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food list for dialysis patients

Jianhui Zhou, Xueying Cao, Hongli Lin, Zhaohui Ni, Yani He, Menghua Chen, Hongguang Zheng, Xiangmei Chen
BACKGROUND: Peritoneal dialysis is an important type of renal replacement therapy for uremic patients. In peritoneal dialysis, fluids fill in and flow out of the abdominal cavity three to five times per day. Usually, the fluid is packed in a polyvinyl chloride (PVC) bag. Safety concerns have arisen over di-(2-ethylhexyl) phthalate, which is essential in the formation of PVC materials. In 2011, the National Development and Reform Commission of China released a catalog of industrial structural adjustments, mandating the elimination of PVC bags for intravenous infusion and food containers...
December 29, 2015: Trials
Janice Lai, Judi Porter
Dietary apps for mobile technology are becoming increasingly available and can assist in recording food and fluid intake for nutrition assessment or monitoring. Patients with chronic renal disease, particularly those on dialysis, are required to make significant dietary changes. This study systematically reviews the current literature to assess whether dietary mobile apps improve dietary intake and clinical outcomes in the renal population, specifically those with Chronic Kidney Disease levels 3-5, including dialysis...
May 10, 2015: Nephrology
Federica Neve Vigotti, Gabriella Guzzo, Irene Capizzi, Luigi Teta, Davide Ippolito, Sara Mirasole, Domenica Giuffrida, Paolo Avagnina, Giorgina Piccoli
UNLABELLED: Obesity is increasingly encountered in dialysis patients, who have difficulty to lose weight. Several Transplant Centres require BMI <30-35 Kg/m2 at waiting-list. Thus, losing weight becomes a must for young obese patients, however the best policy to obtain it (if any) is not defined. The aim of the present case report is to suggest that tailored dialysis and intensive diets could be a successful combination, that should be tested on a larger scale. A 56-year-old obese male patient (BMI 37...
March 2014: Giornale Italiano di Nefrologia: Organo Ufficiale Della Società Italiana di Nefrologia
Yoshiko Shutto, Michiko Shimada, Maiko Kitajima, Hideaki Yamabe, Yoko Saitoh, Hisao Saitoh, Mohammed S Razzaque
Hyperphosphatemia is an important determinant of morbidity and mortality in patients with chronic kidney disease (CKD). Patients with CKD are advised to consume a low phosphate diet and are often prescribed phosphate-lowering drug therapy. However, commercially processed food and drinks often contain phosphate compounds, but the phosphate level is not usually provided in the ingredient list, which makes it difficult for CKD patients to choose a correct diet. We conducted a survey of the awareness of food/beverages containing artificially added phosphate among CKD patients undergoing hemodialysis...
2013: PloS One
A J Matas, J M Smith, M A Skeans, K E Lamb, S K Gustafson, C J Samana, D E Stewart, J J Snyder, A K Israni, B L Kasiske
A shortage of kidneys for transplant remains a major problem for patients with end-stage renal disease. The number of candidates on the waiting list continues to increase each year, while organ donation numbers remain flat. Thus, transplant rates for adult wait-listed candidates continue to decrease. However, pretransplant mortality rates also show a decreasing trend. Many kidneys recovered for transplant are discarded, and discard rates are increasing. Living donation rates have been essentially unchanged for the past decade, despite introduction of desensitization, non-directed donations, and kidney paired donation programs...
January 2013: American Journal of Transplantation
Richard K Kasama
The kidneys are famously responsible for maintaining external balance of prevalent minerals, such as sodium, chloride, and potassium. The kidney's role in handling trace minerals is more obscure to most nephrologists. Similarly, the impact of kidney failure on trace mineral metabolism is difficult to anticipate. The associated dietary modifications and dialysis create the potential for trace mineral deficiencies and intoxications. Indeed, there are numerous reports of dialysis-associated mishaps causing mineral intoxication, notable for the challenge of assigning causation...
November 2010: Seminars in Dialysis
Omar Benini, Claudia D'Alessandro, Daniela Gianfaldoni, Adamasco Cupisti
BACKGROUND: Restriction of dietary phosphorus is a major aspect of patient care in those with renal disease. Restriction of dietary phosphorus is necessary to control for phosphate balance during both conservative therapy and dialysis treatment. The extra amount of phosphorus which is consumed as a result of phosphate-containing food additives is a real challenge for patients with renal disease and for dieticians because it represents a "hidden" phosphate load. The objective of this study was to measure phosphorus content in foods, common protein sources in particular, and comprised both those which included a listing of phosphate additives and those which did not...
July 2011: Journal of Renal Nutrition
Masanobu Miyazaki, Masakazu Yasunaka, Tayo Kawazu, Kenichiro Inoue, Mitsuru Noguchi, Yoko Obata, Tomoya Nishino, Akira Furusu, Shigeru Kohno et al.
The mean age of Japanese patients requiring a dialysis induction is 67.7-year-old in 2007. Comparing with hemodialysis, peritoneal dialysis is fit for old patients because of a lesser degree of influence on cardiovascular system and a lesser degree of restriction on the issue of water and food. However, a home care system for patients with peritoneal dialysis has not been established. In Nagasaki city, "Nagasaki Home Doctor Net" supports the home care through many kinds of medical occupational linkage. By applying this system, we are trying to establish a supporting system for elderly patients with peritoneal dialysis...
December 2009: Gan to Kagaku Ryoho. Cancer & Chemotherapy
Sameer M Mazhar, Masoud Shiehmorteza, Chad A Kohl, Michael S Middleton, Claude B Sirlin
Nephrogenic systemic fibrosis (NSF) may develop in patients with liver disease, a fact highlighted by Food and Drug Administration (FDA) announcements cautioning against the use of gadolinium-based contrast agents (GBCAs) in select liver disease patients. The purpose of this systematic literature review is to characterize the risk of NSF in patients with liver disease. All published articles on NSF from September 2000 through August 2008, were identified via PubMed searches and examination of articles' reference lists...
December 2009: Journal of Magnetic Resonance Imaging: JMRI
Richard A Sherman, Ojas Mehta
BACKGROUND AND OBJECTIVES: Uncooked meat and poultry products are commonly enhanced by food processors using phosphate salts. The addition of potassium and phosphorus to these foods has been recognized but not quantified. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: We measured the phosphorus, potassium, and protein content of 36 uncooked meat and poultry products: Phosphorus using the Association of Analytical Communities (AOAC) official method 984.27, potassium using AOAC official method 985...
August 2009: Clinical Journal of the American Society of Nephrology: CJASN
Richard A Sherman, Ojas Mehta
BACKGROUND: Dietary intake of phosphorus is derived largely from protein sources and is a critical determinant of phosphorus balance in patients with chronic kidney disease. Information about the phosphorus content of prepared foods generally is unavailable, but it is believed to contribute significantly to the phosphorus burden of patients with chronic kidney disease. DESIGN: Analysis of dietary components. SETTING: We measured the phosphorus content of 44 food products, including 30 refrigerated or frozen precooked meat, poultry, and fish items, generally national brands...
July 2009: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
Catherine Sullivan, Srilekha S Sayre, Janeen B Leon, Rhoderick Machekano, Thomas E Love, David Porter, Marquisha Marbury, Ashwini R Sehgal
CONTEXT: High dietary phosphorus intake has deleterious consequences for renal patients and is possibly harmful for the general public as well. To prevent hyperphosphatemia, patients with end-stage renal disease limit their intake of foods that are naturally high in phosphorus. However, phosphorus-containing additives are increasingly being added to processed and fast foods. The effect of such additives on serum phosphorus levels is unclear. OBJECTIVE: To determine the effect of limiting the intake of phosphorus-containing food additives on serum phosphorus levels among patients with end-stage renal disease...
February 11, 2009: JAMA: the Journal of the American Medical Association
Srilekha Sarathy, Catherine Sullivan, Janeen B Leon, Ashwini R Sehgal
OBJECTIVE: Fast food is commonly consumed by hemodialysis patients, but many menu items are not compatible with renal diets because of their sodium, potassium, or phosphorus content. Moreover, the phosphorus content of fast foods is difficult for patients to estimate, because phosphorus-containing additives are commonly added to many fast foods. We sought to determine how many fast-food entrees and side dishes are compatible with renal diets. METHODS: We examined nutrition-facts labels and ingredient lists provided by 15 fast-food chains...
September 2008: Journal of Renal Nutrition
Catherine M Sullivan, Janeen B Leon, Ashwini R Sehgal
OBJECTIVE: Phosphorus-containing additives are increasingly being added to food products. We sought to determine the potential impact of these additives. We focused on chicken products as an example. METHODS: We purchased a variety of chicken products, prepared them according to package directions, and performed laboratory analyses to determine their actual phosphorus content. We used ESHA Food Processor SQL Software (version 9.8, ESHA Research, Salem, OR) to determine the expected phosphorus content of each product...
September 2007: Journal of Renal Nutrition
Wei Chen, Xin-hong Lu, Tao Wang
OBJECTIVE: Poor compliance with the dietary prescriptions is quite common in dialysis patients. We believe that most of the noncompliance is caused by the patient's poor understanding of the dietary prescription. Therefore, in the present study, we tried to investigate the role of menu suggestion in improving the patient's compliance with the dietary prescription. DESIGN AND SETTING: A longitudinal cohort study conducted at an outpatient dialysis clinic. PATIENTS: Seventy clinically stable patients on peritoneal dialysis were included in this prospective study during April 1, 2004, to November 31, 2004, in a single center...
April 2006: Journal of Renal Nutrition
Kriang Tungsanga, Chavalit Ratanakul, Wanpen Pooltavee, Nanta Mahatanan, Anyanee Isarankura Na Ayuthaya, Somrak Rodpai
BACKGROUND: Thailand is a developing country with a population of 62 million. It is estimated to have 1.6 million stage 3 or higher chronic kidney disease (CKD) patients. With limited funding for dialysis support, prevention of renal disease progression is mandatory and urgently needed. METHODS: The Nephrology Society of Thailand has conducted a survey among Thai nephrologists. The data were analyzed, and a multidisciplinary team approach was introduced to make patients more informed about CKD and more compliant with dietary prescription...
April 2005: Kidney International. Supplement
(no author information available yet)
This final rule refines the resource-based practice expense relative value units (RVUs) and makes other changes to Medicare Part B payment policy. These policy changes concern: supplemental survey data for practice expense; updated geographic practice cost indices for physician work and practice expense; updated malpractice RVUs; revised requirements for supervision of therapy assistants; revised payment rules for low osmolar contrast media; changes to payment policies for physicians and practitioners managing dialysis patients; clarification of care plan oversight requirements; revised requirements for supervision of diagnostic psychological testing services; clarifications to the policies affecting therapy services; revised requirements for assignment of Medicare claims; addition to the list of telehealth services; and, several coding issues...
November 15, 2004: Federal Register
A Ortiz, P Riobó
Malnutrition is a common severe problem in dialysis. The prevalence of malnutrition has been estimated as between 30% and 70%. Although malnutrition is not normally listed among the most frequent causes of mortality in these patients, it contributes to cardiovascular mortality through the MIA syndrome (Malnutrition, inflammation and arteriosclerosis) and the severity of infections. The cause of malnutrition in dialysis is frequently due to a multiplicity of factors. The use of the term malnutrition has been criticized when the cause is not scant dietary intake, for practical reasons: if the cause is not a lack of food intake, the treatment will not be an increase in the provision of nutrients...
July 2004: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
Melek Serpil Talas, Nurhan Bayraktar
BACKGROUND: Although renal transplantations remove many limitations, dialysis can improve quality life in patients with end-stage renal disease, once transplantation has been performed and the patient has been discharged with a functioning graft, life with a chronic illness continues. AIMS AND OBJECTIVES: This study was carried out to define problems encountered by patients undergoing kidney transplantation and their knowledge and practices on healthy living. DESIGN: This study was designed as a retrospective and descriptive survey...
July 2004: Journal of Clinical Nursing
Arjang Djamali, Nalinee Premasathian, John D Pirsch
It is estimated that there are greater than 100000 kidney transplant recipients with a functioning graft in the United States. Recent advances in immunosuppression have improved short-term graft survival rates and decreased early mortality by decreasing the incidence and therapy for acute rejection episodes. For those accepted on the waiting list, transplant prolongs patient survival compared with remaining on dialysis. During the 1990s, 3 new immunosuppressive drugs were introduced in clinical kidney transplantation...
May 2003: Seminars in Nephrology
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