Nutritional Intervention for Management of Osteodystrophy in Hemodialysis (HD) (NIMO Trial)

Download or read book Nutritional Intervention for Management of Osteodystrophy in Hemodialysis (HD) (NIMO Trial) written by Mirey Boghos Karavetian and published by . This book was released on 2007 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study examined whether self management focused counseling (SMFC) would impr ove compliance with nutritional management of osteodystrophy in a sample of hemo dialysis (HD) patients in Lebanon. The study was a randomized controlled trial, included 122 stable HD adult patien ts who were randomly assigned to three study groups (experimental, placebo and c ontrol), according to their dialysis shifts. The research dietitian provided pat ients in the experimental group with SMFC three times per week, the placebo grou p with games, and had no interactions with the control group. The experimental group showed a significant improvement in serum phosphorus and calcium- phosphorous product (Ca*P), and in the total questionnaire scores of th e dietary compliance, knowledge and therapy evaluation. Significant improvement was shown in some aspects of the food enjoyment questionnaire (appetite, thirst, compliance to medication and diet) and in the patient satisfaction towards the research dietitian. No significant change was observed in patient quality of lif e or 24-hour food recall, while the PIH score regressed. The placebo group, show ed a significant improvement only in serum Ca*P product, and some aspects of the food enjoyment questionnaire (thirst and appetite), the patient satisfaction to wards the research dietitian and quality of life questionnaire's social function ing score. The control group did not show any significant improvement in any of the total questionnaire scores. There was a significant improvement in an aspect of the food enjoyment questionnaire (appetite) and patient satisfaction towards the research dietitian. Our findings demonstrate the value of structured nutritional education by traine d dietitians in the hemodialysis setting in Lebanon in improving awareness and c ompliance to medical and nutritional therapy among HD patients. Future studies m ay consider a longer duration (greater or equal 6 months), with a follow up peri od of at least one month and a larger population for more representative results.