Suhair Abdalla Khalil Abdallah*

College of Applied Medical Sciences, Department of Clinical Nutrition, King Saud University for Health Sciences Jeddah, Saudi Arabia

*Corresponding Author: Suhair Abdalla Khalil Abdallah, College of Applied Medical Sciences, Department of Clinical Nutrition, King Saud University for Health Sciences Jeddah, Saudi Arabia.

Received: June 14, 2023; Published: July 08, 2023

Abstract

Rationale: Hyperphosphatemia is a significant health problem in end-stage renal disease (ESRD) patients on hemodialysis (HD). It can lead to cardiovascular, bone, and other disorders, as well as secondary hyperparathyroidism, and is also associated with an increased prevalence of mortality in HD patients. The aim of the present study was to evaluate the effect of nutrition counseling and dietetic intervention on hyperphosphatemia management.

Methods: The study was organized at big dialysis centers in Khartoum for six months. ESRD patients (n = 145) on regular HD (three times weekly for the duration of three hours each session), dialyzed for at least 3 months, were included in the study. They were divided into a test group (n = 83) and a control group (n = 62). All participants (in both the test and control groups) were similar in everything, including their dialysis time and durations. In the same age group, all were adults above 18 years old, following the same medications with specific doses as prescribed and followed by their physician (erythropoietin intravenous injection, iron, active vitamin D, phosphorus binders, B-complex vitamins, folic acid, and vitamin E). and only differ in their dietary regimens. The test group received nutritional counseling and consumed individualized diets (restricted in phosphate intake) for a period of 6 months. The study was organized at big dialysis centers in Khartoum for six months. ESRD patients (n = 145) on regular HD (three times weekly for the duration of three hours each session), dialyzed for at least 3 months, were included in the study. They were divided into a test group (n = 83) and a control group (n = 62). All participants (in both the test and control groups) were similar in everything, including their dialysis times and durations. In the same age group, all were adults above 18 years old, following the same medications with specific doses as prescribed and followed by their physician (erythropoietin intravenous injection, iron, active vitamin D, phosphorus binders, B-complex vitamins, folic acid, and vitamin E). and only differ in their dietary regimens. The test group received nutritional counseling and consumed individualized diets (restricted in phosphate intake) for a period of 6 months. The control group consumed the usual diet. Serum phosphorus levels were measured at baseline and 2, 4, and 6 months after the start of the study.

Results: Serum phosphorus levels decreased significantly from 5.6 mg/dL to at baseline 4.8, 4.2 and 3.8 mg/dL 2, 4, and 6 months after the onset of the study in the test group. In the control group, the decrease was mild and insignificant (5.0, 5.0, 4.7, and 4.3 mg/dL at baseline, 2, 4, and 6 months). Significant differences between groups were apparent in months 4 and 6 (p < 0.05).

Conclusions: The study demonstrated that effective nutritional counseling was effective in controlling and improving serum phosphorus levels among HD patients. Therefore, nutritional counseling by qualified dietitians should be mandatory in renal units as part of the medical therapy management to reduce the incidence of hyperphosphatemia in HD.

Keywords: Serum Phosphorus; Hemodialysis; Hyperphosphatemia; Dietary Counseling

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Citation

Citation: Suhair Abdalla Khalil Abdallah., et al. “Effect of Individualized Dietary Counseling Improve Hyperphosphatemia among Hemodialysis Patients".Acta Scientific Nutritional Health 7.8 (2023): 40-45.

Copyright

Copyright: © 2023 Suhair Abdalla Khalil Abdallah., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.