Eating during the Hemodialysis Session: A Practice Improving Nutritional Status or a Risk Factor for Intradialytic Hypotension and Reduced Dialysis Adequacy?
Abstract
:1. Introduction
2. Intradialytic Hypotension
2.1. Cross-Sectional Studies
2.2. Interventional Studies
3. Hemodialysis Adequacy
4. Malnutrition
5. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
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Study ID | Year | Patients | Intervention | Main Findings |
---|---|---|---|---|
Sherman et al. [10] | 1988 | 9 non-diabetic dialysis patients without autonomic neuropathy or orthostatic hypotension | Dialysis with vs. without oral food intake (62 vs. 63 sessions, respectively) | Postprandial drop in BP. Higher incidence of IDH with oral food intake. |
Zoccali et al. [11] | 1989 | 13 stable dialysis patients | Dialysis with vs. without oral intake of a standard snack | Postprandial drop in BP. Higher incidence of IDH with oral food intake. |
Barakat et al. [9] | 1993 | 10 stable dialysis patients | Placebo pre-dialysis and no intradialytic meal vs. placebo pre-dialysis and intradialytic mean vs. caffeine 200 mg pre-dialysis and intradialytic mean | Postprandial drop is SVRI and in BP. Administration of caffeine before dialysis did not prevent postprandial IDH. |
Shibagaki et al. [25] | 1998 | 21 dialysis patients without evidence of orthostatic hypotension | Administration of standard meal 1 h after initiation of dialysis | Postprandial reduction in blood volume of large vessels assessed with RBV monitoring. Postprandial hypotension. |
Sivalingam et al. [26] | 2008 | 20 stable, non-diabetic dialysis patients | Administration of standard meal 45 min after initiation of dialysis | Postprandial reduction in blood volume of large vessels assessed with RBV monitoring. Postprandial drop in mean BP. |
Borzou et al. [27] | 2016 | 48 stable dialysis patients | Oral food intake 1 or 2 h after initiation of dialysis vs. no intradialytic meal | Postprandial drop in BP regardless of the timing of oral food intake. No difference in the incidence of nausea or vomiting. |
Colson et al. [28] | 2018 | 40 stable dialysis patients | Intradialytic intake of a snack with high (2.4 g/session) vs. low (1.4 g/session) sodium content | Low dietary sodium intake during dialysis was associated with lower IDWG and fewer episodes of symptomatic IDH. |
Svinth-Johansen et al. [29] | 2020 | 12 non-diabetic dialysis patients | Administration of a standard meal during a non-dialysis day vs. intradialytic intake of a standard meal. | Intradialytic reduction in BP and in AIx(75). No postprandial hemodynamic effect during the non-dialysis day. |
Study ID | Year | Patients | Intervention | Main Findings |
---|---|---|---|---|
San Juan Miguelsanz et al. [13] | 2001 | 14 stable dialysis patients | Midweek dialysis with vs. without oral food intake | Lower URR and Kt/V with intradialytic food intake. No difference in intradialytic symptoms. |
Singri et al. [14] | 2004 | 42 stable dialysis patients | Oral food intake 2 h before dialysis vs. 3-hour fasting before dialysis | No difference in URR and Kt/V. |
Kara et al. [31] | 2010 | 25 dialysis patients without diabetic autonomic neuropathy | Midweek dialysis with vs. without oral food intake. | Lower URR and Kt/V with intradialytic food intake. |
Müller-Deile et al. [32] | 2014 | 40 stable dialysis without symptomatic CV disease | Administration of a standard meal 2 h after the initiation of dialysis | Postprandial drop in online Kt/V assessed with UV absorbance. No change in online Kt/V with ionic dialysance method. |
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Fotiadou, E.; Georgianos, P.I.; Chourdakis, M.; Zebekakis, P.E.; Liakopoulos, V. Eating during the Hemodialysis Session: A Practice Improving Nutritional Status or a Risk Factor for Intradialytic Hypotension and Reduced Dialysis Adequacy? Nutrients 2020, 12, 1703. https://doi.org/10.3390/nu12061703
Fotiadou E, Georgianos PI, Chourdakis M, Zebekakis PE, Liakopoulos V. Eating during the Hemodialysis Session: A Practice Improving Nutritional Status or a Risk Factor for Intradialytic Hypotension and Reduced Dialysis Adequacy? Nutrients. 2020; 12(6):1703. https://doi.org/10.3390/nu12061703
Chicago/Turabian StyleFotiadou, Eleni, Panagiotis I. Georgianos, Michail Chourdakis, Pantelis E. Zebekakis, and Vassilios Liakopoulos. 2020. "Eating during the Hemodialysis Session: A Practice Improving Nutritional Status or a Risk Factor for Intradialytic Hypotension and Reduced Dialysis Adequacy?" Nutrients 12, no. 6: 1703. https://doi.org/10.3390/nu12061703
APA StyleFotiadou, E., Georgianos, P. I., Chourdakis, M., Zebekakis, P. E., & Liakopoulos, V. (2020). Eating during the Hemodialysis Session: A Practice Improving Nutritional Status or a Risk Factor for Intradialytic Hypotension and Reduced Dialysis Adequacy? Nutrients, 12(6), 1703. https://doi.org/10.3390/nu12061703