Dissertation/Thesis Abstract

Impact of modified dietary education combined with high energy/protein meals during hemodialysis treatment on protein and phosphorus intake and nutritional status in hypoalbuminemic hemodialysis patients
by Parsons, Tara Rae, M.S., California State University, Long Beach, 2015, 218; 1600590
Abstract (Summary)

Malnutrition is a significant problem linked to higher mortality rates in maintenance hemodialysis (MHD) patients. Low protein intake, high phosphorus intake, high phosphorus to protein ratio (PPR), decreased lean body mass (LBM) and poor nutrition education on these topics are associated with malnutrition in the population. Provision of meals during dialysis and modified nutrition education to combat these issues have not been well described in hypoalbuminemic MHD patients.

Participants were adult, hypoalbuminemic (albumin < 4.0 g/dL) hemodialysis patients who participated in a randomized, controlled study with provision of meals during dialysis and modified nutrition education. Pre- and post-study, a registered dietitian (RD) assessed LBM by dual-energy x-ray absorptiometry (DEXA), and determined protein and phosphorus intake by a 3-day food record. Blood draws to measure serum albumin occurred at the patient’s dialysis center. No significant difference was found in serum albumin, PPR, dietary intake or LBM when comparing treatment and control patients pre- and post-study.

Indexing (document details)
Advisor: Reiboldt, Wendy
Commitee: Gray, Virginia, Wang, Long
School: California State University, Long Beach
Department: Family and Consumer Sciences
School Location: United States -- California
Source: MAI 55/02M(E), Masters Abstracts International
Subjects: Nutrition
Keywords: Chronic kidney disease, Hemodialysis, Hypoalbuminemia, Nutrition, Phosphorus, Protein
Publication Number: 1600590
ISBN: 9781339096537
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