Association of Intradialytic Hypertension and Dietary Elements: A Case-Control Study

Background: Intradialytic hypertension (IDH) is defined as a rise in blood pressure during or immediately after hemodialysis that is associated with increased mortality in these patients. This study aimed to evaluate the association between IDH and the nutritional intake of trace and micromineral el...

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Main Authors: Parirokh Mahmoudi, Maryam Shafiee, Maryam Ekramzadeh, Seyed Alireza Zomorodian, Elham Ashrafi-Dehkordi, Maryam Hamidian Shirazi, Maryam Ranjbar zahedani
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2024-03-01
Series:International Journal of Nutrition Sciences
Subjects:
Online Access:https://ijns.sums.ac.ir/article_49807_4326f1a4e5600104fde76bfae47b165f.pdf
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author Parirokh Mahmoudi
Maryam Shafiee
Maryam Ekramzadeh
Seyed Alireza Zomorodian
Elham Ashrafi-Dehkordi
Maryam Hamidian Shirazi
Maryam Ranjbar zahedani
author_facet Parirokh Mahmoudi
Maryam Shafiee
Maryam Ekramzadeh
Seyed Alireza Zomorodian
Elham Ashrafi-Dehkordi
Maryam Hamidian Shirazi
Maryam Ranjbar zahedani
author_sort Parirokh Mahmoudi
collection DOAJ
description Background: Intradialytic hypertension (IDH) is defined as a rise in blood pressure during or immediately after hemodialysis that is associated with increased mortality in these patients. This study aimed to evaluate the association between IDH and the nutritional intake of trace and micromineral elements in maintenance hemodialysis patients.Methods: Patients with chronic renal failure treated with maintenance hemodialysis were assessed in this case-control study. The participants who had IDH were selected as the case group. The Food Frequency Questionnaire (FFQ) was used to collect nutritional data; and then, the diets of the two groups were analyzed. Totally, 23 patients with IDH and23 without IDH were included in the analysis.Results: Although there was no significant difference in daily calorie intake between the two groups, the mean dietary intake of sodium, calcium, phosphorus, and total fat was significantly higher in the IDH group than the control group (p<0.05). In the group with IDH, the phosphorus intake was higher than the recommended amount, while thecontrol group consumed significantly less oral phosphorus.Conclusion: Advising limiting oral phosphorus and sodium consumption along with low-fat diet may help to reduce blood pressure in IDH patients and the subsequent mortality.
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spelling doaj.art-f1ee59074fc5434fa46f4d20ea4434d22024-03-03T06:20:14ZengShiraz University of Medical SciencesInternational Journal of Nutrition Sciences2538-18732538-28292024-03-0191232910.30476/ijns.2024.99883.125649807Association of Intradialytic Hypertension and Dietary Elements: A Case-Control StudyParirokh Mahmoudi0Maryam Shafiee1Maryam Ekramzadeh2Seyed Alireza Zomorodian3Elham Ashrafi-Dehkordi4Maryam Hamidian Shirazi5Maryam Ranjbar zahedani6Internal Medicine Department, School of Medicine, Shiraz University of Medical Sciences, Shiraz, IranShiraz Nephro-Urology Research Center, Shiraz University of Medical Sciences, Shiraz, IranNutrition Research Center, Department of Clinical Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, IranShiraz Nephro-Urology Research Center, Shiraz University of Medical Sciences, Shiraz, IranNutrition Research Center, Department of Food Hygiene and Quality Control, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, IranNutrition Research Center, Department of Clinical Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Nutrition Sciences, School of Health, Larestan University of Medical Sciences, Larestan, IranBackground: Intradialytic hypertension (IDH) is defined as a rise in blood pressure during or immediately after hemodialysis that is associated with increased mortality in these patients. This study aimed to evaluate the association between IDH and the nutritional intake of trace and micromineral elements in maintenance hemodialysis patients.Methods: Patients with chronic renal failure treated with maintenance hemodialysis were assessed in this case-control study. The participants who had IDH were selected as the case group. The Food Frequency Questionnaire (FFQ) was used to collect nutritional data; and then, the diets of the two groups were analyzed. Totally, 23 patients with IDH and23 without IDH were included in the analysis.Results: Although there was no significant difference in daily calorie intake between the two groups, the mean dietary intake of sodium, calcium, phosphorus, and total fat was significantly higher in the IDH group than the control group (p<0.05). In the group with IDH, the phosphorus intake was higher than the recommended amount, while thecontrol group consumed significantly less oral phosphorus.Conclusion: Advising limiting oral phosphorus and sodium consumption along with low-fat diet may help to reduce blood pressure in IDH patients and the subsequent mortality.https://ijns.sums.ac.ir/article_49807_4326f1a4e5600104fde76bfae47b165f.pdfhemodialysisdiettrace elementshypertensioniran
spellingShingle Parirokh Mahmoudi
Maryam Shafiee
Maryam Ekramzadeh
Seyed Alireza Zomorodian
Elham Ashrafi-Dehkordi
Maryam Hamidian Shirazi
Maryam Ranjbar zahedani
Association of Intradialytic Hypertension and Dietary Elements: A Case-Control Study
International Journal of Nutrition Sciences
hemodialysis
diet
trace elements
hypertension
iran
title Association of Intradialytic Hypertension and Dietary Elements: A Case-Control Study
title_full Association of Intradialytic Hypertension and Dietary Elements: A Case-Control Study
title_fullStr Association of Intradialytic Hypertension and Dietary Elements: A Case-Control Study
title_full_unstemmed Association of Intradialytic Hypertension and Dietary Elements: A Case-Control Study
title_short Association of Intradialytic Hypertension and Dietary Elements: A Case-Control Study
title_sort association of intradialytic hypertension and dietary elements a case control study
topic hemodialysis
diet
trace elements
hypertension
iran
url https://ijns.sums.ac.ir/article_49807_4326f1a4e5600104fde76bfae47b165f.pdf
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