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Factors associated with adherence to low protein diet among patients with stage III-V of chronic kidney disease in an outpatient clinic at Hospital Pakar Sultanah Fatimah

Introduction: Although the benefit of low protein diet (LPD) on chronic kidney disease (CKD) progression is well documented, patients’ adherence remains as the main challenge. Therefore, this study sought to identify adherence towards LPD among CKD patients and determine possible associating factors...

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Huvudupphovsmän: Leong, Sim Kian, Tye, Yi Loon, Nik Mahmood, Nik Mahani, Mat Daud, Zulfitri Azuan
Materialtyp: Artikel
Språk:English
Publicerad: Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2020
Länkar:http://psasir.upm.edu.my/id/eprint/90279/1/17upm.pdf
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spelling oai:psasir.upm.edu.my:90279 http://psasir.upm.edu.my/id/eprint/90279/ Factors associated with adherence to low protein diet among patients with stage III-V of chronic kidney disease in an outpatient clinic at Hospital Pakar Sultanah Fatimah Leong, Sim Kian Tye, Yi Loon Nik Mahmood, Nik Mahani Mat Daud, Zulfitri Azuan Introduction: Although the benefit of low protein diet (LPD) on chronic kidney disease (CKD) progression is well documented, patients’ adherence remains as the main challenge. Therefore, this study sought to identify adherence towards LPD among CKD patients and determine possible associating factors. Methods: This cross-sectional study was done at the Hospital Pakar Sultanah Fatimah in Muar, Johor, among stage III to V CKD patients. Three-day dietary recalls were used to quantify dietary energy (DEI) and protein intake (DPI). Factors investigated include socio-demographic characteristics, medical history, anthropometry and body composition measurements, dietary knowledge, appetite level, handgrip strength, perceived stress, and health locus of control. Associating variables were analysed with logistic regression analysis. Results: The final analysis included 113 patients (54% male) with a mean estimated glomerular filtration rate of 17.5±11.2mL/min/1.73m2 and the average age of 56.3±12.8 years. Mean DEI and DPI were 22.4±5.9kcal/kg/day and 0.83±0.28g/kg/day, respectively. Only 34.5% of patients adhere to the LPD diet with 59% exceeding the DPI recommendation. Poorer LPD adherence was associated with longer duration of hospitalization (OR 0.707, 95%CI 0.50-1.00, p=0.048), higher energy intake (OR 0.744, 95%CI 0.65-0.85, p <0.001), advance CKD stage (OR 0.318, 95%CI 0.13-0.77, p=0.012) and having better dietary knowledge (OR 0.380, 95%CI 0.17-0.85, p=0.018). Conclusion: LPD adherence of CKD patients in our institution is very poor signifying the need for engagement at the earlier stage of CKD to identify and stratify the patients for a targeted dietary intervention. Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2020-08 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/90279/1/17upm.pdf Leong, Sim Kian and Tye, Yi Loon and Nik Mahmood, Nik Mahani and Mat Daud, Zulfitri Azuan (2020) Factors associated with adherence to low protein diet among patients with stage III-V of chronic kidney disease in an outpatient clinic at Hospital Pakar Sultanah Fatimah. Malaysian Journal of Medicine and Health Sciences, 16 (suppl. 6). pp. 131-139. ISSN 1675-8544; ESSN: 2636-9346 https://medic.upm.edu.my/upload/dokumen/2020081208274017_MJMHS_0079_L.pdf
institution UPM IR
collection UPM IR
language English
description Introduction: Although the benefit of low protein diet (LPD) on chronic kidney disease (CKD) progression is well documented, patients’ adherence remains as the main challenge. Therefore, this study sought to identify adherence towards LPD among CKD patients and determine possible associating factors. Methods: This cross-sectional study was done at the Hospital Pakar Sultanah Fatimah in Muar, Johor, among stage III to V CKD patients. Three-day dietary recalls were used to quantify dietary energy (DEI) and protein intake (DPI). Factors investigated include socio-demographic characteristics, medical history, anthropometry and body composition measurements, dietary knowledge, appetite level, handgrip strength, perceived stress, and health locus of control. Associating variables were analysed with logistic regression analysis. Results: The final analysis included 113 patients (54% male) with a mean estimated glomerular filtration rate of 17.5±11.2mL/min/1.73m2 and the average age of 56.3±12.8 years. Mean DEI and DPI were 22.4±5.9kcal/kg/day and 0.83±0.28g/kg/day, respectively. Only 34.5% of patients adhere to the LPD diet with 59% exceeding the DPI recommendation. Poorer LPD adherence was associated with longer duration of hospitalization (OR 0.707, 95%CI 0.50-1.00, p=0.048), higher energy intake (OR 0.744, 95%CI 0.65-0.85, p <0.001), advance CKD stage (OR 0.318, 95%CI 0.13-0.77, p=0.012) and having better dietary knowledge (OR 0.380, 95%CI 0.17-0.85, p=0.018). Conclusion: LPD adherence of CKD patients in our institution is very poor signifying the need for engagement at the earlier stage of CKD to identify and stratify the patients for a targeted dietary intervention.
format Article
author Leong, Sim Kian
Tye, Yi Loon
Nik Mahmood, Nik Mahani
Mat Daud, Zulfitri Azuan
spellingShingle Leong, Sim Kian
Tye, Yi Loon
Nik Mahmood, Nik Mahani
Mat Daud, Zulfitri Azuan
Factors associated with adherence to low protein diet among patients with stage III-V of chronic kidney disease in an outpatient clinic at Hospital Pakar Sultanah Fatimah
author_facet Leong, Sim Kian
Tye, Yi Loon
Nik Mahmood, Nik Mahani
Mat Daud, Zulfitri Azuan
author_sort Leong, Sim Kian
title Factors associated with adherence to low protein diet among patients with stage III-V of chronic kidney disease in an outpatient clinic at Hospital Pakar Sultanah Fatimah
title_short Factors associated with adherence to low protein diet among patients with stage III-V of chronic kidney disease in an outpatient clinic at Hospital Pakar Sultanah Fatimah
title_full Factors associated with adherence to low protein diet among patients with stage III-V of chronic kidney disease in an outpatient clinic at Hospital Pakar Sultanah Fatimah
title_fullStr Factors associated with adherence to low protein diet among patients with stage III-V of chronic kidney disease in an outpatient clinic at Hospital Pakar Sultanah Fatimah
title_full_unstemmed Factors associated with adherence to low protein diet among patients with stage III-V of chronic kidney disease in an outpatient clinic at Hospital Pakar Sultanah Fatimah
title_sort factors associated with adherence to low protein diet among patients with stage iii-v of chronic kidney disease in an outpatient clinic at hospital pakar sultanah fatimah
publisher Faculty of Medicine and Health Sciences, Universiti Putra Malaysia
publishDate 2020
url http://psasir.upm.edu.my/id/eprint/90279/1/17upm.pdf
_version_ 1819300399125889024
score 13.4562235

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