P743 - NUTRITIONAL INTAKE AND DIET QUALITY IN HEMODIALYSIS PATIENTS: SCOPE FOR IMPROVEMENT

P743

NUTRITIONAL INTAKE AND DIET QUALITY IN HEMODIALYSIS PATIENTS: SCOPE FOR IMPROVEMENT

M. De Geus^1,*, W. J. visser¹, M. Dam², A. van Egmond-de Mik ¹, M. de van de Schueren^3,4, M. Tieland⁵, P. J. Weijs^6,7, H. M. Kruizenga², K. J. Ipema⁸

¹Department of internal medicine, Erasmus MC, Rotterdam, ²Department of Nutrition and Dietetics, Amsterdam University Medical Centers, Amsterdam, ³Department of Nutrition, Dietetics and Lifestyle, HAN university of applied sciences, Nijmwegen, ⁴Division of Human Nutrition and Health, Wageningen University, Wageningen, Netherlands, ⁵Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences , Deakin University, Geelong, Australia, ⁶Center of Expertise Urban Vitality, Amsterdam University of Applied Sciences, Amsterdam, ⁷Department of Nutrition and Dietetics, Amsterdam University Medical Centers, Rotterdam, ⁸Department of Dietetics, University Medical Center Groningen, Groningen, Netherlands

Rationale: Hemodialysis (HD) patients face challenges in upholding dietary compliance. This study aimed to compare dietary intake against disease-specific guidelines. Secondary, to assess the overall diet quality and to explore the association between dietary potassium intake and serum potassium concentrations.

Methods: In this cross-sectional multicenter study, nutrient intake of Dutch adult HD patients was assessed using food frequency questionnaires (FFQs), and diet quality with the Dutch Healthy Diet 15-index(DHD15-index). Intake and diet quality were compared to disease-specific dietary recommendations or Dutch Dietary Guidelines. Insufficient intake was defined as <90% of the requirement, sufficient as 90-100%, and excessive as >110%. The association between serum potassium concentration and dietary potassium intake was modeled with linear regression analysis.

Results: Study population consisted of 248 participants (60% male) from 21 dialysis centers. Energy intake (1789[872] kcal/day) was insufficient for 45% of the participants, while protein intake (1[0.5] g/kg/d) was insufficient for 50%. Despite 67% of participants managing to align their energy intake below 110% of the recommended level, a high prevalence of overweight (61%) was observed in this cohort. Saturated fat intake was excessive for 87% of participants, while only 15% met the recommended fiber intake. Overall diet quality was low (74[20] maximum score of 150). No association was observed between serum potassium and dietary potassium intake after adjusting for relevant confounders (r= 0.163, P= 0.261).

Conclusion: A considerable proportion of Dutch HD patients were unable to meet disease-specific dietary guidelines. Diet quality was shown to be poor.

Disclosure of Interest: None declared