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20-11-2023 | COVID-19 | Original article

Questionnaire survey of the frequency of dietary intake during hemodialysis and the impact of COVID-19 in Japan

Authors: Hideyuki Kabasawa, Michihiro Hosojima, Ichiei Narita

Published in: Clinical and Experimental Nephrology

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Abstract

Background

There have been no coherent reports on the effects of dietary intake during hemodialysis in Japan. Furthermore, few studies have reported the impact of the COVID-19 pandemic on them. This study aimed to investigate dietary intake during hemodialysis and its impact on the spread of COVID-19.

Methods

This consecutive cross-sectional study included a survey of all hemodialysis facilities in the Niigata Prefecture. The survey form was sent via e-mail or fax.

Results

Fifty four facilities (98%) responded to the 2018 survey. Twenty-eight facilities (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 number of all patients undergoing dialysis and nocturnal dialysis consuming meals decreased to 13% and 32%, respectively. In the 2022 survey, the number of facilities decreased to 14 (27%), and the number of all patients undergoing dialysis and nocturnal dialysis decreased to 9% and 19%, respectively.

Conclusion

The COVID-19 pandemic has caused a decrease in both facilities serving meals and patients’ food consumption during hemodialysis. To prevent the loss of meal opportunities, establishing safe methods for food intake and alternatives in hemodialysis facilities is necessary.
Literature
1.
go back to reference Mori K, Kurajoh M, Inaba M, Emoto M. Multifaceted nutritional disorders in elderly patients undergoing dialysis. Kidney Dial. 2022;3(1):1–23. CrossRef Mori K, Kurajoh M, Inaba M, Emoto M. Multifaceted nutritional disorders in elderly patients undergoing dialysis. Kidney Dial. 2022;3(1):1–23. CrossRef
2.
go back to reference Fouque D, Kalantar-Zadeh K, Kopple J, Cano N, Chauveau P, Cuppari L, et al. A proposed nomenclature and diagnostic criteria for protein-energy wasting in acute and chronic kidney disease. Kidney Int. 2008;73(4):391–8. CrossRefPubMed Fouque D, Kalantar-Zadeh K, Kopple J, Cano N, Chauveau P, Cuppari L, et al. A proposed nomenclature and diagnostic criteria for protein-energy wasting in acute and chronic kidney disease. Kidney Int. 2008;73(4):391–8. CrossRefPubMed
3.
go back to reference Takahashi H, Ito Y, Ishii H, Aoyama T, Kamoi D, Kasuga H, et al. Geriatric nutritional risk index accurately predicts cardiovascular mortality in incident hemodialysis patients. J Cardiol. 2014;64(1):32–6. CrossRefPubMed Takahashi H, Ito Y, Ishii H, Aoyama T, Kamoi D, Kasuga H, et al. Geriatric nutritional risk index accurately predicts cardiovascular mortality in incident hemodialysis patients. J Cardiol. 2014;64(1):32–6. CrossRefPubMed
4.
go back to reference Machiba Y, Mori K, Shoji T, Nagata Y, Uedono H, Nakatani S, et al. Nutritional disorder evaluated by the geriatric nutritional risk index predicts death after hospitalization for infection in patients undergoing maintenance hemodialysis. J Ren Nutr. 2022;32(6):751–7. CrossRefPubMed Machiba Y, Mori K, Shoji T, Nagata Y, Uedono H, Nakatani S, et al. Nutritional disorder evaluated by the geriatric nutritional risk index predicts death after hospitalization for infection in patients undergoing maintenance hemodialysis. J Ren Nutr. 2022;32(6):751–7. CrossRefPubMed
5.
go back to reference Nagy E, Mahmoud M, El-kannishy G, Sayed-Ahmed N. Impact of malnutrition on health-related quality of life in patients on maintenance hemodialysis. Ther Apher Dial. 2021;25(4):467–74. CrossRefPubMed Nagy E, Mahmoud M, El-kannishy G, Sayed-Ahmed N. Impact of malnutrition on health-related quality of life in patients on maintenance hemodialysis. Ther Apher Dial. 2021;25(4):467–74. CrossRefPubMed
6.
go back to reference Beberashvili I, Azar A, Sinuani I, Kadoshi H, Shapiro G, Feldman L, et al. Comparison analysis of nutritional scores for serial monitoring of nutritional status in hemodialysis patients. Clin J Am Soc Nephrol. 2013;8(3):443–51. CrossRefPubMedPubMedCentral Beberashvili I, Azar A, Sinuani I, Kadoshi H, Shapiro G, Feldman L, et al. Comparison analysis of nutritional scores for serial monitoring of nutritional status in hemodialysis patients. Clin J Am Soc Nephrol. 2013;8(3):443–51. CrossRefPubMedPubMedCentral
7.
go back to reference Ikizler TA, Cano NJ, Franch H, Fouque D, Himmelfarb J, Kalantar-Zadeh K, et al. Prevention and treatment of protein energy wasting in chronic kidney disease patients: a consensus statement by the international society of renal nutrition and metabolism. Kidney Int. 2013;84(6):1096–107. CrossRefPubMed Ikizler TA, Cano NJ, Franch H, Fouque D, Himmelfarb J, Kalantar-Zadeh K, et al. Prevention and treatment of protein energy wasting in chronic kidney disease patients: a consensus statement by the international society of renal nutrition and metabolism. Kidney Int. 2013;84(6):1096–107. CrossRefPubMed
8.
go back to reference Burrowes JD, Larive B, Cockram DB, Dwyer J, Kusek JW, McLeroy S, et al. Effects of dietary intake, appetite, and eating habits on dialysis and non-dialysis treatment days in hemodialysis patients: cross-sectional results from the HEMO study. J Ren Nutr. 2003;13(3):191–8. CrossRefPubMed Burrowes JD, Larive B, Cockram DB, Dwyer J, Kusek JW, McLeroy S, et al. Effects of dietary intake, appetite, and eating habits on dialysis and non-dialysis treatment days in hemodialysis patients: cross-sectional results from the HEMO study. J Ren Nutr. 2003;13(3):191–8. CrossRefPubMed
9.
go back to reference Kistler BM, Benner D, Burrowes JD, Campbell KL, Fouque D, Garibotto G, et al. Eating during hemodialysis treatment: a consensus statement from the international society of renal nutrition and metabolism. J Ren Nutr. 2018;28(1):4–12. CrossRefPubMed Kistler BM, Benner D, Burrowes JD, Campbell KL, Fouque D, Garibotto G, et al. Eating during hemodialysis treatment: a consensus statement from the international society of renal nutrition and metabolism. J Ren Nutr. 2018;28(1):4–12. CrossRefPubMed
10.
go back to reference Kistler B, Benner D, Burgess M, Stasios M, Kalantar-Zadeh K, Wilund KR. To eat or not to eat-international experiences with eating during hemodialysis treatment. J Ren Nutr. 2014;24(6):349–52. CrossRefPubMed Kistler B, Benner D, Burgess M, Stasios M, Kalantar-Zadeh K, Wilund KR. To eat or not to eat-international experiences with eating during hemodialysis treatment. J Ren Nutr. 2014;24(6):349–52. CrossRefPubMed
11.
go back to reference Benner D, Burgess M, Stasios M, Brosch B, Wilund K, Shen S, et al. In-Center nutrition practices of clinics within a large hemodialysis provider in the United States. Clin J Am Soc Nephrol. 2016;11(5):770–5. CrossRefPubMedPubMedCentral Benner D, Burgess M, Stasios M, Brosch B, Wilund K, Shen S, et al. In-Center nutrition practices of clinics within a large hemodialysis provider in the United States. Clin J Am Soc Nephrol. 2016;11(5):770–5. CrossRefPubMedPubMedCentral
12.
go back to reference Sultan BO, Fouad AM, Zaki HM. Adherence to hemodialysis and medical regimens among patients with end-stage renal disease during COVID-19 pandemic: a cross-sectional study. BMC Nephrol. 2022;23(1):1–9. CrossRef Sultan BO, Fouad AM, Zaki HM. Adherence to hemodialysis and medical regimens among patients with end-stage renal disease during COVID-19 pandemic: a cross-sectional study. BMC Nephrol. 2022;23(1):1–9. CrossRef
13.
go back to reference Yoshifuji A, Ryuzaki M, Uehara Y, Ohmagari N, Kawai T, Kanno Y, et al. Committee report: questionnaire survey on the treatment of COVID-19 in patients receiving dialysis therapy. Ren Replace Ther. 2022;8(1):18. CrossRefPubMedPubMedCentral Yoshifuji A, Ryuzaki M, Uehara Y, Ohmagari N, Kawai T, Kanno Y, et al. Committee report: questionnaire survey on the treatment of COVID-19 in patients receiving dialysis therapy. Ren Replace Ther. 2022;8(1):18. CrossRefPubMedPubMedCentral
14.
go back to reference Wu J, Li J, Zhu G, Zhang Y, Bi Z, Yu Y, et al. Clinical features of maintenance hemodialysis patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. Clin J Am Soc Nephrol. 2020;15(8):1139. CrossRefPubMedPubMedCentral Wu J, Li J, Zhu G, Zhang Y, Bi Z, Yu Y, et al. Clinical features of maintenance hemodialysis patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. Clin J Am Soc Nephrol. 2020;15(8):1139. CrossRefPubMedPubMedCentral
15.
go back to reference Flythe JE, Assimon MM, Tugman MJ, Chang EH, Gupta S, Shah J, et al. Characteristics and outcomes of individuals with pre-existing kidney disease and COVID-19 admitted to intensive care units in the United States. Am J Kidney Dis. 2021;77(2):190–203. CrossRefPubMed Flythe JE, Assimon MM, Tugman MJ, Chang EH, Gupta S, Shah J, et al. Characteristics and outcomes of individuals with pre-existing kidney disease and COVID-19 admitted to intensive care units in the United States. Am J Kidney Dis. 2021;77(2):190–203. CrossRefPubMed
17.
go back to reference Kabasawa K, Tanaka J, Komata T, Matsui K, Nakamura K, Ito Y, et al. Determination of specific life changes on psychological distress during the COVID-19 pandemic. PLoS ONE. 2021;16(8): e0256481. CrossRefPubMedPubMedCentral Kabasawa K, Tanaka J, Komata T, Matsui K, Nakamura K, Ito Y, et al. Determination of specific life changes on psychological distress during the COVID-19 pandemic. PLoS ONE. 2021;16(8): e0256481. CrossRefPubMedPubMedCentral
18.
go back to reference Nitta K, Masakane I, Hanafusa N, Taniguchi M, Hasegawa T, Nakai S, et al. Annual dialysis data report 2017, JSDT renal data registry. Ren Replace Ther. 2019;5(1):1–44. CrossRef Nitta K, Masakane I, Hanafusa N, Taniguchi M, Hasegawa T, Nakai S, et al. Annual dialysis data report 2017, JSDT renal data registry. Ren Replace Ther. 2019;5(1):1–44. CrossRef
19.
go back to reference Kabasawa H, Hosojima M, Narita I. Nutritional supports in elderly patients undergoing maintenance hemodialysis. J Jpn Ass Dial Physicians. 2019;34(2):250–5. Kabasawa H, Hosojima M, Narita I. Nutritional supports in elderly patients undergoing maintenance hemodialysis. J Jpn Ass Dial Physicians. 2019;34(2):250–5.
20.
go back to reference Kanda Y. Investigation of the freely available easy-to-use software ‘EZR’ for medical statistics. Bone Marrow Transplant. 2013;48(3):452–8. CrossRefPubMed Kanda Y. Investigation of the freely available easy-to-use software ‘EZR’ for medical statistics. Bone Marrow Transplant. 2013;48(3):452–8. CrossRefPubMed
21.
go back to reference Fukuhara S, Yamazaki C, Hayashino Y, Higashi T, Eichleay MA, Akiba T, et al. The organization and financing of end-stage renal disease treatment in Japan. Int J Health Care Finance Econ. 2007;7(2–3):217–31. CrossRefPubMed Fukuhara S, Yamazaki C, Hayashino Y, Higashi T, Eichleay MA, Akiba T, et al. The organization and financing of end-stage renal disease treatment in Japan. Int J Health Care Finance Econ. 2007;7(2–3):217–31. CrossRefPubMed
22.
go back to reference Hayakawa K, Keola S, Urata S. How effective was the restaurant restraining order against COVID-19? A nighttime light study in Japan. Japan World Econ. 2022;63: 101136. CrossRefPubMedPubMedCentral Hayakawa K, Keola S, Urata S. How effective was the restaurant restraining order against COVID-19? A nighttime light study in Japan. Japan World Econ. 2022;63: 101136. CrossRefPubMedPubMedCentral
23.
go back to reference Kamegai K, Hayakawa K. Towards the light at the end of the tunnel: changes in clinical settings and political measures regarding COVID-19 from 2021, and future perspectives in Japan. Glob Health Med. 2022;4(6):327–31. CrossRefPubMedPubMedCentral Kamegai K, Hayakawa K. Towards the light at the end of the tunnel: changes in clinical settings and political measures regarding COVID-19 from 2021, and future perspectives in Japan. Glob Health Med. 2022;4(6):327–31. CrossRefPubMedPubMedCentral
24.
go back to reference Fotiadou E, Georgianos PI, Chourdakis M, Zebekakis PE, Liakopoulos V. Eating during the hemodialysis session: a practice improving nutritional status or a risk factor for intradialytic hypotension and reduced dialysis adequacy? Nutrients. 2020;12(6):1–11. CrossRef Fotiadou E, Georgianos PI, Chourdakis M, Zebekakis PE, Liakopoulos V. Eating during the hemodialysis session: a practice improving nutritional status or a risk factor for intradialytic hypotension and reduced dialysis adequacy? Nutrients. 2020;12(6):1–11. CrossRef
25.
go back to reference Czaja-Stolc S, Puchalska-Reglińska E, Małgorzewicz S, Potrykus M, Kaczkan M, Kałużna A, et al. Adherence to caloric and protein recommendations in older hemodialysis patients: a multicenter study. Nutrients. 2022;14(19):4160. CrossRefPubMedPubMedCentral Czaja-Stolc S, Puchalska-Reglińska E, Małgorzewicz S, Potrykus M, Kaczkan M, Kałużna A, et al. Adherence to caloric and protein recommendations in older hemodialysis patients: a multicenter study. Nutrients. 2022;14(19):4160. CrossRefPubMedPubMedCentral
26.
go back to reference Hendriks FK, Smeets JSJ, Broers NJH, van Kranenburg JMX, van der Sande FM, Kooman JP, et al. End-stage renal disease patients lose a substantial amount of amino acids during hemodialysis. J Nutr. 2020;150(5):1160–6. CrossRefPubMedPubMedCentral Hendriks FK, Smeets JSJ, Broers NJH, van Kranenburg JMX, van der Sande FM, Kooman JP, et al. End-stage renal disease patients lose a substantial amount of amino acids during hemodialysis. J Nutr. 2020;150(5):1160–6. CrossRefPubMedPubMedCentral
27.
go back to reference May R, Sehgal AR, Hand RK. Changes in US dialysis dietitian responsibilities and patient needs during the COVID-19 pandemic. J Ren Nutr. 2022;32(1):112–9. CrossRefPubMed May R, Sehgal AR, Hand RK. Changes in US dialysis dietitian responsibilities and patient needs during the COVID-19 pandemic. J Ren Nutr. 2022;32(1):112–9. CrossRefPubMed
28.
go back to reference Notomi S, Kitamura M, Yamaguchi K, Harada T, Nishino T, Funakoshi S, et al. Impact of cafeteria service discontinuation at a dialysis facility on medium-term nutritional status of elderly patients undergoing hemodialysis. Nutrients. 2022;14(8):1628. CrossRefPubMedPubMedCentral Notomi S, Kitamura M, Yamaguchi K, Harada T, Nishino T, Funakoshi S, et al. Impact of cafeteria service discontinuation at a dialysis facility on medium-term nutritional status of elderly patients undergoing hemodialysis. Nutrients. 2022;14(8):1628. CrossRefPubMedPubMedCentral
29.
go back to reference Liu PJ, Ma F, Wang QY, He SL. The effects of oral nutritional supplements in patients with maintenance dialysis therapy: a systematic review and meta-analysis of randomized clinical trials. PLoS ONE. 2018;13(9): e0203706. CrossRefPubMedPubMedCentral Liu PJ, Ma F, Wang QY, He SL. The effects of oral nutritional supplements in patients with maintenance dialysis therapy: a systematic review and meta-analysis of randomized clinical trials. PLoS ONE. 2018;13(9): e0203706. CrossRefPubMedPubMedCentral
30.
go back to reference Borzou SR, Mahdipour F, Oshvandi K, Salavati M, Alimohammadi N. Effect of mealtime during hemodialysis on patients’ complications. J Caring Sci. 2016;5(4):277. CrossRefPubMedPubMedCentral Borzou SR, Mahdipour F, Oshvandi K, Salavati M, Alimohammadi N. Effect of mealtime during hemodialysis on patients’ complications. J Caring Sci. 2016;5(4):277. CrossRefPubMedPubMedCentral
Metadata
Title
Questionnaire survey of the frequency of dietary intake during hemodialysis and the impact of COVID-19 in Japan
Authors
Hideyuki Kabasawa
Michihiro Hosojima
Ichiei Narita
Publication date
20-11-2023
Publisher
Springer Nature Singapore
Keyword
COVID-19
Published in
Clinical and Experimental Nephrology
Print ISSN: 1342-1751
Electronic ISSN: 1437-7799
DOI
https://doi.org/10.1007/s10157-023-02430-1