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Comparison Between Semi-Quantitative Frequency Methods and 7-day Dietary Records Methods in Food and Nutrition Intake Status For Hemodialysis Patients

혈액투석환자 대상 반정량적 식품섭취빈도 조사법과 7일간 식사기록법을 이용한 일상 식품과 영양소 섭취수준 비교

  • Ryu, Dong-Ryeol (Department of Internal Medicine, School of Medicine, Ewha Womans University) ;
  • Kim, Jung-Hyun (Department of Home Economics Education(Major of Food and Nutrition), PaiChai University) ;
  • Kim, Hyun-Jung (College of Nursing, Ewha Womans University) ;
  • Kyung, Min-Sook (Graduate School of Yonsei University, Major of Food and Nutrition) ;
  • Park, Jung-Tak (Department of Internal Medicine, College of Medicine, Institute of Kidney Disease Research, Yonsei University)
  • 류동열 (이화여자대학교 의과대학 내과학교실) ;
  • 김정현 (배재대학교 가정교육과) ;
  • 김현정 (이화여자대학교 간호대학) ;
  • 경민숙 (연세대학교 대학원 식품영양학전공) ;
  • 박정탁 (연세대학교 의과대학 내과학교실, 신장질환연구소)
  • Received : 2017.09.29
  • Accepted : 2017.10.30
  • Published : 2017.10.31

Abstract

Objectives: The valid assessment of food and nutrients intakes using appropriate dietary intake method is necessary to improve the nutritional status of the hemodialysis (HD) patients. This study was conducted to compare the method between newly developed, semi-quantitative food frequency questionnaire (Semi-FFQ) and 7-day dietary records (7-DRs) for hemodialysis patients. Methods: We conducted both methods on 53 maintenance HD patients in two university hospitals. We calibrated the frequency, portion size and daily intake of 47 food items reported in Semi-FFQ. The food and nutrients intake was compared and the correlation of the two methods was analyzed. Also each nutrient intake was compared to recommended dietary allowance for Korean (KDRIs) and recommended nutrient reference value for HD patients. Results: Energy and energy-yielding nutrients intakes were significantly higher in the two methods (p<0.01). These support the possible reliability between Semi-FFQ and 7-DRs that is similar with regard to most mineral and vitamin intakes. Thus, the Semi-FFQ used in this study for the assessment of nutrient intakes of HD patients can be reliable for the assessment of the nutrient intake along with the 7-DRs. The correlation coefficients were higher for foods consumed daily, such as steamed rice, meat and chicken, bean, egg, milk, coffee and alcohol than for those of foods eaten rarely (p<0.01). Conclusions: The Semi-FFQ used in this study can be a reliable tool for the assessment of the HD patients' nutrient intake along with the 7-DRs, despite its limitations.

Keywords

References

  1. The Korean Society of Nephrology. Korean ESRD registry 2017 [Internet]. The Korean Society of Nephrology; 2017 [cited 2017 May 23]. Available from: www.ksn.or.kr/.
  2. Kim SH, Kim SB. Characteristics in nutritional status of patients on hemodialysis and continuous ambulatory peritoneal patients in Chonbuk area. Korean J Nutr 2003; 36(4): 397-404.
  3. Lee JJ, Kim JM, Kim YR. Association of diet-related quality of life with dietary regimen practice, health-related quality of life, and gastrointestinal symptoms in end-stage renal disease patients with hemodialysis. Korean J Nutr 2013; 46(2): 137-146. https://doi.org/10.4163/kjn.2013.46.2.137
  4. Chang YK, Jin YG, Park HC. Dietary evaluation and protein catabolic rate in maintenance hemodialysis patients. Korean J Nutr 1992; 25(3): 256-263.
  5. Lee YJ, Lee YJ, Oh IH, Lee CH, Lee SS. Comparative study of serum levels of albumin and hs-CRP in hemodialysis patients according to protein intake levels. J Nutr Health 2013; 46(6): 521-530. https://doi.org/10.4163/jnh.2013.46.6.521
  6. Ahmed K, Kopple J. Nutritional management of renal disease. San Diego, CA: Academic Press; 1994. p.289.
  7. Ikizler IA. Nutrition and kidney disease. Philadelphia: Elsevier; 2005. p.496.
  8. Seo HJ. A study on effect of nutrition education in hemodialysis patients [master's thesis]. Changwon's University; 2002.
  9. Kim SM, Lee YS, Cho DK. Nutritional assessment of the hemodialysis patients. Korean J Nutr 2000; 33(2): 179-185.
  10. Woo HJ, Lee YJ, Oh IH, Lee CH, Lee SS. Association of food intake with serum levels of phosphorus and potassium in hemodialysis patients. J Nutr Health 2014; 47(1): 33-44. https://doi.org/10.4163/jnh.2014.47.1.33
  11. Murphy SP, Poos MI. Dietary reference intakes: Summary of applications in dietary assessment. Public Health Nutr 2002; 5(6A): 843-849. https://doi.org/10.1079/PHN2002389
  12. Pietinen P, Hartman AM, Haapa E, Rasanen L, Haapakoski J, Palmgren JK et al. Reproducibility and validity of dietary assessment instruments. Am J Epidemiol 1988; 128(3): 667-676. https://doi.org/10.1093/oxfordjournals.aje.a115014
  13. Souverein OW, Dekkers AL, Geelen A, Haubrock J, de Vries JH, Ocke MC et al. Comparing four methods to estimate usual intake distributions. Eur J Clin Nutr 2011; 65(S1): S92-S101. https://doi.org/10.1038/ejcn.2011.93
  14. Ahn Y, Kwon E, Shim JE, Park MK, Joo Y, Kimm K et al. Validation and reproducibility of food frequency questionnaire for Korean genome epidemiologic study. Eur J Clin Nutr 2007; 61(12): 1435-1441. https://doi.org/10.1038/sj.ejcn.1602657
  15. Cho YE, Lee SL, Cho EH, Lomeda RAL, Kwak EH, Kim YH et al. Comparison of nutrient intakes of Korean elderly people living in rural area between 24-hour recall and food frequency method. J Korean Soc Food Sci Nutr 2006; 35(6): 698-707. https://doi.org/10.3746/jkfn.2006.35.6.698
  16. Lee SY, Ju DL, Paik HY, Shin CS, Lee HK. Assessment of dietary intake obtained by 24-hour recall method in adults living in Yeonchon area (1): Assessment based on nutrient intake. Korean J Nutr 1998; 31(3): 333-342.
  17. Lee JY, Kim DW. Validation of food intake frequency from food frequency questionnaire for use as a covariate in a model to estimate usual food intake. Culin Sci Hosp Res 2017; 23(2): 64-73. https://doi.org/10.20878/cshr.2017.23.2.007
  18. The Korean Nutrition Society. CAN-Pro4.0 [Internet]. The Korean Nutrition Society; 2011 [cited 2011 Nov 24]. Available from: http://www.kns.or.kr/.
  19. Rural Development Administration. Korean Food Composition Table (9th revision) [Internet]. Rural Development Administration; 2017 [cited 2017 Jun 30]. Available from: http://www.rda.go.kr/.
  20. Lee JW, Lee MS, Kim IH, Son SM, Lee BS. Nutrition Assessment. Gyomunsa; 2009. p. 100-201.
  21. The Korean Dietetic Association. Manual of medical nutrition therapy [Internet]. Korean Dietetic Association; 2008 [cited 2008 Sep 01]. Available from: www.dietitian.or.kr/.
  22. Lee JH, Lee YI, Choi JH, Lee HJ, Shin DH, Lee EJ. Association between waist-to-height ratio and metabolic risk factors in Korean adults with overweight body mass index: Korean National Health and Nutrition Examination Survey, 2010-2012. Korean J Fam Pract 2017; 7(1): 125-130. https://doi.org/10.21215/kjfp.2017.7.1.125
  23. Yun SH, Shim JS, Kweon S, Oh K. Development of a food frequency questionnaire for the Korea National Health and Nutrition Examination Survey: data from the fourth Korea National Health and Nutrition Examination Survey (KNHANES IV). Korean J Nutr 2013; 46(2): 186-196. https://doi.org/10.4163/kjn.2013.46.2.186
  24. The Korean Nutrition Society. 2015 Korean Dietary Reference for Koreans (KDRIs). Seoul: The Korean Nutrition Society; 2015.
  25. Park JK, Son SM. Nutritional status of continuous ambulatory peritoneal dialysis patients. Korean J Nutr 2006; 39(7): 624-640.
  26. Kim YH, Seo HJ, Kim SR. A study of the nutritional status, nutritional knowledge, and dietary habits of the hemodialysis patients. Korean J Nutr 2001; 34(8): 920-928.
  27. Kim JY, Oh SY, Lee HB. Evaluation of dietary behavioral factors related to nutritional status of hemodialysis patients. Korean J Community Nutr 2001; 6(5): 972-973.
  28. Bae NY. Relationship between self-efficacy, salty taste sensitivity, salty taste and low salt diet in patients with chronic kidney disease [master's thesis]. Ewha Woman's University; 2017.
  29. Lee HS, Lee SY. Nutrient intake status and relevant factors of hemodialysis patients hospitalized in general hospital located in Daejeon. Korean J Human Ecol 2016; 25(1): 55-71. https://doi.org/10.5934/kjhe.2016.25.1.55
  30. Kim MJ, Park CN, Kang YE, Lee SS. The effects of nutrition education and regular exercise on nutritional status, quality of life and fatigue in hemodialysis patients. J Korean Diet Assoc 2013; 19(4): 373-388. https://doi.org/10.14373/JKDA.2013.19.4.373
  31. Park OL, Jang YJ, Jung JH, Kim SR. Factors affecting malnutrition in hemodialysis patients. Korean J Adult Nurs 2016; 28(2): 226-236. https://doi.org/10.7475/kjan.2016.28.2.226
  32. Park KY, Sim YM, Kim SB, Choi SM. A study of the nutritional status and its related factors in the elderly hemodialysis patients. Korean J Nutr 2006; 39(2): 133-144.
  33. Kim HW, Choi SM. Structural equation modeling on quality of life in pre-dialysis patients with chronic kidney disease. J Korean Acad Nurs 2012; 42(5): 699-708. https://doi.org/10.4040/jkan.2012.42.5.699
  34. Jung YJ, Park YS, Kim HS, Jang YK, Kim C. Evaluation of nutrient intakes in the hemodialysis patients according to the socioeconomic status: in Daejeon and Chungnam areas. Korean J Nutr 2002; 35(5): 544-557.
  35. Kim BM. Seasonal variations of nutritional intake in patients on hemodialysis [master's thesis]. Hanyang's Univercity; 2015.
  36. Date C, Fukui M, Yamamoto A, Wakai K, Ozeki A, Motohashi Y et al. Reproducibility and validity of a self-administered food frequency questionnaire used in the JACC study. J Epidemiol 2005; 15(S1): S9-S23. https://doi.org/10.2188/jea.15.S9
  37. Tokudome S, Imaeda N, Tokudome Y, Fujiwara N, Nagaya T, Sato J et al. Relative validity of a semi-quantitative food frequency questionnaire versus 28 day weighed diet records in Japanese female dietitians. Eur J Clin Nutr 2001; 55(9): 735-742. https://doi.org/10.1038/sj.ejcn.1601215
  38. Deschamps V, de Lauzon-Guillain B, Lafay L, Borys JM, Charles MA, Romon M. Reproducibility and relative validity of a food-frequency questionnaire among French adults and adolescents. Eur J Clin Nutr 2009; 63(2): 282-291. https://doi.org/10.1038/sj.ejcn.1602914
  39. Suk YM, Park JW, Jeon MJ, Kim CY. Effect of periodic video education on knowledge about hemodialysis, patient role behavior and the physiologic index in patients with hemodialysis. J Korean Biol Nurs Sci 2013; 15(3): 122-132. https://doi.org/10.7586/jkbns.2013.15.3.122
  40. Lee YM, Lee YK. Effectiveness of nutrition education and counseling on the salty taste assessment, nutrition knowledge and dietary attitude of hemodialysis patients. Korean J Community Nutr 2013; 18(4): 402-412. https://doi.org/10.5720/kjcn.2013.18.4.402

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