A difference between day and night: protein intake improves after the transition from conventional to frequent nocturnal home hemodialysis

Karin Ipema, Cees van der Schans, Noortje Vonk, Jorien M de Vries, Ralf Westerhuis, Ellen Duym, Casper F M Franssen

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

BACKGROUND: Malnutrition is an important cause of the excessive morbidity and mortality rate of dialysis patients. Frequent nocturnal home hemodialysis (NHHD) has many benefits compared with conventional thrice-weekly hemodialysis (CHD), due to the virtual absence of dietary restrictions and a much higher overall dialysis efficiency. In this observational study, we investigated whether these benefits of NHHD translate into an improved nutritional intake, with a special emphasis on protein intake.

METHODS: We prospectively assessed the effect of the transition of CHD to NHHD on nutritional intake (5-day dietary intake journal), normalized protein catabolic rate, and anthropometric parameters in 15 consecutive patients who started NHHD in our center between 2004 and 2009 and completed at least 8 months of follow-up. Data were collected before the transition from CHD to NHHD and 4 and 8 months after the transition.

RESULTS: Protein intake, as measured by both dietary intake journal and normalized protein catabolic rate, increased significantly after the transition from CHD to NHHD. Accordingly, phosphate intake increased significantly; however, serum phosphate levels did not increase, despite negligible phosphate binder use during NHHD. Body mass index and upper arm muscle circumference did not change significantly.

CONCLUSION: The transition from CHD to NHHD has a positive effect on nutritional intake, in particular, protein intake. NHHD should be considered in malnourished patients on CHD.

Original languageEnglish
Pages (from-to)365-72
Number of pages8
JournalJournal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation
Volume22
Issue number3
DOIs
Publication statusPublished - 2012

Keywords

  • dietary proteins
  • dietetics
  • hemodialysis, home
  • malnutrition
  • phosphates
  • renal dialysis

Cite this

@article{89eb260a3e9e41e196cdac250fc37254,
title = "A difference between day and night: protein intake improves after the transition from conventional to frequent nocturnal home hemodialysis",
abstract = "BACKGROUND: Malnutrition is an important cause of the excessive morbidity and mortality rate of dialysis patients. Frequent nocturnal home hemodialysis (NHHD) has many benefits compared with conventional thrice-weekly hemodialysis (CHD), due to the virtual absence of dietary restrictions and a much higher overall dialysis efficiency. In this observational study, we investigated whether these benefits of NHHD translate into an improved nutritional intake, with a special emphasis on protein intake.METHODS: We prospectively assessed the effect of the transition of CHD to NHHD on nutritional intake (5-day dietary intake journal), normalized protein catabolic rate, and anthropometric parameters in 15 consecutive patients who started NHHD in our center between 2004 and 2009 and completed at least 8 months of follow-up. Data were collected before the transition from CHD to NHHD and 4 and 8 months after the transition.RESULTS: Protein intake, as measured by both dietary intake journal and normalized protein catabolic rate, increased significantly after the transition from CHD to NHHD. Accordingly, phosphate intake increased significantly; however, serum phosphate levels did not increase, despite negligible phosphate binder use during NHHD. Body mass index and upper arm muscle circumference did not change significantly.CONCLUSION: The transition from CHD to NHHD has a positive effect on nutritional intake, in particular, protein intake. NHHD should be considered in malnourished patients on CHD.",
keywords = "dietary proteins, dietetics, hemodialysis, home, malnutrition, phosphates, renal dialysis, antropometrie, dieetprote{\"i}nen, di{\"e}tetiek, hemodialyse, nierfalen, chronisch, ondervoeding, fosfaten, nierdialyse",
author = "Karin Ipema and {van der Schans}, Cees and Noortje Vonk and {de Vries}, {Jorien M} and Ralf Westerhuis and Ellen Duym and Franssen, {Casper F M}",
note = "Copyright {\circledC} 2012 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.",
year = "2012",
doi = "10.1053/j.jrn.2011.08.010",
language = "English",
volume = "22",
pages = "365--72",
journal = "Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation",
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A difference between day and night : protein intake improves after the transition from conventional to frequent nocturnal home hemodialysis. / Ipema, Karin; van der Schans, Cees; Vonk, Noortje; de Vries, Jorien M; Westerhuis, Ralf; Duym, Ellen; Franssen, Casper F M.

In: Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation, Vol. 22, No. 3, 2012, p. 365-72.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - A difference between day and night

T2 - protein intake improves after the transition from conventional to frequent nocturnal home hemodialysis

AU - Ipema, Karin

AU - van der Schans, Cees

AU - Vonk, Noortje

AU - de Vries, Jorien M

AU - Westerhuis, Ralf

AU - Duym, Ellen

AU - Franssen, Casper F M

N1 - Copyright © 2012 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.

PY - 2012

Y1 - 2012

N2 - BACKGROUND: Malnutrition is an important cause of the excessive morbidity and mortality rate of dialysis patients. Frequent nocturnal home hemodialysis (NHHD) has many benefits compared with conventional thrice-weekly hemodialysis (CHD), due to the virtual absence of dietary restrictions and a much higher overall dialysis efficiency. In this observational study, we investigated whether these benefits of NHHD translate into an improved nutritional intake, with a special emphasis on protein intake.METHODS: We prospectively assessed the effect of the transition of CHD to NHHD on nutritional intake (5-day dietary intake journal), normalized protein catabolic rate, and anthropometric parameters in 15 consecutive patients who started NHHD in our center between 2004 and 2009 and completed at least 8 months of follow-up. Data were collected before the transition from CHD to NHHD and 4 and 8 months after the transition.RESULTS: Protein intake, as measured by both dietary intake journal and normalized protein catabolic rate, increased significantly after the transition from CHD to NHHD. Accordingly, phosphate intake increased significantly; however, serum phosphate levels did not increase, despite negligible phosphate binder use during NHHD. Body mass index and upper arm muscle circumference did not change significantly.CONCLUSION: The transition from CHD to NHHD has a positive effect on nutritional intake, in particular, protein intake. NHHD should be considered in malnourished patients on CHD.

AB - BACKGROUND: Malnutrition is an important cause of the excessive morbidity and mortality rate of dialysis patients. Frequent nocturnal home hemodialysis (NHHD) has many benefits compared with conventional thrice-weekly hemodialysis (CHD), due to the virtual absence of dietary restrictions and a much higher overall dialysis efficiency. In this observational study, we investigated whether these benefits of NHHD translate into an improved nutritional intake, with a special emphasis on protein intake.METHODS: We prospectively assessed the effect of the transition of CHD to NHHD on nutritional intake (5-day dietary intake journal), normalized protein catabolic rate, and anthropometric parameters in 15 consecutive patients who started NHHD in our center between 2004 and 2009 and completed at least 8 months of follow-up. Data were collected before the transition from CHD to NHHD and 4 and 8 months after the transition.RESULTS: Protein intake, as measured by both dietary intake journal and normalized protein catabolic rate, increased significantly after the transition from CHD to NHHD. Accordingly, phosphate intake increased significantly; however, serum phosphate levels did not increase, despite negligible phosphate binder use during NHHD. Body mass index and upper arm muscle circumference did not change significantly.CONCLUSION: The transition from CHD to NHHD has a positive effect on nutritional intake, in particular, protein intake. NHHD should be considered in malnourished patients on CHD.

KW - dietary proteins

KW - dietetics

KW - hemodialysis, home

KW - malnutrition

KW - phosphates

KW - renal dialysis

KW - antropometrie

KW - dieetproteïnen

KW - diëtetiek

KW - hemodialyse

KW - nierfalen, chronisch

KW - ondervoeding

KW - fosfaten

KW - nierdialyse

U2 - 10.1053/j.jrn.2011.08.010

DO - 10.1053/j.jrn.2011.08.010

M3 - Article

VL - 22

SP - 365

EP - 372

JO - Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation

JF - Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation

SN - 1051-2276

IS - 3

ER -