Appetite predicts intake and nutritional status in patients receiving peritoneal dialysis

Valerie Young, Sarah Balaam, Linda Orazio, Annerley Bates, Sunil V. Badve, David W. Johnson, Katrina L. Campbell

Research output: Contribution to journalArticleResearchpeer-review

4 Citations (Scopus)

Abstract

Background: Sub-optimal nutrition status is common amongst patients receiving peritoneal dialysis (PD) and leads to poor clinical outcome. This population experiences multi-factorial challenges to achieving optimal nutritional status, particularly driven by inadequate intake. 

Objectives: The aim of this investigation was to identify factors associated with inadequate protein intake and sub-optimal nutritional status in patients undergoing PD. Design/Participants: This was a cross-sectional study of 67 adult patients receiving PD (mean age 59±14 years; 57% male) within a single centre. Participants were consecutively recruited and interviewed by renal dietitians, collecting: Subjective Global Assessment (SGA); quality of life (using EQ-5D); dietary intake (via dietary interview); and appetite (using Appetite and Diet Assessment Tool). Participant demographics were obtained via survey or medical charts. Main outcome measures were inadequate dietary protein intake (<1.1g/kg adjusted body weight/day) and malnutrition (as defined by SGA rating B or C). 

Results: Overall, 15 (22%) patients were malnourished and 29 (43%) had inadequate protein intake. Poor appetite (anorexia) was reported in 62% (18/29) of participants with inadequate protein malnourished patients reported anorexia versus 12 (23%) of the well-nourished patients (p=0.0001). 

Conclusion: Anorexia was a key risk factor for inadequate protein intake and malnutrition in patients undergoing PD. These findings highlight a need to closely monitor patients with appetite disturbances.

Original languageEnglish
Pages (from-to)123-131
Number of pages9
JournalJournal of Renal Care
Volume42
Issue number2
DOIs
Publication statusPublished - 1 Jun 2016

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Peritoneal Dialysis
Appetite
Nutritional Status
Anorexia
Malnutrition
Proteins
Nutritionists
Dietary Proteins
Cross-Sectional Studies
Body Weight
Quality of Life
Demography
Outcome Assessment (Health Care)
Interviews
Diet
Kidney
Population

Cite this

Young, V., Balaam, S., Orazio, L., Bates, A., Badve, S. V., Johnson, D. W., & Campbell, K. L. (2016). Appetite predicts intake and nutritional status in patients receiving peritoneal dialysis. Journal of Renal Care, 42(2), 123-131. https://doi.org/10.1111/jorc.12156
Young, Valerie ; Balaam, Sarah ; Orazio, Linda ; Bates, Annerley ; Badve, Sunil V. ; Johnson, David W. ; Campbell, Katrina L. / Appetite predicts intake and nutritional status in patients receiving peritoneal dialysis. In: Journal of Renal Care. 2016 ; Vol. 42, No. 2. pp. 123-131.
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abstract = "Background: Sub-optimal nutrition status is common amongst patients receiving peritoneal dialysis (PD) and leads to poor clinical outcome. This population experiences multi-factorial challenges to achieving optimal nutritional status, particularly driven by inadequate intake. Objectives: The aim of this investigation was to identify factors associated with inadequate protein intake and sub-optimal nutritional status in patients undergoing PD. Design/Participants: This was a cross-sectional study of 67 adult patients receiving PD (mean age 59±14 years; 57{\%} male) within a single centre. Participants were consecutively recruited and interviewed by renal dietitians, collecting: Subjective Global Assessment (SGA); quality of life (using EQ-5D); dietary intake (via dietary interview); and appetite (using Appetite and Diet Assessment Tool). Participant demographics were obtained via survey or medical charts. Main outcome measures were inadequate dietary protein intake (<1.1g/kg adjusted body weight/day) and malnutrition (as defined by SGA rating B or C). Results: Overall, 15 (22{\%}) patients were malnourished and 29 (43{\%}) had inadequate protein intake. Poor appetite (anorexia) was reported in 62{\%} (18/29) of participants with inadequate protein malnourished patients reported anorexia versus 12 (23{\%}) of the well-nourished patients (p=0.0001). Conclusion: Anorexia was a key risk factor for inadequate protein intake and malnutrition in patients undergoing PD. These findings highlight a need to closely monitor patients with appetite disturbances.",
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Young, V, Balaam, S, Orazio, L, Bates, A, Badve, SV, Johnson, DW & Campbell, KL 2016, 'Appetite predicts intake and nutritional status in patients receiving peritoneal dialysis' Journal of Renal Care, vol. 42, no. 2, pp. 123-131. https://doi.org/10.1111/jorc.12156

Appetite predicts intake and nutritional status in patients receiving peritoneal dialysis. / Young, Valerie; Balaam, Sarah; Orazio, Linda; Bates, Annerley; Badve, Sunil V.; Johnson, David W.; Campbell, Katrina L.

In: Journal of Renal Care, Vol. 42, No. 2, 01.06.2016, p. 123-131.

Research output: Contribution to journalArticleResearchpeer-review

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AU - Young, Valerie

AU - Balaam, Sarah

AU - Orazio, Linda

AU - Bates, Annerley

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AU - Campbell, Katrina L.

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Young V, Balaam S, Orazio L, Bates A, Badve SV, Johnson DW et al. Appetite predicts intake and nutritional status in patients receiving peritoneal dialysis. Journal of Renal Care. 2016 Jun 1;42(2):123-131. https://doi.org/10.1111/jorc.12156