ID 111100
Title Alternative
外来維持透析患者における栄養指導は、透析間体重増加と血圧を調整する
Counseling for hemodialysis outpatients.
Author
Sakai, Atsuko Tokushima University|Kawashima Hospital
Hamada, Hisayo Kawashima Hospital
Hara, Keiko Kawashima Hospital
Mori, Kyoko Kawashima Hospital
Mizuguchi, Takashi Kawashima Hospital
Minaguchi, Jun Kawashima Hospital
Shima, Kenji Kawashima Hospital
Kawashima, Shu Kawashima Hospital
Keywords
hemodialysis
hypertension
interdialytic weight gain
nutritional counseling
salt and water restriction
Content Type
Thesis or Dissertation
Description
Maintenance hemodialysis outpatients must limit salt and water intake to maintain electrolyte balance and blood pressure. In Kawashima Hospital, nationally registered dietitians provide hemodialysis patients with monthly nutritional counseling. We investigated whether nutritional counseling affects interdialytic weight gain (IDWG) and blood pressure. We investigated 48 hemodialysis patients whose monthly average IDWG ratio to dry weight exceeded 5.1% and who had not had a long-term hospital admittance of >1 month. After the 48-month nutritional counseling period, the IDWG ratio had improved in 37 of the patients (77.1%), significantly decreasing from 6.0±0.7 to 5.3±0.9%. Estimated salt and water intake decreased significantly from 13.3±2.7 to 11.8±2.4 g/day and 2528±455 to 2332±410 ml/day, respectively. During the intervention period, normalized protein catabolic rate and body mass index did not change substantially. Pre-hemodialysis systolic and diastolic blood pressures had significantly decreased from 149±19 to 134±18 mmHg, and 82±13 to 75±10 mmHg for 48 months after study initiation, respectively. The dosage of antihypertensive drugs had significantly decreased in the group that experienced improvement in the IDWG ratio. Long-term nutritional counseling by nationally registered dietitians may improve the IDWG ratio and blood pressure of hemodialysis patients by decreasing their salt and water intake.
Journal Title
The Journal of Medical Investigation
ISSN
13496867
13431420
NCID
AA11166929
AA12022913
Publisher
Faculty of Medicine Tokushima University
Volume
64
Issue
1-2
Start Page
129
End Page
135
Sort Key
129
Published Date
2017-02
Remark
内容要旨・審査要旨・論文本文の公開:
内容要旨・審査要旨:LID201704271001.pdf
論文本文:LID201704271002.pdf
本論文は,著者Atsuko Sakaiの学位論文として提出され,学位審査・授与の対象となっている。
EDB ID
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
ETD
MEXT report number
甲第3091号
Diploma Number
甲栄第243号
Granted Date
2017-03-16
Degree Name
Doctor of Nutritional Science
Grantor
Tokushima University
departments
Medical Sciences