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Ready to Change: Attitudes of an Elderly CKD Stage 3–5 Population towards Testing Protein-Free Food

The recent Kidney Disease Outcomes Quality Initiative (K-DOQI) guidelines suggest an early start of protein restriction, raising issues on willingness to change dietary habits. The aim of this exploratory real-life study was to report on a test of dietary products (protein-free, not previously avail...

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Autores principales: Longhitano, Elisa, Trabace, Tiziana, Fois, Antioco, Chatrenet, Antoine, Moio, Maria Rita, Lippi, Francoise, Vigreux, Jerome, Beaumont, Coralie, Santoro, Domenico, Torreggiani, Massimo, Piccoli, Giorgina Barbara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7696537/
https://www.ncbi.nlm.nih.gov/pubmed/33207579
http://dx.doi.org/10.3390/nu12113519
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author Longhitano, Elisa
Trabace, Tiziana
Fois, Antioco
Chatrenet, Antoine
Moio, Maria Rita
Lippi, Francoise
Vigreux, Jerome
Beaumont, Coralie
Santoro, Domenico
Torreggiani, Massimo
Piccoli, Giorgina Barbara
author_facet Longhitano, Elisa
Trabace, Tiziana
Fois, Antioco
Chatrenet, Antoine
Moio, Maria Rita
Lippi, Francoise
Vigreux, Jerome
Beaumont, Coralie
Santoro, Domenico
Torreggiani, Massimo
Piccoli, Giorgina Barbara
author_sort Longhitano, Elisa
collection PubMed
description The recent Kidney Disease Outcomes Quality Initiative (K-DOQI) guidelines suggest an early start of protein restriction, raising issues on willingness to change dietary habits. The aim of this exploratory real-life study was to report on a test of dietary products (protein-free, not previously available in France) in a large, mainly elderly, chronic kidney disease (CKD) population (220 patients, median age: 77.5 years, Charlson comorbidity index (CCI): seven, malnutrition inflammation score (MIS): five, estimated glomerular filtration rate (eGFR): 26 mL/min), also as a means to tailor further implementation strategies. Forty-nine patients (22.28%) were considered to be poor candidates for the trial (metabolically unstable or with psychological, psychiatric or logistic barriers); of the remaining 171, 80.70% agreed to participate. Patients to whom the diet was not proposed had lower eGFR and higher comorbidity (eGFR 21 vs. 27 p = 0.021; MIS six vs. four p: <0.001). Patients who refused were 10 years older than those who accepted (83 vs. 73 years p < 0.001), with a higher CCI (eight vs. seven p = 0.008) and MIS (five vs. four p = 0.01). In the logistic regression, only age was significantly associated with refusal to participate (Odds ratio (OR): 5.408; 95% CI: 1.894 to 15.447). No difference was found according to low/intermediate/high frequency of weekly use of protein-free food. Our study suggests that most of the patients are ready to test new diet approaches. Only old age correlated with refusal, but frequency of implementation depended on individual preferences, underlying the importance of tailored approaches to improve adherence.
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spelling pubmed-76965372020-11-29 Ready to Change: Attitudes of an Elderly CKD Stage 3–5 Population towards Testing Protein-Free Food Longhitano, Elisa Trabace, Tiziana Fois, Antioco Chatrenet, Antoine Moio, Maria Rita Lippi, Francoise Vigreux, Jerome Beaumont, Coralie Santoro, Domenico Torreggiani, Massimo Piccoli, Giorgina Barbara Nutrients Article The recent Kidney Disease Outcomes Quality Initiative (K-DOQI) guidelines suggest an early start of protein restriction, raising issues on willingness to change dietary habits. The aim of this exploratory real-life study was to report on a test of dietary products (protein-free, not previously available in France) in a large, mainly elderly, chronic kidney disease (CKD) population (220 patients, median age: 77.5 years, Charlson comorbidity index (CCI): seven, malnutrition inflammation score (MIS): five, estimated glomerular filtration rate (eGFR): 26 mL/min), also as a means to tailor further implementation strategies. Forty-nine patients (22.28%) were considered to be poor candidates for the trial (metabolically unstable or with psychological, psychiatric or logistic barriers); of the remaining 171, 80.70% agreed to participate. Patients to whom the diet was not proposed had lower eGFR and higher comorbidity (eGFR 21 vs. 27 p = 0.021; MIS six vs. four p: <0.001). Patients who refused were 10 years older than those who accepted (83 vs. 73 years p < 0.001), with a higher CCI (eight vs. seven p = 0.008) and MIS (five vs. four p = 0.01). In the logistic regression, only age was significantly associated with refusal to participate (Odds ratio (OR): 5.408; 95% CI: 1.894 to 15.447). No difference was found according to low/intermediate/high frequency of weekly use of protein-free food. Our study suggests that most of the patients are ready to test new diet approaches. Only old age correlated with refusal, but frequency of implementation depended on individual preferences, underlying the importance of tailored approaches to improve adherence. MDPI 2020-11-16 /pmc/articles/PMC7696537/ /pubmed/33207579 http://dx.doi.org/10.3390/nu12113519 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Longhitano, Elisa
Trabace, Tiziana
Fois, Antioco
Chatrenet, Antoine
Moio, Maria Rita
Lippi, Francoise
Vigreux, Jerome
Beaumont, Coralie
Santoro, Domenico
Torreggiani, Massimo
Piccoli, Giorgina Barbara
Ready to Change: Attitudes of an Elderly CKD Stage 3–5 Population towards Testing Protein-Free Food
title Ready to Change: Attitudes of an Elderly CKD Stage 3–5 Population towards Testing Protein-Free Food
title_full Ready to Change: Attitudes of an Elderly CKD Stage 3–5 Population towards Testing Protein-Free Food
title_fullStr Ready to Change: Attitudes of an Elderly CKD Stage 3–5 Population towards Testing Protein-Free Food
title_full_unstemmed Ready to Change: Attitudes of an Elderly CKD Stage 3–5 Population towards Testing Protein-Free Food
title_short Ready to Change: Attitudes of an Elderly CKD Stage 3–5 Population towards Testing Protein-Free Food
title_sort ready to change: attitudes of an elderly ckd stage 3–5 population towards testing protein-free food
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7696537/
https://www.ncbi.nlm.nih.gov/pubmed/33207579
http://dx.doi.org/10.3390/nu12113519
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