Nutritional Patterns in Hemodialysis Patients
Over the course of a year, 582 HD patients from 37 dialysis facilities participated in the longitudinal prospective multicenter trial. Clinical indicators, food consumption, and physical activity were all included in the evaluation.
Three dietary patterns became apparent: “Western,” “Mediterranean,” and “low animal protein.” Patients in the group following the Mediterranean pattern consumed more protein (P =.040), omega-3 fatty acids (P <.001), and different vitamins (B12, B6, C, D, and folic acid) and engaged in more moderate physical activity (P =.010). Despite having fewer deaths, the lower mortality risk did not reach statistical significance in the Mediterranean pattern group (P = .096).
Guo and collaborators conducted a meta-analysis to investigate the impact of magnesium supplementation on chronic kidney disease. They published a report in the Journal of Renal Nutrition in 2023 titled “Effect of magnesium supplementation on chronic kidney disease-mineral and bone disorder in hemodialysis patients: A meta-analysis of randomized controlled trials.”
Nutritional Patterns in Hemodialysis Patients
A search for English-language research up to September 2020 was done using the PubMed and EMBASE databases. Changes in serum magnesium, calcium (Ca), phosphate, parathyroid hormone (PTH), C-reactive protein, and carotid intima-media thickness (CIMT) after magnesium supplementation were important markers. Using subgroup analyses depending on the kind and duration of the intervention, weighted mean difference (WMD) and confidence intervals (CIs) were used to assess the efficacy of magnesium.
The meta-analysis comprised eight studies with 309 HD patients. ,Mg supplementation alone exhibited a negative effect on serum. PTH levels (WMD = -236.56; 95% CI -349.71 to -123.41) and CIMT (WMD = -0.18; 95% CI -0.34 to -0.01). Different intervention durations had no impact on serum Mg levels. Mg supplementation showed no significant effect on serum phosphate (WMD = -0.25; 95%. CI -0.64 to 0.14) and C-reactive protein levels (WMD = -0.02; 95% CI -2.80 to 2.76). Magnesium g supplementation alone positively modulated CKD-MBD by regulating. Serum Ca and PTH metabolism and reducing CIMT in HD patients.
Hiramatsu and colleagues conducted a noncontrolled observational study involving 47 hemodialysis patients. APA