| Effect of controlling dietary carbohydrate intake on blood lipids and glucose of peritoneal dialysis patients |
| Received:September 04, 2020 Revised:October 23, 2020 Click here to download the full text |
| Citation of this paper:SHAO Chun-hai,SU Jian-guang,ZHANG Jia-ying,TIAN Fang,LIU Jing-fang,WANG Nian-hong.Effect of controlling dietary carbohydrate intake on blood lipids and glucose of peritoneal dialysis patients[J].Chinese Journal of Clinical Medicine,2020,27(6):966-970 |
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| Author Name | Affiliation | E-mail | | SHAO Chun-hai | Department of Clinical Nutrition, Huashan Hospital, Fudan University, Shanghai 200040, China
Department of Clinical Nutrition, Shanghai Fifth People's Hospital, Fudan University, Shanghai 200240, China | | | SU Jian-guang | Department of Clinical Nutrition, Huashan Hospital, Fudan University, Shanghai 200040, China | | | ZHANG Jia-ying | Department of Clinical Nutrition, Huashan Hospital, Fudan University, Shanghai 200040, China | | | TIAN Fang | Department of Clinical Nutrition, Huashan Hospital, Fudan University, Shanghai 200040, China | | | LIU Jing-fang | Department of Clinical Nutrition, Huashan Hospital, Fudan University, Shanghai 200040, China | 1583893920@qq.com | | WANG Nian-hong | Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai 200040, China | wnh2005@126.com |
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| Abstract:Objective:To observe the change of blood lipids and glucose after reducing the intake of carbohydrates in the diet of peritoneal dialysis patients.Methods:From August 2016 to April 2017, 35 patients who undenwent long-term peritoneal dialysis in Huashan Hospital, Fudan University were selected. According to the lost amount of glucose in 24 h peritoneal dialysis fluid of patients, which was the amount of glucose absorbed from the peritoneal dialysis fluid, the dietary carbohydrate intake was personally guided, and followed up for 6 months.Results:After the intervention, triglycerides (TG) was reduced,serum total cholesterol (TC)、 low-density lipoprotein (LDL) and adiponectin were all increased, resistin and ferritin were reduced, fasting blood glucose (FBG), hemoglobin A1c (HbA1c), insulin levels and homeostatic model assessment-insulin resistance (HOMA-IR) index were decreased, and serum total protein (TP) was increased (P<0.05). There was no significant difference in body weight, triceps skin fold thickness (TSF), upper arm circumference (AC), and serum albumin (Alb) before and after intervention in peritoneal dialysis patients.Conclusion:According to the amount of glucose absorbed by long-term peritoneal dialysis patients from the peritoneal dialysis fluid, the corresponding reduction in the intake of carbohydrates in their diet would help them reduce blood lipids, improve glucose metabolism, and maintain the nutritional status. |
| keywords:peritoneal dialysis diet control blood lipids glucose |
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