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Food intake and lipid risk factors in patients with chronic renal failure treated by haemodialysis or peritoneal dialysis

Published online by Cambridge University Press:  30 June 2021

K. Mekki ,
N. Bekada ,
N. Taleb ,
M. Remaoun ,
M. Benmansour ,
A. Kaddous  and
M. Bouchenak
K. Mekki
Affiliation:
Laboratoire de Nutrition Clinique et Métabolique, Faculté des Sciences, Université d'Oran Es-Sénia, Oran, Algeria
N. Bekada
Affiliation:
Laboratoire de Nutrition Clinique et Métabolique, Faculté des Sciences, Université d'Oran Es-Sénia, Oran, Algeria
N. Taleb
Affiliation:
Laboratoire de Nutrition Clinique et Métabolique, Faculté des Sciences, Université d'Oran Es-Sénia, Oran, Algeria
M. Remaoun
Affiliation:
Service de Néphrologie-Hémodialyse, CHU de Sidi Bel Abbès, Sidi Bel Abbès, Algeria
M. Benmansour
Affiliation:
Service de Néphrologie-Hémodialyse, CHU de Tlemcen, Tlemcen, Algeria
A. Kaddous
Affiliation:
Service d'Hémodialyse, CHU d'Oran, Oran, Algeria
M. Bouchenak
Affiliation:
Laboratoire de Nutrition Clinique et Métabolique, Faculté des Sciences, Université d'Oran Es-Sénia, Oran, Algeria
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Abstract

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Information
Proceedings of the Nutrition Society , Volume 67 , Issue OCE5: Joint meeting of the Société Française de Nutrition and The Nutrition Society, 6–7 December 2007 , May 2008 , E181
Copyright
Copyright © The Authors 2008

The aim of the present study was to compare the effect of haemodialysis (HD) and peritoneal dialysis (PD) on food consumption and lipid cardiovascular risk markers in patients with chronic renal failure (CRF) treated by HD or PD.

A dietary survey was carried out, using a 7 day record and recall, in patients with CRF on dialysis for between 3 and 24 months: fifteen on HD, nine males (M) and six females (F), age 37 (sd 12) years; twelve on PD, seven M and eight F, age 49 (sd 12) years; and compared with seventeen patients with severe renal failure (SCRF), ten M and seven F, age 48 (sd 3) years.

Total energy intake (TEI) was decreased with PD (P<0.01) and HD (P<0.05) compared with SCRF. Expressed as g/kg body weight per d, TEI and protein intake were lower with PD than with HD and SCRF (P<0.01) and lower than recommended values. A decrease in animal-protein intake was noted with PD compared with SCRF (P<0.05). For patients on PD, SFA intakes were higher and MUFA intakes were lower than those for patients on HD and patients with SCRF (P<0.05). High consumption of dairy products and fat (butter, oils and margarine) were found with PD compared with HD and SCRF (P<0.05). High TAG values were found with PD compared with SCRF and HD. Total cholesterol (TC) values were higher with PD than with SCRF. In patients on PD positive relationships were found between TAG values and bread, cereal, rice and pasta intake (r 0.58, P<0.05) and between cholesterol values and meat and egg intake (r 0.45, P<0.05).

PD involves an important reduction in food intake compared with HD. Patients on short-term HD have normal plasma lipid levels; however, dyslipidaemia in patients on PD can be related to qualitative unbalanced food intake.