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The dietary intake of chronic kidney disease according to stages: Findings from the Korean National Health and Nutritional Examination Survey

Appropriate dietary adjustment in patients with chronic kidney disease (CKD) is important, and nutritional guidelines recommend different dietary management depending on the CKD stage. However, there is no study, to our knowledge, of the characteristics of dietary intake according to CKD stages. We...

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Autores principales: Kim, Seon-Mi, Kim, Min-ho, Ryu, Dong-Ryeol, Oh, Hyung Jung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8629218/
https://www.ncbi.nlm.nih.gov/pubmed/34843534
http://dx.doi.org/10.1371/journal.pone.0260242
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author Kim, Seon-Mi
Kim, Min-ho
Ryu, Dong-Ryeol
Oh, Hyung Jung
author_facet Kim, Seon-Mi
Kim, Min-ho
Ryu, Dong-Ryeol
Oh, Hyung Jung
author_sort Kim, Seon-Mi
collection PubMed
description Appropriate dietary adjustment in patients with chronic kidney disease (CKD) is important, and nutritional guidelines recommend different dietary management depending on the CKD stage. However, there is no study, to our knowledge, of the characteristics of dietary intake according to CKD stages. We tried to assess the comparison of nutritional intake according to CKD stages. A cross-sectional study was conducted to reveal the characteristics of dietary intake among patients with CKD based on the Korean National Health and Nutritional Examination Survey between 2011 and 2014. Of 16,878 participants, we classified non-CKD (n = 14,952) and CKD (n = 1,926), which was stratified into five groups (I, II, IIIa, IIIb, and IV–V). We investigated the characteristics of dietary intake, such as energy, water, protein, fat, carbohydrate, sodium, potassium, calcium, and phosphorus, according to stage of CKD. We also explored nutritional intake according to CKD stage among patients with early CKD (stage I and II) and advanced CKD (stage IIIa, IIIb, and IV–V). Intake of majority of nutrients and energy tended to be decreased as CKD progressed. In early CKD stage, intake of energy, water, protein, fat, carbohydrate, potassium, calcium and phosphorus seemed to be statistically significant decreased as CKD progressed. In advanced CKD stage, intake of potassium and calcium seemed to be decreased as CKD progressed, but the intake of energy was about to be lower limit. Appropriate dietary education and CKD recognition are needed to improve nutritional intake depending on the CKD stage.
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spelling pubmed-86292182021-11-30 The dietary intake of chronic kidney disease according to stages: Findings from the Korean National Health and Nutritional Examination Survey Kim, Seon-Mi Kim, Min-ho Ryu, Dong-Ryeol Oh, Hyung Jung PLoS One Research Article Appropriate dietary adjustment in patients with chronic kidney disease (CKD) is important, and nutritional guidelines recommend different dietary management depending on the CKD stage. However, there is no study, to our knowledge, of the characteristics of dietary intake according to CKD stages. We tried to assess the comparison of nutritional intake according to CKD stages. A cross-sectional study was conducted to reveal the characteristics of dietary intake among patients with CKD based on the Korean National Health and Nutritional Examination Survey between 2011 and 2014. Of 16,878 participants, we classified non-CKD (n = 14,952) and CKD (n = 1,926), which was stratified into five groups (I, II, IIIa, IIIb, and IV–V). We investigated the characteristics of dietary intake, such as energy, water, protein, fat, carbohydrate, sodium, potassium, calcium, and phosphorus, according to stage of CKD. We also explored nutritional intake according to CKD stage among patients with early CKD (stage I and II) and advanced CKD (stage IIIa, IIIb, and IV–V). Intake of majority of nutrients and energy tended to be decreased as CKD progressed. In early CKD stage, intake of energy, water, protein, fat, carbohydrate, potassium, calcium and phosphorus seemed to be statistically significant decreased as CKD progressed. In advanced CKD stage, intake of potassium and calcium seemed to be decreased as CKD progressed, but the intake of energy was about to be lower limit. Appropriate dietary education and CKD recognition are needed to improve nutritional intake depending on the CKD stage. Public Library of Science 2021-11-29 /pmc/articles/PMC8629218/ /pubmed/34843534 http://dx.doi.org/10.1371/journal.pone.0260242 Text en © 2021 Kim et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Kim, Seon-Mi
Kim, Min-ho
Ryu, Dong-Ryeol
Oh, Hyung Jung
The dietary intake of chronic kidney disease according to stages: Findings from the Korean National Health and Nutritional Examination Survey
title The dietary intake of chronic kidney disease according to stages: Findings from the Korean National Health and Nutritional Examination Survey
title_full The dietary intake of chronic kidney disease according to stages: Findings from the Korean National Health and Nutritional Examination Survey
title_fullStr The dietary intake of chronic kidney disease according to stages: Findings from the Korean National Health and Nutritional Examination Survey
title_full_unstemmed The dietary intake of chronic kidney disease according to stages: Findings from the Korean National Health and Nutritional Examination Survey
title_short The dietary intake of chronic kidney disease according to stages: Findings from the Korean National Health and Nutritional Examination Survey
title_sort dietary intake of chronic kidney disease according to stages: findings from the korean national health and nutritional examination survey
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8629218/
https://www.ncbi.nlm.nih.gov/pubmed/34843534
http://dx.doi.org/10.1371/journal.pone.0260242
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