ASSOCIATION OF DIET QUALITY WITH NUTRITIONAL STATUS AND BODY COMPOSITION OF PATIENTS ON DIALYSIS

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https://storage.unitedwebnetwork.com/files/1099/9b0a30b5078e1c648281fa6f64c61025.pdf

Abstract Title

First Name *

Lucia

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Pérez G

Co-author 1

Pilar C Castro Mata pilar.castro3712@alumnos.udg.mx Instituto Mexicano del Seguro Social Unidad de Investigación Médica en Enfermedades Renales, Hospital de Especialidades, CMNO, IMSS Guadalajara

Co-author 2

Cyntia C. García Ramírez carolinagr9898@gmail.com Instituto Mexicano del Seguro Social Unidad de Investigación Médica en Enfermedades Renales, Hospital de Especialidades, CMNO, IMSS Guadalajara

Co-author 3

Saúl N Rolón Barbosa saul.rol27@gmail.com Instituto Mexicano del Seguro Social Unidad de Investigación Médica en Enfermedades Renales, Hospital de Especialidades, CMNO, IMSS Guadalajara

Co-author 4

Antonio Quintero Ramos antquintero@yahoo.com.mx Instituto Mexicano del Seguro Social Unidad de Investigación Médica en Enfermedades Renales, Hospital de Especialidades, CMNO, IMSS Guadalajara

Co-author 5

Hugo E. Chávez Chávez hugo.chavez8965@academicos.udg.mx Instituto Mexicano del Seguro Social División de Medicina Interna, HGR 180, IMSS, Jalisco, México Guadalajara

Co-author 6

Mariana Avalos López nefrodramariana@gmail.com Instituto Mexicano del Seguro Social División de Medicina Interna, HGR 180, IMSS, Jalisco, México Guadalajara

Co-author 7

Fabiola Martín del Campo Lopez fabi_mc@hotmail.com Instituto Mexicano del Seguro Social Unidad de Investigación Médica en Enfermedades Renales, Hospital de Especialidades, CMNO, IMSS Guadalajara

Co-author 8

Enrique Campos Rojas erojascampos@yahoo.com.mx Instituto Mexicano del Seguro Social Unidad de Investigación Médica en Enfermedades Renales, Hospital de Especialidades, CMNO, IMSS Guadalajara

Co-author 9

Alfonso M. Cueto Manzano a_cueto_manzano@hotmail.com Instituto Mexicano del Seguro Social Unidad de Investigación Médica en Enfermedades Renales, Hospital de Especialidades, CMNO, IMSS Guadalajara

Co-author 10

Co-author 11

Co-author 12

Co-author 13

Co-author 14

Co-author 15

Introduction

Introduction: Anorexia and dietary restrictions (potassium, phosphorous and sodium) are very common in dialysis patients, which in turn limits the frequency and variety of healthy food consumption. Poor diet quality could be associated with greater protein energy wasting (PEW), which is associated with worse outcome and patient survival.

Methods

Methods: Analytical cross-sectional study; 66 dialysis patients were included, and underwent a complete clinical and nutritional evaluations. Diet quality was evaluated using the Food Consumption Quality Survey (Mini-ECCA v.2). PEW was determined by means of subjective global assessment; body composition was evaluated by spectroscopic bioimpedance.

Results

Results: The average age of the patients was 42 ± 14 years. Only 12% had a healthy diet, 29% requires to improve and 59% unhealthy. Results of the nutritional status according to the quality of diet are shown in the table. In multivariate analysis, a better diet quality (adjusted for age, time on dialysis and diabetes mellitus) predicted better nutritional status only in women [B= -0.41, (-1.52 to -0.02)], whereas in men no significant model was found.

Conclusions

Conclusions: Patients with a healthy diet had a better score of nutritional status as well as a higher lean tissue index. A better quality of diet significantly predicted a better nutritional status in women.

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