutrients with the traditional and nontraditional risk factors for cardiovascular disease among hemodialysis patients",
abstract = "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 ≥ 1.2 g/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.",
keywords = "cardiovascular disease, dietary intake, hemodialysis patients, macronutrients and micronutrients, traditional and nontraditional risks",
author = "Duong, {Tuyen Van} and Wong, {Te Chih} and Su, {Chien Tien} and Chen, {Hsi Hsien} and Chen, {Tzen Wen} and Chen, {Tso Hsiao} and Hsu, {Yung Ho} and Peng, {Sheng Jeng} and Kuo, {Ko Lin} and Liu, {Hsiang Chung} and Lin, {En Tsu} and Yang, {Shwu Huey}",
year = "2018",
month = "6",
day = "1",
doi = "10.1097/MD.0000000000011306",
language = "English",
volume = "97",
journal = "Medicine; analytical reviews of general medicine, neurology, psychiatry, dermatology, and pediatries",
issn = "0025-7974",
publisher = "Lippincott Williams and Wilkins",
number = "26",

}

TY - JOUR

T1 - Associations of dietary macronutrients and micronutrients with the traditional and nontraditional risk factors for cardiovascular disease among hemodialysis patients

AU - Duong, Tuyen Van

AU - Wong, Te Chih

AU - Su, Chien Tien

AU - Chen, Hsi Hsien

AU - Chen, Tzen Wen

AU - Chen, Tso Hsiao

AU - Hsu, Yung Ho

AU - Peng, Sheng Jeng

AU - Kuo, Ko Lin

AU - Liu, Hsiang Chung

AU - Lin, En Tsu

AU - Yang, Shwu Huey

PY - 2018/6/1

Y1 - 2018/6/1

N2 - 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 ≥ 1.2 g/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.

AB - 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 ≥ 1.2 g/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.

KW - cardiovascular disease

KW - dietary intake

KW - hemodialysis patients

KW - macronutrients and micronutrients

KW - traditional and nontraditional risks

UR - http://www.scopus.com/inward/record.url?scp=85049885897&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85049885897&partnerID=8YFLogxK

U2 - 10.1097/MD.0000000000011306

DO - 10.1097/MD.0000000000011306

M3 - Article

C2 - 29953017

AN - SCOPUS:85049885897

VL - 97

JO - Medicine; analytical reviews of general medicine, neurology, psychiatry, dermatology, and pediatries

JF - Medicine; analytical reviews of general medicine, neurology, psychiatry, dermatology, and pediatries

SN - 0025-7974

IS - 26

M1 - e11306

ER -