BACKGROUND: Fast food consumption has increased dramatically in the general population over the last 25 years. However, little is known about the prevalence and nutritional implications of fast food consumption among patients receiving hemodialysis. METHODS: By using a cross-sectional study design, we obtained data on fast food consumption and nutrient intake (from four separate 24-hour dietary recalls) and nutritional parameters (from chart abstraction) for 194 randomly selected patients from 44 hemodialysis facilities in northeast Ohio. RESULTS: Eighty-one subjects (42%) reported consuming at least one fast food meal or snack in 4 days. Subjects who consumed more fast food had higher kilocalorie, carbohydrate, total fat, saturated fat, and sodium intakes. For example, kilocalorie per kilogram intake per day increased from 18.9 to 26.1 with higher frequencies of fast food consumption (P = .003). Subjects who consumed more fast food also had higher serum phosphorus levels and interdialytic weight gains. CONCLUSION: Fast food is commonly consumed by patients receiving hemodialysis and is associated with a higher intake of kilocalories, carbohydrates, fats, and sodium and adverse changes in phosphorus and fluid balance. Further work is needed to understand the long-term benefits and risks of fast food consumption among patients receiving hemodialysis.
BACKGROUND: Fast food consumption has increased dramatically in the general population over the last 25 years. However, little is known about the prevalence and nutritional implications of fast food consumption among patients receiving hemodialysis. METHODS: By using a cross-sectional study design, we obtained data on fast food consumption and nutrient intake (from four separate 24-hour dietary recalls) and nutritional parameters (from chart abstraction) for 194 randomly selected patients from 44 hemodialysis facilities in northeast Ohio. RESULTS: Eighty-one subjects (42%) reported consuming at least one fast food meal or snack in 4 days. Subjects who consumed more fast food had higher kilocalorie, carbohydrate, total fat, saturated fat, and sodium intakes. For example, kilocalorie per kilogram intake per day increased from 18.9 to 26.1 with higher frequencies of fast food consumption (P = .003). Subjects who consumed more fast food also had higher serum phosphorus levels and interdialytic weight gains. CONCLUSION: Fast food is commonly consumed by patients receiving hemodialysis and is associated with a higher intake of kilocalories, carbohydrates, fats, and sodium and adverse changes in phosphorus and fluid balance. Further work is needed to understand the long-term benefits and risks of fast food consumption among patients receiving hemodialysis.
Authors: Holly J Kramer; Anand Saranathan; Amy Luke; Ramone A Durazo-Arvizu; Cao Guichan; Susan Hou; Richard Cooper Journal: J Am Soc Nephrol Date: 2006-04-05 Impact factor: 10.121
Authors: Mark A Pereira; Alex I Kartashov; Cara B Ebbeling; Linda Van Horn; Martha L Slattery; David R Jacobs; David S Ludwig Journal: Lancet Date: 2005 Jan 1-7 Impact factor: 79.321
Authors: Orlando M Gutiérrez; Ronit Katz; Carmen A Peralta; Ian H de Boer; David Siscovick; Myles Wolf; Ana Diez Roux; Bryan Kestenbaum; Jennifer A Nettleton; Joachim H Ix Journal: J Ren Nutr Date: 2012-01-03 Impact factor: 3.655
Authors: Orlando M Gutiérrez; Cheryl Anderson; Tamara Isakova; Julia Scialla; Lavinia Negrea; Amanda Hyre Anderson; Keith Bellovich; Jing Chen; Nancy Robinson; Akinlolu Ojo; James Lash; Harold I Feldman; Myles Wolf Journal: J Am Soc Nephrol Date: 2010-09-16 Impact factor: 10.121
Authors: Mun Sun Choi; Brandon Kistler; Gretchen N Wiese; Elizabeth R Stremke; Amy J Wright; Ranjani N Moorthi; Sharon M Moe; Kathleen M Hill Gallant Journal: J Ren Nutr Date: 2018-08-11 Impact factor: 3.655