TITLE

Dietary Patterns and Clinical Outcomes in Hemodialysis Patients in Japan: A Cohort Study

AUTHOR(S)
Tsuruya, Kazuhiko; Fukuma, Shingo; Wakita, Takafumi; Ninomiya, Toshiharu; Nagata, Masaharu; Yoshida, Hisako; Fujimi, Satoru; Kiyohara, Yutaka; Kitazono, Takanari; Uchida, Kazuhiro; Shirota, Tomoko; Akizawa, Tadao; Akiba, Takashi; Saito, Akira; Fukuhara, Shunichi
PUB. DATE
January 2015
SOURCE
PLoS ONE;Jan2015, Vol. 10 Issue 1, p1
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background & Objectives: Little is known about actual dietary patterns and their associations with clinical outcomes in hemodialysis patients. We identified dietary patterns in hemodialysis patients in Japan and examined associations between dietary patterns and clinical outcomes. Design, setting, participants, measurements: We used data from 3,080 general-population participants in the Hisayama study (year 2007), and data from 1,355 hemodialysis patients in the Japan Dialysis Outcomes and Practice Patterns Study (JDOPPS: years 2005–2007). Food intake was measured using a brief self-administered diet-history questionnaire (BDHQ). To identify food groups with the Hisayama population data, we used principal components analysis with Promax rotation. We adjusted the resulting food groups for total daily energy intake, and then we used those adjusted food-group scores to identify dietary patterns in the JDOPPS patients by cluster analysis (Ward’s method). We then used Cox regression to examine the association between dietary patterns and a composite of adverse clinical outcomes: hospitalization due to cardiovascular disease or death due to any cause. Results: We identified three food groups: meat, fish, and vegetables. Using those groups we then identified three dietary patterns: well-balanced, unbalanced, and other. After adjusting for potential confounders, we found an association between an unbalanced diet and important clinical events (hazard ratio 1.90, 95% C.I. 1.19–3.04). Conclusions: Hemodialysis patients whose diet was unbalanced were more likely to have adverse clinical outcomes. Thus hemodialysis patients might benefit not only from portion control, but also from a diet that is well-balanced diet with regard to the food groups identified here as meat, fish, and vegetables.
ACCESSION #
100764044

 

Related Articles

  • Descriptive Characteristics and Health Outcomes of the Food by Prescription Nutrition Supplementation Program for Adults Living with HIV in Nyanza Province, Kenya. Nagata, Jason M.; Cohen, Craig R.; Young, Sera L.; Wamuyu, Catherine; Armes, Mary N.; Otieno, Benard O.; Leslie, Hannah H.; Dandu, Madhavi; Stewart, Christopher C.; Bukusi, Elizabeth A.; Weiser, Sheri D. // PLoS ONE;Mar2014, Vol. 9 Issue 3, p1 

    Background: The clinical effects and potential benefits of nutrition supplementation interventions for persons living with HIV remain largely unreported, despite awareness of the multifaceted relationship between HIV infection and nutrition. We therefore examined descriptive characteristics and...

  • Clinical Outcomes Following Percutaneous Coronary Intervention With Drug- Eluting Stents Versus Bare Metal Stents in Patients on Chronic Hemodialysis. MELIGA, EMANUELE; DE BENEDICTIS, MAURO; GAGNOR, ANDREA; CONROTTO, FEDERICO; NOVARA, MARCO; SCROCCA, INNOCENZO; VARBELLA, FERDINANDO; MARRA, SEBASTIANO; CONTE, MARIA ROSA // Journal of Interventional Cardiology;Aug2013, Vol. 26 Issue 4, p351 

    Background Patients on chronic hemodialysis (HD) are recognized as a high-risk group for adverse events after percutaneous coronary intervention, and whether drug-eluting stents (DES) are associated with improved outcomes over bare metal stents (BMS) is still uncertain. The purpose of this study...

  • The Relationship of Initial Transferrin Saturation to Cardiovascular Parameters and Outcomes in Patients Initiating Dialysis. Koo, Hyang Mo; Kim, Chan Ho; Doh, Fa Mee; Lee, Mi Jung; Kim, Eun Jin; Han, Jae Hyun; Han, Ji Suk; Oh, Hyung Jung; Park, Jung Tak; Han, Seung Hyeok; Yoo, Tae-Hyun; Kang, Shin-Wook // PLoS ONE;Feb2014, Vol. 9 Issue 2, p1 

    Background: The prognostic importance of anemia for cardiovascular (CV) events and mortality has been extensively investigated. However, little is known about the impact of transferrin saturation (TSAT), a marker reflecting the availability of iron for erythropoiesis, on clinical outcome in...

  • The comprehensive cohort model in a pilot trial in orthopaedic trauma. Kearney, Rebecca S.; Achten, Juul; Parsons, Nick R.; Costa, Matthew L. // BMC Medical Research Methodology;2011, Vol. 11 Issue 1, p39 

    Background: The primary aim of this study was to provide an estimate of effect size for the functional outcome of operative versus non-operative treatment for patients with an acute rupture of the Achilles tendon using accelerated rehabilitation for both groups of patients. The secondary aim was...

  • Effect of Dialysis Initiation Timing on Clinical Outcomes: A Propensity-Matched Analysis of a Prospective Cohort Study in Korea. Lee, Jeonghwan; An, Jung Nam; Hwang, Jin Ho; Kim, Yong-Lim; Kang, Shin-Wook; Yang, Chul Woo; Kim, Nam-Ho; Oh, Yun Kyu; Lim, Chun Soo; Kim, Yon Su; Lee, Jung Pyo // PLoS ONE;Aug2014, Vol. 9 Issue 8, p1 

    Background: Controversy persists regarding the appropriate initiation timing of renal replacement therapy for patients with end-stage renal disease. We evaluated the effect of dialysis initiation timing on clinical outcomes. Initiation times were classified according to glomerular filtration...

  • Association of pol Diversity with Antiretroviral Atment Outcomes among HIV-Infected African Children. Chen, Iris; Khaki, Leila; Lindsey, Jane C.; Fry, Carrie; Cousins, Matthew M.; Siliciano, Robert F.; Violari, Avy; Palumbo, Paul; Eshleman, Susan H. // PLoS ONE;Nov2013, Vol. 8 Issue 11, p1 

    Background: In HIV-infected children, viral diversity tends to increase with age in the absence of antiretroviral treatment (ART). We measured HIV diversity in African children (ages 6–36 months) enrolled in a randomized clinical trial comparing two ART regimens (Cohort I of the P1060...

  • Higher Dietary Phosphorus Intake Raises Death Risk.  // Renal & Urology News;Dec2009, Vol. 8 Issue 12, p14 

    The article reports that a higher dietary phosphorus intake increases mortality risks in patients on maintenance hemodialysis (MHD). The study was based on a five-year prospective cohort analysis of 224 randomly selected MHD patients. It notes that the study was conducted by the researchers at...

  • Increased Risk of Active Tuberculosis following Acute Kidney Injury: A Nationwide, Population-Based Study. Wu, Vin-Cent; Wang, Chen-Yi; Shiao, Chih-Chung; Chang, Chia-Hsui; Huang, Hui-Yu; Huang, Tao-Min; Lai, Chun-Fu; Lin, Meng-Chun; Ko, Wen-Je; Wu, Kwan-Dun; Yu, Chong-Jen; Shu, Chin-Chung; Lee, Chih-Hsin; Wang, Jann-Yuan // PLoS ONE;Jul2013, Vol. 8 Issue 7, p1 

    Background: Profound alterations in immune responses associated with uremia and exacerbated by dialysis increase the risk of active tuberculosis (TB). Evidence of the long-term risk and outcome of active TB after acute kidney injury (AKI) is limited. Methods: This population-based-cohort study...

  • Do Treatment Quality Indicators Predict Cardiovascular Outcomes in Patients with Diabetes? Sidorenkov, Grigory; Voorham, Jaco; de Zeeuw, Dick; Haaijer-Ruskamp, Flora M.; Denig, Petra // PLoS ONE;Oct2013, Vol. 8 Issue 10, p1 

    Background: Landmark clinical trials have led to optimal treatment recommendations for patients with diabetes. Whether optimal treatment is actually delivered in practice is even more important than the efficacy of the drugs tested in trials. To this end, treatment quality indicators have been...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics