Cargando…
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...
Autores principales: | , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
|
Materias: | |
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 |
_version_ | 1783615427458367488 |
---|---|
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. |
format | Online Article Text |
id | pubmed-7696537 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT longhitanoelisa readytochangeattitudesofanelderlyckdstage35populationtowardstestingproteinfreefood AT trabacetiziana readytochangeattitudesofanelderlyckdstage35populationtowardstestingproteinfreefood AT foisantioco readytochangeattitudesofanelderlyckdstage35populationtowardstestingproteinfreefood AT chatrenetantoine readytochangeattitudesofanelderlyckdstage35populationtowardstestingproteinfreefood AT moiomariarita readytochangeattitudesofanelderlyckdstage35populationtowardstestingproteinfreefood AT lippifrancoise readytochangeattitudesofanelderlyckdstage35populationtowardstestingproteinfreefood AT vigreuxjerome readytochangeattitudesofanelderlyckdstage35populationtowardstestingproteinfreefood AT beaumontcoralie readytochangeattitudesofanelderlyckdstage35populationtowardstestingproteinfreefood AT santorodomenico readytochangeattitudesofanelderlyckdstage35populationtowardstestingproteinfreefood AT torreggianimassimo readytochangeattitudesofanelderlyckdstage35populationtowardstestingproteinfreefood AT piccoligiorginabarbara readytochangeattitudesofanelderlyckdstage35populationtowardstestingproteinfreefood |