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Association of dietary patterns with serum phosphorus in maintenance haemodialysis patients: a cross-sectional study

Sources of dietary phosphate differentially contribute to hyperphosphatemia in maintenance haemodialysis (MHD) patients. This cross-sectional study in Malaysia investigated association between dietary patterns and serum phosphorus in MHD patients. Dietary patterns were derived by principal component...

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Main Authors: Khor, Ban Hock, Sualeheen, Ayesha, Sahathevan, Sharmela, Chinna, Karuthan, Abdul Gafor, Abdul Halim, Bavanandan, Sunita, Goh, Bak Leong, Morad, Zaki, Mat Daud, Zulfitri 'Azuan, Khosla, Pramod, Yee, Angela Moon Wang, Karupaiah, Tilakavati
Format: Article
Language:English
Published: Nature Publishing 2020
Online Access:http://psasir.upm.edu.my/id/eprint/87969/1/ABSTRACT.pdf
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spelling oai:psasir.upm.edu.my:87969 http://psasir.upm.edu.my/id/eprint/87969/ Association of dietary patterns with serum phosphorus in maintenance haemodialysis patients: a cross-sectional study Khor, Ban Hock Sualeheen, Ayesha Sahathevan, Sharmela Chinna, Karuthan Abdul Gafor, Abdul Halim Bavanandan, Sunita Goh, Bak Leong Morad, Zaki Mat Daud, Zulfitri 'Azuan Khosla, Pramod Yee, Angela Moon Wang Karupaiah, Tilakavati Sources of dietary phosphate differentially contribute to hyperphosphatemia in maintenance haemodialysis (MHD) patients. This cross-sectional study in Malaysia investigated association between dietary patterns and serum phosphorus in MHD patients. Dietary patterns were derived by principal component analysis, based on 27 food groups shortlisted from 3-day dietary recalls of 435 MHD patients. Associations of serum phosphorus were examined with identified dietary patterns. Three dietary patterns emerged: Home foods (HFdp), Sugar-sweetened beverages (SSBdp), and Eating out noodles (EO-Ndp). The highest tertile of patients in HF (T3-HFdp) pattern significantly associated with higher intakes of total protein (p = 0.002), animal protein (p = 0.001), and animal-based organic phosphate (p < 0.001), whilst T3-SSBdp patients had significantly higher intakes of total energy (p < 0.001), inorganic phosphate (p < 0.001), and phosphate:protein ratio (p = 0.001). T3-EO-Ndp patients had significantly higher intakes of total energy (p = 0.033), total protein (p = 0.003), plant protein (p < 0.001), but lower phosphate:protein ratio (p = 0.009). T3-SSBdp patients had significantly higher serum phosphorus (p = 0.006). The odds ratio of serum phosphorous > 2.00 mmol/l was significantly 2.35 times higher (p = 0.005) with the T3-SSBdp. The SSBdp was associated with greater consumption of inorganic phosphate and higher serum phosphorus levels. Nature Publishing 2020 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/87969/1/ABSTRACT.pdf Khor, Ban Hock and Sualeheen, Ayesha and Sahathevan, Sharmela and Chinna, Karuthan and Abdul Gafor, Abdul Halim and Bavanandan, Sunita and Goh, Bak Leong and Morad, Zaki and Mat Daud, Zulfitri 'Azuan and Khosla, Pramod and Yee, Angela Moon Wang and Karupaiah, Tilakavati (2020) Association of dietary patterns with serum phosphorus in maintenance haemodialysis patients: a cross-sectional study. Scientific Reports, 10. art. no. 12278. pp. 1-14. ISSN 2045-2322 https://www.nature.com/articles/s41598-020-68893-4 10.1038/s41598-020-68893-4
institution UPM IR
collection UPM IR
language English
description Sources of dietary phosphate differentially contribute to hyperphosphatemia in maintenance haemodialysis (MHD) patients. This cross-sectional study in Malaysia investigated association between dietary patterns and serum phosphorus in MHD patients. Dietary patterns were derived by principal component analysis, based on 27 food groups shortlisted from 3-day dietary recalls of 435 MHD patients. Associations of serum phosphorus were examined with identified dietary patterns. Three dietary patterns emerged: Home foods (HFdp), Sugar-sweetened beverages (SSBdp), and Eating out noodles (EO-Ndp). The highest tertile of patients in HF (T3-HFdp) pattern significantly associated with higher intakes of total protein (p = 0.002), animal protein (p = 0.001), and animal-based organic phosphate (p < 0.001), whilst T3-SSBdp patients had significantly higher intakes of total energy (p < 0.001), inorganic phosphate (p < 0.001), and phosphate:protein ratio (p = 0.001). T3-EO-Ndp patients had significantly higher intakes of total energy (p = 0.033), total protein (p = 0.003), plant protein (p < 0.001), but lower phosphate:protein ratio (p = 0.009). T3-SSBdp patients had significantly higher serum phosphorus (p = 0.006). The odds ratio of serum phosphorous > 2.00 mmol/l was significantly 2.35 times higher (p = 0.005) with the T3-SSBdp. The SSBdp was associated with greater consumption of inorganic phosphate and higher serum phosphorus levels.
format Article
author Khor, Ban Hock
Sualeheen, Ayesha
Sahathevan, Sharmela
Chinna, Karuthan
Abdul Gafor, Abdul Halim
Bavanandan, Sunita
Goh, Bak Leong
Morad, Zaki
Mat Daud, Zulfitri 'Azuan
Khosla, Pramod
Yee, Angela Moon Wang
Karupaiah, Tilakavati
spellingShingle Khor, Ban Hock
Sualeheen, Ayesha
Sahathevan, Sharmela
Chinna, Karuthan
Abdul Gafor, Abdul Halim
Bavanandan, Sunita
Goh, Bak Leong
Morad, Zaki
Mat Daud, Zulfitri 'Azuan
Khosla, Pramod
Yee, Angela Moon Wang
Karupaiah, Tilakavati
Association of dietary patterns with serum phosphorus in maintenance haemodialysis patients: a cross-sectional study
author_facet Khor, Ban Hock
Sualeheen, Ayesha
Sahathevan, Sharmela
Chinna, Karuthan
Abdul Gafor, Abdul Halim
Bavanandan, Sunita
Goh, Bak Leong
Morad, Zaki
Mat Daud, Zulfitri 'Azuan
Khosla, Pramod
Yee, Angela Moon Wang
Karupaiah, Tilakavati
author_sort Khor, Ban Hock
title Association of dietary patterns with serum phosphorus in maintenance haemodialysis patients: a cross-sectional study
title_short Association of dietary patterns with serum phosphorus in maintenance haemodialysis patients: a cross-sectional study
title_full Association of dietary patterns with serum phosphorus in maintenance haemodialysis patients: a cross-sectional study
title_fullStr Association of dietary patterns with serum phosphorus in maintenance haemodialysis patients: a cross-sectional study
title_full_unstemmed Association of dietary patterns with serum phosphorus in maintenance haemodialysis patients: a cross-sectional study
title_sort association of dietary patterns with serum phosphorus in maintenance haemodialysis patients: a cross-sectional study
publisher Nature Publishing
publishDate 2020
url http://psasir.upm.edu.my/id/eprint/87969/1/ABSTRACT.pdf
_version_ 1782760462794883072
score 12.933938

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