Volume 19 Issue 12
Dec.  2021
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ZHANG Jing, HUANG Pei-pei, ZHANG Lan-zhen, JIN Ling-wei. Dietary structure and nutritional status of 270 elderly patients with chronic kidney disease[J]. Chinese Journal of General Practice, 2021, 19(12): 2055-2057. doi: 10.16766/j.cnki.issn.1674-4152.002235
Citation: ZHANG Jing, HUANG Pei-pei, ZHANG Lan-zhen, JIN Ling-wei. Dietary structure and nutritional status of 270 elderly patients with chronic kidney disease[J]. Chinese Journal of General Practice, 2021, 19(12): 2055-2057. doi: 10.16766/j.cnki.issn.1674-4152.002235

Dietary structure and nutritional status of 270 elderly patients with chronic kidney disease

doi: 10.16766/j.cnki.issn.1674-4152.002235
Funds:

 2020KY648

  • Received Date: 2021-06-08
    Available Online: 2022-03-02
  •   Objective  To understand the dietary structure and nutritional status of elderly patients with chronic kidney disease and provide a basis for guiding the rational diet of elderly patients with chronic kidney disease.  Methods  A total of 270 patients with CKD, who were hospitalised in our hospital from July to December 2020, were selected as study subjects, and the general data questionnaire, nutritional risk screening 2002 and semi-quantitative food frequency questionnaire were used for investigation. Anthropometric and biochemical results and dietary structure of patients at risk of malnutrition and those of patients with good nutrition were compared.  Results  A total of 65 (24.07%) were at risk of malnutrition, 205 cases had good nutrition, accounting for 75.93%. The CKD Ⅱ stage BMI, AC, TSF, ALB and PA of the patients at risk of malnutrition were lower than those of patients with good nutrition, and the differences were statistically significant (χ2=6.943, 9.360; t=4.313, 2.742, 3.458, 3.204, all P < 0.05). The proportion of insufficient intake of potatoes, fruits, vegetables, fish and shrimp in the diet of patients at risk of malnutrition were higher than those of patients with good nutrition, and the differences were statistically significant (Z=3.912, 5.750, 4.055, 4.474, all P < 0.01).  Conclusion  Elderly patients with chronic kidney disease are at high risk of malnutrition. In clinical practice, dietary guidance and health education should be strengthened for elderly patients with chronic kidney disease to improve the nutritional status of patients.

     

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  • [1]
    胡萍, 盛净. 老年人群慢性肾病与甲状腺功能的相关性分析[J]. 实用老年医学, 2017, 31(12): 1132-1134. https://www.cnki.com.cn/Article/CJFDTOTAL-SYLA201712010.htm
    [2]
    郭佳钰, 候惠如, 张瑞芹. 老年慢性肾病不同分期患者躯体功能及合并疾病的比较[J]. 解放军医学院学报, 2018, 39(9): 800-803. doi: 10.3969/j.issn.2095-5227.2018.09.015
    [3]
    李菁, 罗燕, 阮毅, 等. 慢性肾脏病住院患者营养风险影响因素分析[J]. 华西医学, 2019, 34(8): 933-937. https://www.cnki.com.cn/Article/CJFDTOTAL-HXYX201908017.htm
    [4]
    KHAN Y H, MALLHI T H, SARRIFF A, et al. Prevalence of chronic kidney disease in Asia: A systematic review of population-based studies[J]. J Coll Physicians Surg Pak, 2018, 28(12): 960-966. doi: 10.29271/jcpsp.2018.12.960
    [5]
    HYUN Y Y, LEE K B, HAN S H, et al. Nutritional status in adults with predialysis chronic kidney disease: KNOW-CKD study[J]. J Korean Med Sci, 2017, 32(2): 257-263. doi: 10.3346/jkms.2017.32.2.257
    [6]
    陈伟, 蒋朱明, 张永梅, 等. 欧洲营养不良风险调查方法在中国住院患者的临床可行性研究[J]. 中国临床营养杂志, 2005, 13(3): 137-141. doi: 10.3760/cma.j.issn.1674-635X.2005.03.002
    [7]
    孔建华, 张洁, 滑莹莹, 等. 老年慢性肾脏病患者营养风险筛查及分析[J]. 中国老年学杂志, 2016, 36(22): 5711-5713. doi: 10.3969/j.issn.1005-9202.2016.22.102
    [8]
    中国营养学会. 中国居民膳食指南2016[M]. 北京: 人民卫生出版社, 2016: 289-325.
    [9]
    白杨. 分析慢性肾脏病患者临床营养评估与膳食的结构特点[J]. 中国医药指南, 2018, 16(7): 134-135. https://www.cnki.com.cn/Article/CJFDTOTAL-YYXK201807112.htm
    [10]
    卞凌云, 徐丽, 马金, 等. 56例慢性肾脏病营养不良患者个体化营养干预[J]. 护理学报, 2017, 24(7): 55-57. https://www.cnki.com.cn/Article/CJFDTOTAL-NFHL201707015.htm
    [11]
    李春敏. 慢性肾脏病患者临床营养评估及膳食的结构特点[J]. 中国现代药物应用, 2020, 14(4): 222-224. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWYY202004113.htm
    [12]
    祝金城, 赵存喜, 张海峰. 慢性肾脏病患者透析前营养状况及营养不良影响因素分析[J]. 中华全科医学, 2019, 17(12): 2026-2030. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201912014.htm
    [13]
    ZHA Y, QIAN Q. Protein nutrition and malnutrition in CKD and ESRD[J]. Nutrients, 2017, 9(3): E208. doi: 10.3390/nu9030208
    [14]
    LODEBO S, ANUJA K J D. Is it important to prevent and treat protein-energy wasting in chronic kidney disease and chronic dialysis patients?[J]. J Ren Nutr, 2018, 28(6): 369-379. doi: 10.1053/j.jrn.2018.04.002
    [15]
    NOWAK K L, CHONCHOL M. Does inflammation affect outcomes in dialysis patients?[J]. Semin Dial, 2018, 31(4): 388-397. doi: 10.1111/sdi.12686
    [16]
    FROLICH S, LEHMANN N, WEYERS S, et al. Association of dietary patterns with five-year degree and progression of coronary artery calcification in the Heinz Nixdorf Recall study[J]. Nutr Metab Cardiovasc Dis, 2017, 27(11): 999-1007. doi: 10.1016/j.numecd.2017.09.002
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