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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


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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

Article information

Korean J Community Nutr. 2017;22(5):426-440
Publication date (electronic) : 2017 October 31
doi : https://doi.org/10.5720/kjcn.2017.22.5.426
Dong-Ryeol Ryu1, Jung-Hyun Kim2orcid_icon, Hyun-Jung Kim3, Min-Sook Kyung4, Jung-Tak Park5
1Department of Internal Medicine, School of Medicine, Ewha Womans University, Seoul, Korea.
2Department of Home Economics Education(Major of Food and Nutrition), PaiChai University, Daejeon, Korea.
3College of Nursing, Ewha Womans University, Seoul, Korea.
4Graduate School of Yonsei University, Major of Food and Nutrition, Seoul, Korea.
5Department of Internal Medicine, College of Medicine, Institute of Kidney Disease Research, Yonsei University, Seoul, Korea.
Corresponding author: Jung-Hyun Kim. Department of Home Economics Education (Major of Food and Nutrition), PaiChai University, 155-40, Baejae-ro, Seo-gu, Daejeon, Republic of Korea. Tel: (042) 520-5424, Fax: (042) 520-5421, jhkim99@pcu.ac.kr
Received 2017 September 29; Revised 2017 October 30; Accepted 2017 October 30.

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: semi-quantitative frequency method; 7-day dietary records method; hemodialysis patients

Acknowledgments

This research was supported by a grant from the National Research Foundation of Korea (HC15C1129).

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Article information Continued

Copyright © 2017 The Korean Society of Community Nutrition
The Korean Society of Community Nutrition

This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Funded by : National Research Foundation of Koreahttp://dx.doi.org/10.13039/501100003725
Award ID : HC15C1129

Table 1

General characteristics of the hemolysis patients

Table 1

1) Mean±SD

2) HD: hemodialysis

3) N (%)

4) Post-dialytic weight

5) BMI: body mass index=weight (kg)/height (m2)

6) PIBW: percent ideal body weight=weight (kg)/standard weight (kg)*100

Table 2

Biochemical examination (Hematology, Blood chemistry, Lipid tests)

Table 2

1) Nutrition therapy and pathophysiology, Cengage Learning, Nelms, 2012.

2) Unpaired Student's t-test was used to compare between male and female groups and significantly different between two groups at * p<0.05

Table 3

Nutrient intake status (%): calories, calories nutrients, dietary fiber, water intake correlation

Table 3

1) Pearson's correlation coefficient test was used to assess the correlation coefficient between 24-hrs recall and food frequency questionnaire and significantly correlated at *: p<0.05, **: p<0.01, ***: p<0.001

Table 4

Nutrient intake status (%): vitamins and minerals

Table 4

1) Pearson's correlation coefficient test was used to assess the correlation coefficient between 24-hrs recall and food frequencyquestionnaire and significantly correlated at *: p<0.05, **: p<0.01, ***: p<0.001

Table 5

Food intake frequency

Table 5

1) Pearson's correlation coefficient test was used to assess the correlation coefficient between 24-hrs recall and food frequencyquestionnaire and significantly correlated at *: p<0.05, **: p<0.01, ***: p<0.001

2) Frequency of daily intake.

Table 6

Percentage of KDRIs1) of the subjects: energy, macronutrients, cholesterol and dietary fiber intakes in male and femalehemolysis patients

Table 6

N. S.

1) Reference source: Dietary Reference Intakes For Koreans 2015.

2) Unit=%

3) *: p<0.05

Table 7

Percentage of KDRIs1) of the subjects: vitamin and minerals intakes in male and female hemolysis patients

Table 7

N. S.

1) Reference source: Dietary Reference Intakes For Koreans 2015.

2) Unit=%

3) *: p<0.05, **: p<0.01

Table 8

Percentage of kidney patient nutrient intake standard contrast1) of the subjects

Table 8

1) Reference source: Overview of the management of chronic kidney disease in adults, *Data from: 1. Ahmed K, Kopple J. Nutritional management of renal disease. In: Primer on Kidney Diseases, Greenberg A (Ed). Academic Press, San Diego, CA, 1994, p.289. 2. Ikizler IA. Nutrition and kidney disease. In: Primer on Kidney Diseases, Greenberg A (Ed). Elsevier, Philadelphia, 2005, p.496.

2) Unit=%

3) *: p<0.05, **: p<0.01