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Determining the Possible Effect of Diabetes on the Nutritional Status of Hemodialysis Patients

Yıl 2021, Cilt 7, Sayı 14, 34 - 41, 31.10.2021
https://doi.org/10.48121/jihsam.910490

Öz

Objective: Failure to maintain blood sugar control over a long period of time in diabetic patients may cause impairment of kidney functions. In addition to uremic symptoms, impaired glucose metabolism causes difficulties in obtaining adequate nutrition. The aim of this study is to determine the possible impact of type 2 diabetes (T2DM) on the nutritional status of hemodialysis (HD) patients. Methods: Patients between the ages of 18-65 who received HD treatment regularly were included in this study. A demographic characteristics questionnaire was applied to the patients and two 24-hour food recall records were obtained. The patient’s height, dry weight and fluid gain were taken from their files. Results: This study was conducted with a total of 275 HD patients, 33.1% with and 66.9% without diabetes. The median values of dietary energy (18.2 kcal/kg), carbohydrate (2.1 g/kg), protein (46.2 g/kg) and fat (0.7 g/kg) intake of the non-diabetic group was found to be higher (p<0.05). The median of BMI was found higher in the T2DM group than the non-diabetic group (p <0.05). A weak positive correlation was found between the duration of HD (years) and carbohydrate intake in patients with T2DM (p<0.05) and a very weak positive correlation between the hemoglobin levels and duration of hemodialysis in the non-diabetic group (p<0.05). Conclusions: In this study, it was determined that although HD patients with T2DM have less energy intake, their BMI was higher; in addition, over time, a decrease in dietary compliance triggers a deterioration in biochemical parameters.

Kaynakça

  • Akal Yıldız, E., (2012). Kronik Böbrek Yetmezliği ve Beslenme, Sağlık Bakanlığı, Türkiye Halk Sağlığı Kurumu, Hastalıklarda Beslenme Bilgi Serisi, 2012.
  • Alicic, R.Z., Rooney, M.T., Tuttle, K.R., (2017). Diabetic kidney disease: challenges, progress, and possibilities.The Clinical Journal of the American Society of Nephrology, 12(12): 2032-2045.
  • Amos, A.F., McCarty, D.J., Zimmet, P., (1997). The rising global burden of diabetes and its complications: Estimates and projections to the year 2010. Diabetic Medicine,14(5): 1-85.
  • Anders, H.J., Huber, T.B., Isermann, B., Schiffer, M., (2018). CKD in diabetes: diabetic kidney disease versus nondiabetic kidney disease. Nature Reviews Nephrology, 14(6): 361-377.
  • Biesenbach, G., Debska-Slizien, A., Zazgornik, J., (1999). Nutritional status in type 2 diabetic patients requiring haemodialysis. Nephrology, dialysis, transplantation, 14(3): 655-658.
  • Brown, M.A., Collett, G.K., Josland, E.A., Foote, C., Li, Q., Brennan, F.P., (2015). CKD in elderly patients managed without dialysis: survival, symptoms, and quality of life. The Clinical Journal of the American Society of Nephrology, 10(2): 260-268.
  • Carrero, J.J., Hecking, M., Chesnaye, N.C., Jager, K.J., (2018). Sex and gender disparities in the epidemiology and outcomes of chronic kidney disease. Nature reviews Nephrology, 14(3): 151.
  • Celik, Z.M., Islamoglu, A.H., Akduman, G., Gunes, F.E., (2019). Investigation of Nutritional Status of Hemodialysis Patients in Istanbul/Turkey. Advancements in Journal of Urology and Nephrology, 1: 1-5.
  • Chen, M.E., Hwang, S.J., Chen, H.C., Hung, C.C., Hung, H.C., Liu, S.C., Wu T.J., Huang, M.C., (2017). Correlations of dietary energy and protein intakes with renal function impairment in chronic kidney disease patients with or without diabetes. The Kaohsiung Journal of Medical Sciences, 33(5): 252-259.
  • D'Agati, V.D., Chagnac, A., De Vries, A.P., Levi, M., Porrini, E., Herman-Edelstein, M., Praga, M., (2016). Obesity-related glomerulopathy: clinical and pathologic characteristics and pathogenesis. Nature Reviews Nephrology, 12(8): 453.
  • Deepa, K., Manjunatha, G.B.K., Oinam, S.D., Devaki, R.N., Bhavna, N., Asha, P., Naureen, A., (2011). Serum urea, creatinine in relation to fasting plasma glucose levels in type 2 diabetic patients. International Journal of Pharmacy and Biological Sciences,1(3): 279-283.
  • Gan, H.B., Chen, M.H., Lindholm, B., Wang, T., (2005). Volume control in diabetic and nondiabetic peritoneal dialysis patients. International Urology and Nephrology, 37(3): 575-579.
  • Han, B.G., Lee, J.Y., Kim, J.S., Yang, J.W., (2019). Decreased Bioimpedance Phase Angle in Patients with Diabetic Chronic Kidney Disease Stage 5. Nutrients, 11(12): 2874.
  • Herrington, W.G., Smith, M., Bankhead, C., Matsushita, K., Stevens, S., Holt, T., Hobbs, F.D.R., Coresh, J., Woodward, M., (2017). Body-mass index and risk of advanced chronic kidney disease: prospective analyses from a primary care cohort of 1.4 million adults in England. PloS one, 12(3): e0173515.
  • Kamal, A., (2014). Impact of diabetes on renal function parameters. The Indian Journal of Fundamental and Applied Life Sciences, 4(3): 411-6.
  • Kim, Y.J., Yoon, J.H., Choi, H.S., Kim, C.S., Bae, E.H., Ma, S.K., Kim S. W., (2020). Meal Frequency and Skipping Breakfast Are Associated with Chronic Kidney Disease. Nutrients, 12(2): 331.
  • Mahan, K., Escott-Stump, S., Raymond, J.L., (2011). Krause's Food & the Nutrition Care Process. USA: Saunders.
  • Mann, J.F., Green, D., Jamerson, K., Ruilope, L.M., Kuranoff, S.J., Littke, T., Viberti, G., (2010). ASCEND Study Group. Avosentan for overt diabetic nephropathy. Journal of the American Society of Nephrology, 21(3): 527-535.
  • Molitch, M.E., DeFronzo, R.A., Franz, M.J., Keane, W.F., (2004). American Diabetes Association. Nephropathy in diabetes. Diabetes care, 27(1): 79-83.
  • Murphy, D., McCulloch, C.E., Lin, F., Banerjee, T., Bragg-Gresham, J.L., Eberhardt, M.S., Morgenstern, H., Pavkov, M.E., Saran, R., Powe, N.R., Hsu, C.Y., (2016). Trends in prevalence of chronic kidney disease in the United States. Annals of Internal Medicine, 165: 473–481.
  • Nakagawa, T., Kosugi, T., Haneda, M., Rivard, C.J., Long, D.A., (2009). Abnormal angiogenesis in diabetic nephropathy. Diabetes, 58(7): 1471-1478.
  • Nation Kidney Foundation. KDOQI Clinical Practice Guideline for Diabetes and CKD: (2012) update. The American Journal of Kidney Diseases, 60(5): 850-886.
  • Newman, D.J., Mattock, M.B., Dawnay, A.B., Kerry, S., McGuire, A., Yaqoob, M., Hitman, G.A., Hawke, C., (2005). Systematic review on urine albumin testing for early detection of diabetic complications. Health Technology Assessment, 9(30): iiivi, xiii-163
  • Pandya, D., Nagrajappa, A.K., Ravi, K.S., (2016). Assessment and correlation of urea and creatinine levels in saliva and serum of patients with chronic kidney disease, diabetes and hypertension–a research study. Journal of Clinical and Diagnostic Research, 10(10): ZC58.
  • Saran, R., Robinson, B., Abbott, K.C., Bragg-Gresham, J., Chen, X., Gipson, D., Gu, H., Hirth, R.A., Hutton, D., Jin, Y., Kapke, A., Kurtz, V., Li, Y., McCullough, K., Modi, Z., Morgenstern, H., Mukhopadhyay, P., Pearson, J., Pisoni, R., Repeck, K., Schaubel, D.E., Shamraj, R., Steffick, D., Turf, M., Woodside, K.J., Xiang, J., Yin, M., Zhang, X., Shahinian, V., (2020). US Renal Data System 2019 Annual Data Report: Epidemiology of Kidney Disease in the United States. The American Journal of Kidney Diseases, 75(1): A6-A7.
  • Seyhani, N., Ates, K., Suleymanlar, G., (2018). Türkiye’de Renal Replasman Tedavilerinin Güncel Durumu: Türk Nefroloji Derneği Kayıt Sistemi 2016 Yılı Özet Raporu. Turkish Journal of Nephrology, Dialysis and Transplantation, 27(2): 133-139.
  • Suleymanlar, G., Ates, K., Seyhani, N., (2018). Ministry of Health and Turkish Society of Nephrology Joint Report. National Nephrology, Dialysis and Transplantation Registry Report of Turkey. Turkish Society of Nephrology, 2019: p.9-27.
  • Suleymanlar, G., Utas, C., Arinsoy, T., Ates, K., Altun, B., Altiparmak, M.R., Ecder, T., Yilmaz M.E., Çamsari T., Basi A., Odabas, A.R., Serdengeçti, K., (2010). Population-based survey of Chronic Renal Disease in Turkey-the CREDIT study. Nephrology Dialysis Transplantation, 26(6): 1862-1871.
  • Turker, P.F., (2019). Kronik Böbrek Yetmezliği Gelişen Diyabetli Bireylerde Beslenme Tedavisi. Beslenme ve Diyet Dergisi, 47: 74-81.
  • United States Renal Data System. Incidence, prevalence, patient characteristics, and treatment modalities. USRDS, Annual Data Report: Epidemiology of Kidney Disease in the United States, 2018; 291-331.
  • United States Renal Data System. USRDS annual data report: epidemiology of kidney disease in the United States, 2016.
  • Vijaya, K.L., Aruna, M., Narayana, R.S., Mohan, P.R., (2019). Dietary counseling by renal dietician improves the nutritional status of hemodialysis patients. Indian Journal of Nephrology, 29: 179-85.
  • WHO (World Health Organization), Body Mass Index (BMI) classifications. Web site. http://www.euro.who.int/en/health-topics/disease-prevention/nutrition/a-healthy-lifestyle/body-mass-index-bmi. Accessed April 13, 2020.
  • Width, M., Reinhard, T., (2009). The clinical dietitian's essential pocket guide; Philadelphia: Williams & Wilkins. 2009.

Yıl 2021, Cilt 7, Sayı 14, 34 - 41, 31.10.2021
https://doi.org/10.48121/jihsam.910490

Öz

Kaynakça

  • Akal Yıldız, E., (2012). Kronik Böbrek Yetmezliği ve Beslenme, Sağlık Bakanlığı, Türkiye Halk Sağlığı Kurumu, Hastalıklarda Beslenme Bilgi Serisi, 2012.
  • Alicic, R.Z., Rooney, M.T., Tuttle, K.R., (2017). Diabetic kidney disease: challenges, progress, and possibilities.The Clinical Journal of the American Society of Nephrology, 12(12): 2032-2045.
  • Amos, A.F., McCarty, D.J., Zimmet, P., (1997). The rising global burden of diabetes and its complications: Estimates and projections to the year 2010. Diabetic Medicine,14(5): 1-85.
  • Anders, H.J., Huber, T.B., Isermann, B., Schiffer, M., (2018). CKD in diabetes: diabetic kidney disease versus nondiabetic kidney disease. Nature Reviews Nephrology, 14(6): 361-377.
  • Biesenbach, G., Debska-Slizien, A., Zazgornik, J., (1999). Nutritional status in type 2 diabetic patients requiring haemodialysis. Nephrology, dialysis, transplantation, 14(3): 655-658.
  • Brown, M.A., Collett, G.K., Josland, E.A., Foote, C., Li, Q., Brennan, F.P., (2015). CKD in elderly patients managed without dialysis: survival, symptoms, and quality of life. The Clinical Journal of the American Society of Nephrology, 10(2): 260-268.
  • Carrero, J.J., Hecking, M., Chesnaye, N.C., Jager, K.J., (2018). Sex and gender disparities in the epidemiology and outcomes of chronic kidney disease. Nature reviews Nephrology, 14(3): 151.
  • Celik, Z.M., Islamoglu, A.H., Akduman, G., Gunes, F.E., (2019). Investigation of Nutritional Status of Hemodialysis Patients in Istanbul/Turkey. Advancements in Journal of Urology and Nephrology, 1: 1-5.
  • Chen, M.E., Hwang, S.J., Chen, H.C., Hung, C.C., Hung, H.C., Liu, S.C., Wu T.J., Huang, M.C., (2017). Correlations of dietary energy and protein intakes with renal function impairment in chronic kidney disease patients with or without diabetes. The Kaohsiung Journal of Medical Sciences, 33(5): 252-259.
  • D'Agati, V.D., Chagnac, A., De Vries, A.P., Levi, M., Porrini, E., Herman-Edelstein, M., Praga, M., (2016). Obesity-related glomerulopathy: clinical and pathologic characteristics and pathogenesis. Nature Reviews Nephrology, 12(8): 453.
  • Deepa, K., Manjunatha, G.B.K., Oinam, S.D., Devaki, R.N., Bhavna, N., Asha, P., Naureen, A., (2011). Serum urea, creatinine in relation to fasting plasma glucose levels in type 2 diabetic patients. International Journal of Pharmacy and Biological Sciences,1(3): 279-283.
  • Gan, H.B., Chen, M.H., Lindholm, B., Wang, T., (2005). Volume control in diabetic and nondiabetic peritoneal dialysis patients. International Urology and Nephrology, 37(3): 575-579.
  • Han, B.G., Lee, J.Y., Kim, J.S., Yang, J.W., (2019). Decreased Bioimpedance Phase Angle in Patients with Diabetic Chronic Kidney Disease Stage 5. Nutrients, 11(12): 2874.
  • Herrington, W.G., Smith, M., Bankhead, C., Matsushita, K., Stevens, S., Holt, T., Hobbs, F.D.R., Coresh, J., Woodward, M., (2017). Body-mass index and risk of advanced chronic kidney disease: prospective analyses from a primary care cohort of 1.4 million adults in England. PloS one, 12(3): e0173515.
  • Kamal, A., (2014). Impact of diabetes on renal function parameters. The Indian Journal of Fundamental and Applied Life Sciences, 4(3): 411-6.
  • Kim, Y.J., Yoon, J.H., Choi, H.S., Kim, C.S., Bae, E.H., Ma, S.K., Kim S. W., (2020). Meal Frequency and Skipping Breakfast Are Associated with Chronic Kidney Disease. Nutrients, 12(2): 331.
  • Mahan, K., Escott-Stump, S., Raymond, J.L., (2011). Krause's Food & the Nutrition Care Process. USA: Saunders.
  • Mann, J.F., Green, D., Jamerson, K., Ruilope, L.M., Kuranoff, S.J., Littke, T., Viberti, G., (2010). ASCEND Study Group. Avosentan for overt diabetic nephropathy. Journal of the American Society of Nephrology, 21(3): 527-535.
  • Molitch, M.E., DeFronzo, R.A., Franz, M.J., Keane, W.F., (2004). American Diabetes Association. Nephropathy in diabetes. Diabetes care, 27(1): 79-83.
  • Murphy, D., McCulloch, C.E., Lin, F., Banerjee, T., Bragg-Gresham, J.L., Eberhardt, M.S., Morgenstern, H., Pavkov, M.E., Saran, R., Powe, N.R., Hsu, C.Y., (2016). Trends in prevalence of chronic kidney disease in the United States. Annals of Internal Medicine, 165: 473–481.
  • Nakagawa, T., Kosugi, T., Haneda, M., Rivard, C.J., Long, D.A., (2009). Abnormal angiogenesis in diabetic nephropathy. Diabetes, 58(7): 1471-1478.
  • Nation Kidney Foundation. KDOQI Clinical Practice Guideline for Diabetes and CKD: (2012) update. The American Journal of Kidney Diseases, 60(5): 850-886.
  • Newman, D.J., Mattock, M.B., Dawnay, A.B., Kerry, S., McGuire, A., Yaqoob, M., Hitman, G.A., Hawke, C., (2005). Systematic review on urine albumin testing for early detection of diabetic complications. Health Technology Assessment, 9(30): iiivi, xiii-163
  • Pandya, D., Nagrajappa, A.K., Ravi, K.S., (2016). Assessment and correlation of urea and creatinine levels in saliva and serum of patients with chronic kidney disease, diabetes and hypertension–a research study. Journal of Clinical and Diagnostic Research, 10(10): ZC58.
  • Saran, R., Robinson, B., Abbott, K.C., Bragg-Gresham, J., Chen, X., Gipson, D., Gu, H., Hirth, R.A., Hutton, D., Jin, Y., Kapke, A., Kurtz, V., Li, Y., McCullough, K., Modi, Z., Morgenstern, H., Mukhopadhyay, P., Pearson, J., Pisoni, R., Repeck, K., Schaubel, D.E., Shamraj, R., Steffick, D., Turf, M., Woodside, K.J., Xiang, J., Yin, M., Zhang, X., Shahinian, V., (2020). US Renal Data System 2019 Annual Data Report: Epidemiology of Kidney Disease in the United States. The American Journal of Kidney Diseases, 75(1): A6-A7.
  • Seyhani, N., Ates, K., Suleymanlar, G., (2018). Türkiye’de Renal Replasman Tedavilerinin Güncel Durumu: Türk Nefroloji Derneği Kayıt Sistemi 2016 Yılı Özet Raporu. Turkish Journal of Nephrology, Dialysis and Transplantation, 27(2): 133-139.
  • Suleymanlar, G., Ates, K., Seyhani, N., (2018). Ministry of Health and Turkish Society of Nephrology Joint Report. National Nephrology, Dialysis and Transplantation Registry Report of Turkey. Turkish Society of Nephrology, 2019: p.9-27.
  • Suleymanlar, G., Utas, C., Arinsoy, T., Ates, K., Altun, B., Altiparmak, M.R., Ecder, T., Yilmaz M.E., Çamsari T., Basi A., Odabas, A.R., Serdengeçti, K., (2010). Population-based survey of Chronic Renal Disease in Turkey-the CREDIT study. Nephrology Dialysis Transplantation, 26(6): 1862-1871.
  • Turker, P.F., (2019). Kronik Böbrek Yetmezliği Gelişen Diyabetli Bireylerde Beslenme Tedavisi. Beslenme ve Diyet Dergisi, 47: 74-81.
  • United States Renal Data System. Incidence, prevalence, patient characteristics, and treatment modalities. USRDS, Annual Data Report: Epidemiology of Kidney Disease in the United States, 2018; 291-331.
  • United States Renal Data System. USRDS annual data report: epidemiology of kidney disease in the United States, 2016.
  • Vijaya, K.L., Aruna, M., Narayana, R.S., Mohan, P.R., (2019). Dietary counseling by renal dietician improves the nutritional status of hemodialysis patients. Indian Journal of Nephrology, 29: 179-85.
  • WHO (World Health Organization), Body Mass Index (BMI) classifications. Web site. http://www.euro.who.int/en/health-topics/disease-prevention/nutrition/a-healthy-lifestyle/body-mass-index-bmi. Accessed April 13, 2020.
  • Width, M., Reinhard, T., (2009). The clinical dietitian's essential pocket guide; Philadelphia: Williams & Wilkins. 2009.

Ayrıntılar

Birincil Dil İngilizce
Konular Temel Sağlık Hizmetleri
Bölüm Orginal Research
Yazarlar

Zehra Margot CELİK (Sorumlu Yazar)
MARMARA UNIVERSITY, FACULTY OF HEALTH SCIENCES
0000-0002-4622-9252
Türkiye


Gul AKDUMAN Bu kişi benim
MARMARA UNIVERSITY, FACULTY OF HEALTH SCIENCES
0000-0001-5702-9478
Türkiye


Hanife ÖZEN Bu kişi benim
Karabuk Youth and Sports Provincial Directorate
0000-0003-1015-281X
Türkiye


Şerife DAŞDEMİR Bu kişi benim
Çamlık Tıp Merkezi
0000-0001-9832-1117
Türkiye


Fatma GÜNEŞ
MARMARA UNIVERSITY, FACULTY OF HEALTH SCIENCES
0000-0003-1693-6375
Türkiye

Yayımlanma Tarihi 31 Ekim 2021
Yayınlandığı Sayı Yıl 2021, Cilt 7, Sayı 14

Kaynak Göster

Bibtex @araştırma makalesi { jihsam910490, journal = {Journal of International Health Sciences and Management}, eissn = {2149-9519}, address = {}, publisher = {Sedat BOSTAN}, year = {2021}, volume = {7}, number = {14}, pages = {34 - 41}, doi = {10.48121/jihsam.910490}, title = {Determining the Possible Effect of Diabetes on the Nutritional Status of Hemodialysis Patients}, key = {cite}, author = {Celik, Zehra Margot and Akduman, Gul and Özen, Hanife and Daşdemir, Şerife and Güneş, Fatma} }
APA Celik, Z. M. , Akduman, G. , Özen, H. , Daşdemir, Ş. & Güneş, F. (2021). Determining the Possible Effect of Diabetes on the Nutritional Status of Hemodialysis Patients . Journal of International Health Sciences and Management , 7 (14) , 34-41 . DOI: 10.48121/jihsam.910490
MLA Celik, Z. M. , Akduman, G. , Özen, H. , Daşdemir, Ş. , Güneş, F. "Determining the Possible Effect of Diabetes on the Nutritional Status of Hemodialysis Patients" . Journal of International Health Sciences and Management 7 (2021 ): 34-41 <https://dergipark.org.tr/tr/pub/jihsam/issue/65616/910490>
Chicago Celik, Z. M. , Akduman, G. , Özen, H. , Daşdemir, Ş. , Güneş, F. "Determining the Possible Effect of Diabetes on the Nutritional Status of Hemodialysis Patients". Journal of International Health Sciences and Management 7 (2021 ): 34-41
RIS TY - JOUR T1 - Determining the Possible Effect of Diabetes on the Nutritional Status of Hemodialysis Patients AU - Zehra Margot Celik , Gul Akduman , Hanife Özen , Şerife Daşdemir , Fatma Güneş Y1 - 2021 PY - 2021 N1 - doi: 10.48121/jihsam.910490 DO - 10.48121/jihsam.910490 T2 - Journal of International Health Sciences and Management JF - Journal JO - JOR SP - 34 EP - 41 VL - 7 IS - 14 SN - -2149-9519 M3 - doi: 10.48121/jihsam.910490 UR - https://doi.org/10.48121/jihsam.910490 Y2 - 2021 ER -
EndNote %0 Journal of International Health Sciences and Management Determining the Possible Effect of Diabetes on the Nutritional Status of Hemodialysis Patients %A Zehra Margot Celik , Gul Akduman , Hanife Özen , Şerife Daşdemir , Fatma Güneş %T Determining the Possible Effect of Diabetes on the Nutritional Status of Hemodialysis Patients %D 2021 %J Journal of International Health Sciences and Management %P -2149-9519 %V 7 %N 14 %R doi: 10.48121/jihsam.910490 %U 10.48121/jihsam.910490
ISNAD Celik, Zehra Margot , Akduman, Gul , Özen, Hanife , Daşdemir, Şerife , Güneş, Fatma . "Determining the Possible Effect of Diabetes on the Nutritional Status of Hemodialysis Patients". Journal of International Health Sciences and Management 7 / 14 (Ekim 2021): 34-41 . https://doi.org/10.48121/jihsam.910490
AMA Celik Z. M. , Akduman G. , Özen H. , Daşdemir Ş. , Güneş F. Determining the Possible Effect of Diabetes on the Nutritional Status of Hemodialysis Patients. Journal of International Health Sciences and Management. 2021; 7(14): 34-41.
Vancouver Celik Z. M. , Akduman G. , Özen H. , Daşdemir Ş. , Güneş F. Determining the Possible Effect of Diabetes on the Nutritional Status of Hemodialysis Patients. Journal of International Health Sciences and Management. 2021; 7(14): 34-41.
IEEE Z. M. Celik , G. Akduman , H. Özen , Ş. Daşdemir ve F. Güneş , "Determining the Possible Effect of Diabetes on the Nutritional Status of Hemodialysis Patients", Journal of International Health Sciences and Management, c. 7, sayı. 14, ss. 34-41, Eki. 2021, doi:10.48121/jihsam.910490