ABSTRACT PP289-MON DISTRIBUTION OF PHOSPHORUS INTAKE THROUGHOUT THE DAY IN SPANISH HEMODIALYSIS P... more ABSTRACT PP289-MON DISTRIBUTION OF PHOSPHORUS INTAKE THROUGHOUT THE DAY IN SPANISH HEMODIALYSIS PATIENTS A. Sanz-Paris1, M.C. Bah1, N. Gimenez-Legarre1, L.-M. Lou-Arnal2, J. Perez-Perez2, M. Garcia-Mena3, R. Alvarez4, A. Caverni-Mu˜noz5, D. Boj-Carceller1, on behalf of Aragon CKD Research Group. 1Nutrition Unit, 2Nephrology, Miguel Servet Hospital, 3Nephrology, San Juan de Dios Hospital, 4Nephrology, Clinic Hospital, 5Dietitian, ALCER Ebro, Zaragoza, Spain Rationale: Little is known about the amount of phosphorus ingested in different meals of the day. The taking of phosphate binders should be related to the amount of phosphorus that intake. In Spain the distribution of meals is different from rest of Europe. The aim of the present study was to estimate the amount of dietary phosphorus intake in the different meals of the day in hemodialysis patients. Methods: Accepted to conduct the study 78 patients, 47±34 years of age, 56% were men. Written informed consent was obtained from all patients before enrollment in the study. Distribution of phosphorus intake was determined throughout the day (Breakfast, brunch, lunch, afternoon tea, dinner and late night snack). Dietary intake was recorded for 3 days by means of 3-day diet diaries. Dietary records (weighed food) were determined by means of computerized software DIAL. The study was performed in March 2014. Test statistic: T Student for paired data. Results: The distribution of phosphorus intake throughout the day in percentages was: Breakfast (22.3%), brunch (12%), lunch (40.4%), afternoon tea (3%), dinner (20.6%) and late night snack (1.7%). Phosphorus intake differed significantly between the three types of days in brunch (p: 0.0001), dinner (p: 0.05) and late night snack (p: 0.001). Dialysis day Non-dialysis day Festive day Breakfast 201±186 191±92 237±246 Brunch 187±110* 54±78* 127±54* Lunch 346±215 357±241 429±284 Afternoon tea 42±75 56±111 31±54 Dinner 189±125* 280±273* 219±171* Late night snack 56±234* 26±65* 18±54* Conclusion: The treatment schedule for of chelating phosphorus is usually fixed but phosphorus intake varies so much from day to day at lunch, dinner and late night snack. The amount of phosphorus ingested throughout the day is done mostly in food, breakfast and dinner.
The purpose of this study is to evaluate the effects and clinical tolerance of an enteral diet co... more The purpose of this study is to evaluate the effects and clinical tolerance of an enteral diet containing 55% "AET" in the form of fat and only 28% in the form of H. C. in a group of 17 polytraumatized patients admitted to the Intensive Care Unit with assisted ventilation as a result of thoracic traumatism. The average age of the patients was 36.6 +/- 17 years, and they remained in Intensive Care for more than 10 days. Energetic requirements were estimated at 1,800 +/- 180 Kcal per day. Enteral intake commenced on day 4.5 +/- 1.2 and 90% of the estimated requirements was achieved at 8.5 +/- 2.9 days. Average duration of the Enteral Nutrition was 15 +/- 3.7 days, Tolerance of the diet was considered good and problems due to intolerance leading to suspension of the diet were mainly related to worsening of the clinical condition. The volumen per minute expired per Kg of weight descended gradually and assisted ventilation was removed at 16 +/- 5.4 days, 5 patients died, mainly...
ABSTRACT PP289-MON DISTRIBUTION OF PHOSPHORUS INTAKE THROUGHOUT THE DAY IN SPANISH HEMODIALYSIS P... more ABSTRACT PP289-MON DISTRIBUTION OF PHOSPHORUS INTAKE THROUGHOUT THE DAY IN SPANISH HEMODIALYSIS PATIENTS A. Sanz-Paris1, M.C. Bah1, N. Gimenez-Legarre1, L.-M. Lou-Arnal2, J. Perez-Perez2, M. Garcia-Mena3, R. Alvarez4, A. Caverni-Mu˜noz5, D. Boj-Carceller1, on behalf of Aragon CKD Research Group. 1Nutrition Unit, 2Nephrology, Miguel Servet Hospital, 3Nephrology, San Juan de Dios Hospital, 4Nephrology, Clinic Hospital, 5Dietitian, ALCER Ebro, Zaragoza, Spain Rationale: Little is known about the amount of phosphorus ingested in different meals of the day. The taking of phosphate binders should be related to the amount of phosphorus that intake. In Spain the distribution of meals is different from rest of Europe. The aim of the present study was to estimate the amount of dietary phosphorus intake in the different meals of the day in hemodialysis patients. Methods: Accepted to conduct the study 78 patients, 47±34 years of age, 56% were men. Written informed consent was obtained from all patients before enrollment in the study. Distribution of phosphorus intake was determined throughout the day (Breakfast, brunch, lunch, afternoon tea, dinner and late night snack). Dietary intake was recorded for 3 days by means of 3-day diet diaries. Dietary records (weighed food) were determined by means of computerized software DIAL. The study was performed in March 2014. Test statistic: T Student for paired data. Results: The distribution of phosphorus intake throughout the day in percentages was: Breakfast (22.3%), brunch (12%), lunch (40.4%), afternoon tea (3%), dinner (20.6%) and late night snack (1.7%). Phosphorus intake differed significantly between the three types of days in brunch (p: 0.0001), dinner (p: 0.05) and late night snack (p: 0.001). Dialysis day Non-dialysis day Festive day Breakfast 201±186 191±92 237±246 Brunch 187±110* 54±78* 127±54* Lunch 346±215 357±241 429±284 Afternoon tea 42±75 56±111 31±54 Dinner 189±125* 280±273* 219±171* Late night snack 56±234* 26±65* 18±54* Conclusion: The treatment schedule for of chelating phosphorus is usually fixed but phosphorus intake varies so much from day to day at lunch, dinner and late night snack. The amount of phosphorus ingested throughout the day is done mostly in food, breakfast and dinner.
The purpose of this study is to evaluate the effects and clinical tolerance of an enteral diet co... more The purpose of this study is to evaluate the effects and clinical tolerance of an enteral diet containing 55% "AET" in the form of fat and only 28% in the form of H. C. in a group of 17 polytraumatized patients admitted to the Intensive Care Unit with assisted ventilation as a result of thoracic traumatism. The average age of the patients was 36.6 +/- 17 years, and they remained in Intensive Care for more than 10 days. Energetic requirements were estimated at 1,800 +/- 180 Kcal per day. Enteral intake commenced on day 4.5 +/- 1.2 and 90% of the estimated requirements was achieved at 8.5 +/- 2.9 days. Average duration of the Enteral Nutrition was 15 +/- 3.7 days, Tolerance of the diet was considered good and problems due to intolerance leading to suspension of the diet were mainly related to worsening of the clinical condition. The volumen per minute expired per Kg of weight descended gradually and assisted ventilation was removed at 16 +/- 5.4 days, 5 patients died, mainly...
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