Effect of protein and energy intakes on body composition in non-diabetic maintenance-hemodialysis patients.

Effect of protein and energy intakes on body composition in non-diabetic maintenance-hemodialysis patients. Research Abstract Details 

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Effect of protein and energy intakes on body composition in non-diabetic maintenance-hemodialysis patients. Abstract Text:

Yoko Ichikawa,Fumie Hiramatsu,Hisayo Hamada,Atsuko Sakai,Keiko Hara,Miho Kogirima,Kazuhiko Kawahara,Jun Minakuchi,Shu Kawashima,Shigeru Yamamoto,Yoko Ichikawa,Fumie Hiramatsu,Hisayo Hamada,Atsuko Sakai,Keiko Hara,Miho Kogirima,Kazuhiko Kawahara,Jun Minakuchi,Shu Kawashima,Shigeru Yamamoto,Yoko Ichikawa,Fumie Hiramatsu,Hisayo Hamada,Atsuko Sakai,Keiko Hara,Miho Kogirima,Kazuhiko Kawahara,Jun Minakuchi,Shu Kawashima,Shigeru Yamamoto,Yoko Ichikawa,Fumie Hiramatsu,Hisayo Hamada,Atsuko Sakai,Keiko Hara,Miho Kogirima,Kazuhiko Kawahara,Jun Minakuchi,Shu Kawashima,Shigeru Yamamoto,

This cross sectional study was performed to find the adequate amount and combination of dietary protein and energy for maintaining better nutritional status for stable non-diabetic maintenance hemodialysis (MHD) patients. The body composition including body fat, total body water, body cell mass and body protein were measured by multi-frequency bioelectrical impedance analysis in 200 stable MHD patients without diabetes (124 men, 76 women). Dietary energy intake (DEI) and dietary protein intake (DPI) were assessed by a brief self-administered diet history questionnaire (BDHQ), the DPI value being confirmed by calculating the normalized protein equivalent of total nitrogen appearance (nPNA). The nutritional status and the body composition were compared among 4 groups of patients in each gender that were divided by the combination of DEI and DPI; high energy (HE)/high protein (HP), HE/low protein (LP), low energy (LE)/HP and LE/LP groups. The mean DPI ranged between 1.17-1.23 and 0.89-0.95 g/kg IBW/d in the HP and LP groups, respectively for both genders, and the mean DEI was 35-37 and 24-25 kcal/kg IBW/d in HE and LE groups, respectively. BMI and serum albumin concentration were not different among the 4 groups. Body cell mass index (BCMI) was maintained in the HE groups regardless of DPI, and it was significantly higher in the HE/HP group than in the LE/LP group. Multiple regression analysis also showed that the BCMI was more greatly affected by DEI than DPI. These results indicated that a DPI of 0.89-0.95 g/kg IBW/d could be sufficient for maintaining BCMI, if DEI is kept over 35 kcal/kg IBW/d in stable non-diabetic MHD patients. This DPI level is lower than the recommended DPI proposed by dietary guidelines in the US and Japan.

Effect of protein and energy intakes on body composition in non-diabetic maintenance-hemodialysis patients. Publishing Authors By Initials

Y Ichikawa,F Hiramatsu,H Hamada,A Sakai,K Hara,M Kogirima,K Kawahara,J Minakuchi,S Kawashima,S Yamamoto,Y Ichikawa,F Hiramatsu,H Hamada,A Sakai,K Hara,M Kogirima,K Kawahara,J Minakuchi,S Kawashima,S Yamamoto,Y Ichikawa,F Hiramatsu,H Hamada,A Sakai,K Hara,M Kogirima,K Kawahara,J Minakuchi,S Kawashima,S Yamamoto,Y Ichikawa,F Hiramatsu,H Hamada,A Sakai,K Hara,M Kogirima,K Kawahara,J Minakuchi,S Kawashima,S Yamamoto,

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Effect of protein and energy intakes on body composition in non-diabetic maintenance-hemodialysis patients. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Journal of nutritional science and vitaminology

VOLUME: 53

Page Numbers: 410-8

Journal Abbreviation: J. Nutr. Sci. Vitaminol.

ISSN: 0301-4800

DAY: 14

MONTH: Oct

YEAR: 2007

Effect of protein and energy intakes on body composition in non-diabetic maintenance-hemodialysis patients. Information

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LANGUAGE: eng

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AFFILIATION: Department of Food Management, School of Food and Nutritional Sciences, University of Shizuoka.

Country: Japan

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MEDLINETA: J Nutr Sci Vitaminol (Tokyo)

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