PP141 - A REPEATED CROSS-SECTIONAL STUDY OF THE FREQUENCY OF DIETARY INTAKE DURING HEMODIALYSIS IN JAPAN: QUESTIONNAIRE SURVEY OF INSTITUTIONS PARTICIPATING IN THE NIIGATA SOCIETY FOR DIALYSIS THERAPY
PP141
A REPEATED CROSS-SECTIONAL STUDY OF THE FREQUENCY OF DIETARY INTAKE DURING HEMODIALYSIS IN JAPAN: QUESTIONNAIRE SURVEY OF INSTITUTIONS PARTICIPATING IN THE NIIGATA SOCIETY FOR DIALYSIS THERAPY
K. Toba1,2,*, H. Kabasawa2,3, S. Yamamoto4, M. Hosojima2,3
1Department of Nutrition, Takeda General Hospital, 2Aizubange Center for Nephrology and Clinical Nutrition, Fukushima Medical University, Fukushima, 3Department of Clinical Nutrition Science, Kidney Research Center, Niigata University Graduate School of Medical and Dental Science, 4Division of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan
Rationale: Previous studies have shown that patients on hemodialysis have insufficient energy and protein intake on dialysis days, but there has been no comprehensive report on dietary intake during hemodialysis in Japan. Thus, this study investigated the frequency of dietary intake during hemodialysis in Japan.
Methods: This consecutive cross-sectional study included surveys at four time points (May 2018, May 2020, July 2022, and June 2025) among all hemodialysis facilities in Niigata Prefecture.The survey form was sent and collected via e-mail or fax. There were question items on meal provision during dialysis and the number of patients consuming meals either during or after dialysis within each facility.
Results: Fifty-four facilities (98%) responded to the 2018 survey, of which 28 (52%) provided meals, with 18% of all patients undergoing dialysis and 41% of patients undergoing nocturnal dialysis consuming meals during hemodialysis. In the 2020 survey, the number of facilities decreased to 17 (33%), and the proportion of all patients undergoing dialysis or nocturnal dialysis who consumed meals decreased to 13% and 32%, respectively. In the 2022 survey, the number of facilities decreased to 14 (27%), and the respective proportions decreased to 9% and 19%. In the 2025 survey, the number of facilities decreased to 7 (14%), and the proportion of all patients undergoing dialysis or nocturnal dialysis who consumed meals decreased to 6% and 13%, respectively, indicating a continued decline.
Conclusion: In Japan, the provision of meals during dialysis and patients’ food consumption during hemodialysis have been decreasing over time, and this decline continued even after the COVID-19 pandemic subsided.
Disclosure of Interest: K. Toba: None declared, H. Kabasawa Grant / Research Support from: Kameda Seika Co., Ltd.(€26,900), Biotech Japan Corporation(€53,800), Forica Foods Co., Ltd.(€26,900), S. Yamamoto: None declared, M. Hosojima Grant / Research Support from: Kameda Seika Co., Ltd.（€26,900）, Biotech Japan Corporation（€53,800）, Forica Foods Co., Ltd.（€26,900）