Effect of Different Nutritional Education Based on Healthy Eating Index for HemoDialysis Patients on Dietary Quality and Muscle Mass
Background: Hemodialysis patients are at high risk of muscle loss as a result of aging and disease, and combined with inadequate dietary intake. The Healthy Eating Index for HemoDialysis patients (HEI-HD) was developed to assess the dietary quality of hemodialysis patients. The purposes of this stud...
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| Format: | Article |
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MDPI AG
2022-11-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/14/21/4617 |
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| author | Yun-Han Chen Wan-Lin Liu Tuyen Van Duong Te-Chih Wong Hsi-Hsien Chen Tso-Hsiao Chen Yung-Ho Hsu Sheng-Jeng Peng Shwu-Huey Yang |
| author_facet | Yun-Han Chen Wan-Lin Liu Tuyen Van Duong Te-Chih Wong Hsi-Hsien Chen Tso-Hsiao Chen Yung-Ho Hsu Sheng-Jeng Peng Shwu-Huey Yang |
| author_sort | Yun-Han Chen |
| collection | DOAJ |
| description | Background: Hemodialysis patients are at high risk of muscle loss as a result of aging and disease, and combined with inadequate dietary intake. The Healthy Eating Index for HemoDialysis patients (HEI-HD) was developed to assess the dietary quality of hemodialysis patients. The purposes of this study were to examine the effects of different nutritional education models using HEI-HD-based education on dietary quality and muscle mass in hemodialysis patients. Methods: A quasi-experimental study was conducted from May 2019 to April 2021, with four groups, including no course for patients and nurses (Non-C), course for nurses (CN), course for patients (CP), and course for patients and nurses (CPN). The courses were delivered by registered dietitians. The data of 94 patients were collected and analyzed at baseline, after 2 months of intervention, and 2 months follow-up, including demographics, body composition, 3-day dietary records, and hemodialysis dietary knowledge. The HEI-HD index score was calculated. Results: Patients aged 58.3 ± 10.1 years. The dietary quality change in the CPN group was improved as compared with the Non-C group (−3.4 ± 9.5 vs. 3.0 ± 5.5, 0.04). The skeletal muscle mass of the Non-C group at intervention was also significantly lower than baseline, but the CPN group was not. Conclusions: The HEI-HD-based nutritional education for both patients and nurses showed a positive effect on improving the dietary quality and maintaining muscle mass in hemodialysis patients. |
| first_indexed | 2024-03-09T18:46:12Z |
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| institution | Directory Open Access Journal |
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| language | English |
| last_indexed | 2024-03-09T18:46:12Z |
| publishDate | 2022-11-01 |
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| series | Nutrients |
| spelling | doaj.art-9def73e5949b4882a60237da9f9bd9f62023-11-24T06:14:26ZengMDPI AGNutrients2072-66432022-11-011421461710.3390/nu14214617Effect of Different Nutritional Education Based on Healthy Eating Index for HemoDialysis Patients on Dietary Quality and Muscle MassYun-Han Chen0Wan-Lin Liu1Tuyen Van Duong2Te-Chih Wong3Hsi-Hsien Chen4Tso-Hsiao Chen5Yung-Ho Hsu6Sheng-Jeng Peng7Shwu-Huey Yang8School of Nutrition and Health Sciences, Taipei Medical University, Taipei City 11031, TaiwanSchool of Nutrition and Health Sciences, Taipei Medical University, Taipei City 11031, TaiwanSchool of Nutrition and Health Sciences, Taipei Medical University, Taipei City 11031, TaiwanDepartment of Nutrition and Health Sciences, Chinese Culture University, Taipei City 11114, TaiwanDivision of Nephrology, Department of Internal Medicine, Taipei Medical University Hospital, Taipei City 11031, TaiwanDepartment of Nephrology, Department of Internal Medicine, Taipei Medical University-Wan Fang Hospital, Taipei City 116081, TaiwanDivision of Nephrology, Department of Internal Medicine, Taipei Medical University-Shuang Ho Hospital, New Taipei City 23561, TaiwanDivision of Nephrology, Department of Internal Medicine, Cathay General Hospital, Taipei City 10630, TaiwanSchool of Nutrition and Health Sciences, Taipei Medical University, Taipei City 11031, TaiwanBackground: Hemodialysis patients are at high risk of muscle loss as a result of aging and disease, and combined with inadequate dietary intake. The Healthy Eating Index for HemoDialysis patients (HEI-HD) was developed to assess the dietary quality of hemodialysis patients. The purposes of this study were to examine the effects of different nutritional education models using HEI-HD-based education on dietary quality and muscle mass in hemodialysis patients. Methods: A quasi-experimental study was conducted from May 2019 to April 2021, with four groups, including no course for patients and nurses (Non-C), course for nurses (CN), course for patients (CP), and course for patients and nurses (CPN). The courses were delivered by registered dietitians. The data of 94 patients were collected and analyzed at baseline, after 2 months of intervention, and 2 months follow-up, including demographics, body composition, 3-day dietary records, and hemodialysis dietary knowledge. The HEI-HD index score was calculated. Results: Patients aged 58.3 ± 10.1 years. The dietary quality change in the CPN group was improved as compared with the Non-C group (−3.4 ± 9.5 vs. 3.0 ± 5.5, 0.04). The skeletal muscle mass of the Non-C group at intervention was also significantly lower than baseline, but the CPN group was not. Conclusions: The HEI-HD-based nutritional education for both patients and nurses showed a positive effect on improving the dietary quality and maintaining muscle mass in hemodialysis patients.https://www.mdpi.com/2072-6643/14/21/4617hemodialysisskeletal muscledietitiannutritional educationdietary quality |
| spellingShingle | Yun-Han Chen Wan-Lin Liu Tuyen Van Duong Te-Chih Wong Hsi-Hsien Chen Tso-Hsiao Chen Yung-Ho Hsu Sheng-Jeng Peng Shwu-Huey Yang Effect of Different Nutritional Education Based on Healthy Eating Index for HemoDialysis Patients on Dietary Quality and Muscle Mass Nutrients hemodialysis skeletal muscle dietitian nutritional education dietary quality |
| title | Effect of Different Nutritional Education Based on Healthy Eating Index for HemoDialysis Patients on Dietary Quality and Muscle Mass |
| title_full | Effect of Different Nutritional Education Based on Healthy Eating Index for HemoDialysis Patients on Dietary Quality and Muscle Mass |
| title_fullStr | Effect of Different Nutritional Education Based on Healthy Eating Index for HemoDialysis Patients on Dietary Quality and Muscle Mass |
| title_full_unstemmed | Effect of Different Nutritional Education Based on Healthy Eating Index for HemoDialysis Patients on Dietary Quality and Muscle Mass |
| title_short | Effect of Different Nutritional Education Based on Healthy Eating Index for HemoDialysis Patients on Dietary Quality and Muscle Mass |
| title_sort | effect of different nutritional education based on healthy eating index for hemodialysis patients on dietary quality and muscle mass |
| topic | hemodialysis skeletal muscle dietitian nutritional education dietary quality |
| url | https://www.mdpi.com/2072-6643/14/21/4617 |
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