Effect Of Nutrition Counseling on Nutrition And Dietary Intake Status In Patients Receiving Peritoneal Dialysis

• Main Authors: Tai-Chieh Huang, 黃泰傑
• Other Authors: Shu-Ling Hsieh
• Format: Others
• Language: zh-TW
• Published: 2014
• Online Access: http://ndltd.ncl.edu.tw/handle/jca85m

碩士 === 國立高雄海洋科技大學 === 水產食品科學研究所 === 102 === Purpose: We conducted a randomized trial to test whether a low-protein diet with keto acids would be changing in nutritional status, kidney-related indicators, and associated with a preserved residual renal function (RRF) in initial peritoneal dialysis (PD) patients. Methods: 30 initial PD patients were randomized to receive either a low-protein diet, keto acid-supplemented (sLP: 0.8g/kg/day with 0.1g/kg/day keto acid-supplemented) or a normal protein diet （NP: 1.0 g/kg/day）. The groups were followed for 1 year by dietitians and nutritional status, RRF, kidney-related indicators was evaluated serially. Results: The decrease of urine volume in NP group was more than sLP (NP: -535±190 cc/day vs. sLP: -273±401 cc/day, P = 0.032). There was no significant difference in Kt/V, albumin, nitrogen balance, nPNA between the two groups during follow-up and achieve the KDOQI guidelines recommended.Conclusions: Nutritional education is effective in PD patient maintains a good nutritional status and kidney-related indicators. A diet containing protein 0.8 g/kg/day combined with keto acids is associated with an improved preservation of RRF in relatively new PD patients.