M CONLEY1, A BARDEN2, A. B IRISH3, K LENHOFF4, C M HAWLEY5,6,7, P G KERR8,9, K R POLKINGHORNE8,9,10, L HOOI11, E M PASCOE6, P PAUL-BRENT6, A CASS12, D VOSS13, L ONG14, A K VIECELLI5
1Department of Nutrition and Dietetics, Princess Alexandra Hospital, Brisbane, Australia, 2Medical School, University of Western Australia, Perth, Australia, 3Department of Nephrology, Fiona Stanley Hospital, Perth , Australia, 4Department of Dietetics, Fiona Stanley Hospital, Perth, Australia, 5Department of Nephrology, Princess Alexandra Hospital, , Brisbane, Australia, 6Australasian Kidney Trials Network, Faculty of Medicine, University of Queensland, Brisbane, Australia, 7Translational Research Institute, Brisbane, Australia, 8Department of Nephrology, Monash Medical Centre, Melbourne, Australia, 9Department of Medicine, Monash University, Melbourne, Australia, 10School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia, 11Department of Medicine and Hemodialysis Unit, Hospital Sultanah Aminah, Johor Bahru, Malaysia, 12Menzies School of Health Research, Charles Darwin University, Darwin, Australia, 13Middlemore Renal Services, Middlemore Hospital, Auckland, New Zealand, 14Department of Nephrology, Penang Hospital, Georgetown, Malaysia
Aim: We report the dietary habits of people with advanced CKD and their adherence to country specific Dietary Guidelines.
Background: Dietary management plays an important role in patients with kidney failure. Current dietary habits of Australians and New Zealanders (ANZ) and Malaysians with advanced chronic kidney disease (CKD stage 4-5) is not well described.
Methods: Participants with CKD 4-5, receiving or planning dialysis commencement within 12-months, enrolled in the FAVOURED trial completed a lifestyle questionnaire at baseline on their dietary habits of key food groups including fruit, vegetables, chicken, meat, fish, and alcohol consumption.
Results: Of 567 participants (mean age 54.8±14.3 years, 63% male), 538 (ANZ n=386, Malaysian n=152) completed the dietary and lifestyle questionnaire. Dietary fruit and vegetable intakes were higher in ANZ participants; 49% consumed ≥2 serves/day of fruit and 61% ate ≥2 serves/day of vegetables compared to 24% and 34% of Malaysians respectively (P<0.0001). Only 4% of ANZ participants met Australian Dietary recommendations of 2 fruit and 5 vegetable serves/day. Fish consumption was higher in Malaysians with 83% consuming ≥2 serves/week compared to 21% of ANZ participants (P<0.0001). Red meat intake was significantly higher in ANZ participants however chicken consumption was similar; 48% consumed >2 chicken serves/week and 65% ate >2 serves/week of red meat compared to 43% and 15% of Malaysians, respectively. Nearly two thirds (62%) of participants in Malaysia and ANZ did not use added salt. Alcohol was consumed by 5% of Malaysians compared with 41% of ANZ participants.
Conclusions: Significant regional variation in dietary intake for fruit, vegetables and animal protein are described which likely reflect cultural and economic differences. Barriers to meeting recommended dietary intakes requires further study.
Marguerite is a senior renal and research dietitian at the Princess Alexandra Hospital in Brisbane Australia. Marguerite has 10 year’s experience working as a renal dietitian and is the current convener of the dietitians Australia renal interest group. Marguerite is has a special interest in nutritional management of renal transplantation and obesity management of CKD.