? To compare diet intake of micronutrients by peritoneal dialysis (PD)

? To compare diet intake of micronutrients by peritoneal dialysis (PD) individuals according with their nourishment and inflammatory statuses. μg 404 μg). Markers of swelling had been higher in malnourished than in well-nourished topics. Compared with individuals in lower quartiles individuals in the best CRP quartile got lower intakes (< 0.05) of sodium (241 mg vs 404 mg) calcium (453 mg vs 702 mg) vitamin B2 (0.88 mg vs 1.20 mg) and particularly vitamin A (207 μg vs 522 μg). ? Among PD individuals half had insufficient diet intakes of iron zinc calcium mineral and vitamin supplements A B6 C niacin and folic acidity. Decrease micronutrient intakes had been connected with malnutrition and inflammation. Patients with inflammation had lower intakes of sodium calcium and vitamins A and B2. Micronutrient intake must be investigated in various populations so as to tailor adequate supplementation. < 0.05 was considered significant. RESULTS By SGA results only 14 patients (19%) had normal nutrition; 59 patients (81%) had some degree of malnutrition. Almost half the population in this sample showed mild malnutrition (Figure 1). Compared with the well-nourished patients the malnourished patients had spent significantly more time on dialysis had lower weights and showed trends toward older age and lower systolic blood pressure (Table 1). Although the malnourished AZD0530 group contained higher proportions of women and of patients with diabetes those differences were not statistically significant. Figure 1 - Nutrition status of the study patients by subjective global assessment. TABLE 1 Demographics and Clinical Results by Nutrition Status of the Study Patients Table 2 shows the biochemical and inflammation results. Compared with patients having normal nutrition those with malnutrition had significantly lower levels of hemoglobin albumin and potassium and higher levels of LDL cholesterol. Inflammation markers were higher in malnourished than in well-nourished patients but only TNFα reached statistical significance. On the other hand the groups showed no significant differences in parameters of dialysis adequacy (peritoneal renal or total) in protein losses or in volumes of drained dialysate and urine (Table 3). TABLE 2 Biochemical and Inflammation Results by Nutritional Status of the Study Patients TABLE 3 Dialysis Adequacy Results by Nutrition Status of the Study Patients RESULTS FROM THE Diet EVALUATIONS Desk 4 displays macronutrient intake outcomes. Weighed against the well-nourished sufferers the malnourished sufferers got lower intakes of cholesterol and total calorie consumption; however after changing for pounds the difference in calorie consumption was no more significant. Zero various other differences in macronutrient intake were discovered AZD0530 between your combined groupings. However disregarding diet position the intakes of calorie consumption proteins monounsaturated and polyunsaturated extra fat and fiber had been less than the generally suggested intakes in both groupings. Intakes of saturated fats alternatively were greater than suggested. Desk 4 Macronutrient Consumption by Nutrition Position of the analysis Patients using the Amounts Usually Suggested for Sufferers on Peritoneal Dialysis Body 2 displays for the entire patient test the adequacy of micronutrient intakes in comparison with DRIs. Intakes had been considered sufficient if 100% from the suggested micronutrient intake was satisfied. Remarkably only fifty percent the sufferers (or fewer) got sufficient intakes of iron zinc calcium mineral vitamin C supplement B6 niacin folic acidity and supplement A. Specifically folic acidity and zinc had been ingested in sufficient amounts by less than 15% from the sufferers. Body 2 – Percentage of sufferers with sufficient micronutrient intake (100% from the suggested intake) based on the eating guide intake for the Mexican inhabitants. Desk 5 compares micronutrient Rabbit polyclonal to Netrin receptor DCC intakes with AZD0530 the diet status from the sufferers. Weighed against the well-nourished sufferers malnourished sufferers had a considerably lower intake of phosphorus and a nonsignificant craze (= 0.08) to lessen iron and folic acidity intakes. But those results were not due to different nutritional patterns in both groups as the median dietary densities for the groupings (well-nourished weighed against malnourished) weren’t AZD0530 considerably different: phosphorus 723 mg/Mcal (628 – 813 mg/Mcal).