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<h5 class="section-title" id="d9304397e141">Objective</h5>
<p id="P2">To identify the problems experienced by hemodialysis (HD) patients in attempting
to
follow the HD diet, and their relation to energy and nutrient intakes.
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<h5 class="section-title" id="d9304397e146">Design</h5>
<p id="P3">Cross-sectional analysis of baseline data from the BalanceWise Study.</p>
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<h5 class="section-title" id="d9304397e151">Setting</h5>
<p id="P4">Community-dwelling adults recruited from outpatient HD centers.</p>
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<h5 class="section-title" id="d9304397e156">Subjects</h5>
<p id="P5">After excluding participants with incomplete dietary analyses (n = 50),
140 community-dwelling
African American and white (40/60%) men and women (52/48%) on chronic intermittent
HD for at least three months (median three years) were included.
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<h5 class="section-title" id="d9304397e161">Intervention</h5>
<p id="P6">Participant responses, on a 5-point Likert scale ranging from “not at all
a problem”
to “a very important problem for me”, to 34 questions pertaining to potential barriers
to following the HD diet in the previous two months were classified as either a problem
(1) or not a problem (2–5).
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<h5 class="section-title" id="d9304397e166">Main Outcome Measure</h5>
<p id="P7">Energy and nutrient intakes determined using the Nutrition Data System
for Research®
based on three, non-consecutive, unscheduled, two-pass 24-hour dietary recalls collected
on one dialysis and one non-dialysis weekday, and one non-dialysis weekend day.
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<h5 class="section-title" id="d9304397e171">Results</h5>
<p id="P8">More than half of participants reported having problems related to specific
behavioral
factors (e.g., feeling deprived), technical difficulties (e.g., tracking nutrients)
and physical condition (e.g., appetite), but issues of time and food preparation,
and behavioral factors tended to be most deterministic of reported dietary intakes.
Longer duration of HD was associated with lower intakes of protein, potassium, and
phosphorus (p <0.05).
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<h5 class="section-title" id="d9304397e176">Conclusion</h5>
<p id="P9">Registered dietitian nutritionists should consider issues of time and food
preparation,
and behavioral factors in their nutrition assessment of HD patients, and should continually
monitor HD patients for changes in protein intake that may occur over time.
</p>
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