Dietary Adherence With Guideline Recommendations In Patients Undergoing Continuous Ambulatory Peritoneal Dialysis

Abstract

Abstract:- Dietary nutrient intake plays a dominant role in maintaining proper nutritional status in Continuous Ambulatory Peritoneal Dialysis (CAPD) patients. Adhering to multiple dietary restrictions imposed on CAPD patients may be difficult but crucial in maintaining proper nutritional status. The study aimed to assess the dietary adherence with renal specific European Society for Parenteral and Enteral Nutrition (ESPEN) guideline recommendations for CAPD patients. This cross-sectional study carried out engaging 102 patients (66 were male) who attended to the CAPD clinic, General Hospital Kandy from January to April 2020. Participants were selected by simple random sampling method. Interviewer administrated food frequency questionnaire was used to collect dietary data. A small minority of the patients reached recommended targets of energy (30.4%) and protein (10.8%). The Number of adherents to potassium and phosphorus was also as lower as 10.8% and 17.6% respectively. Most of the participants consumed less than target recommendation in relation to potassium and phosphorus. Only 10.8% consumed sufficient fiber. Furthermore, only 26.5% were within recommended dietary sodium targets and 20.6% of participants’ sodium intake was higher than recommendations. It is generally accepted that dietary intake of CAPD patients are relatively lower than target recommendations. Majority of CAPD patients participated in this study also did not meet current renal specific dietary recommendation in relation to all the selected dietary components. Therefore, other than conventional dietary counselling, nutritionally sound, appropriate dietary interventions should be implemented in order to improve adherence to recommended dietary intake to obtain the best optimum results.