Nutritional counseling regulates interdialytic weight gain and blood pressure in outpatients receiving maintenance hemodialysis

• Material Type: 博士論文
• Title: Nutritional counseling regulates interdialytic weight gain and blood pressure in outpatients receiving maintenance hemodialysis
• Author/Editor: Sakai, Atsuko; Hamada, Hisayo; Hara, Keiko; Mori, Kyoko; Uchida, Takayuki; Mizuguchi, Takashi; Minaguchi, Jun; Shima, Kenji; Kawashima, Shu; Hamada, Yasuhiro; Nikawa, Takeshi
• Author Heading: Sakai, Atsuko; Hamada, Hisayo; Hara, Keiko; Mori, Kyoko; Uchida, Takayuki; Mizuguchi, Takashi; Minaguchi, Jun; Shima, Kenji; Kawashima, Shu; Hamada, Yasuhiro; Nikawa, Takeshi
• Publication, Distribution, etc.: Faculty of Medicine Tokushima University
• Publication Date: 2017-02
• Publication Date (W3CDTF): 2017-02
• Alternative Title: 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.
• Periodical title: The Journal of Medical Investigation
• No. or year of volume/issue: 64 1-2
• Volume: 64
• Issue: 1-2
• Pages: 129-135
• ISSN (Periodical Title): ISSN : 1349-6867; ISSN : 1343-1420
• Degree grantor/type: 徳島大学
• Date Granted: 2017-03-16
• Dissertation Number: 甲第3091号
• Degree Type: 博士（栄養学）
• Text Language Code: eng
• Subject Heading: hemodialysis; hypertension; interdialytic weight gain; nutritional counseling; salt and water restriction
• Target Audience: 一般
• Note (General): 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.
• Format (IMT): application/pdf
• Access Restrictions: インターネット公開
• Related Material (DOI): 10.2152/jmi.64.129
• Data Provider (Database): 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• Original Data Provider (Database): 徳島大学 : 徳島大学機関リポジトリ

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