Nutritional management of chronic renal failure by dietitians - The South African experience

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dc.contributor.authorHerselman M.G.
dc.contributor.authorEsau. N.
dc.contributor.authorSteel K.S.
dc.contributor.authorAllen N.A.
dc.contributor.authorLang N.
dc.date.accessioned2011-05-15T16:18:02Z
dc.date.available2011-05-15T16:18:02Z
dc.date.issued2005
dc.description.abstractObjective. The objective of this descriptive study was to assess the practices of South African dietitians regarding the dietary treatment of patients with chronic renal failure. Subjects and design. A questionnaire was mailed to 600 randomly selected dietitians registered with the Health Professions Council of South Africa. Practices were compared to international standards for pre-dialysis, haemodialysis (HD) and peritoneal dialysis (PD) patients. Results. A 26% response rate was obtained, with only 28% of these dietitians indicating that they counsel renal patients. The majority of dietitians met the international dietary recommendations, but a substantial number deviated from them. This was especially evident in PD patients, where the deviation ranged from 20% (4 dietitians) in the case of energy and phosphate, to 55% (11 dietitians) in the case of calcium. Parameters used for the assessment of nutritional status included body mass index (45% of dietitians), serum albumin (44%), clinical examinations (43%), bioelectrical impedance (37%) and diet history (36%). Methods used to monitor dietary compliance included biochemistry, dietary history, anthropometric measurements and clinical investigation. The most frequently used approaches in the management of protein-energy malnutrition included supplemental drinks (86%) and dietary enrichment at household level (76%). Conclusion. Although the majority of dietitians met international standards for most nutrients, there was some variation and uncertainty. Ongoing education will enable South African dietitians to treat renal patients competently and with confidence.
dc.description.versionArticle
dc.identifier.citationSouth African Journal of Clinical Nutrition
dc.identifier.citation18
dc.identifier.citation2
dc.identifier.issn10118578
dc.identifier.urihttp://hdl.handle.net/10019.1/14480
dc.subjectalbumin
dc.subjectalpha tocopherol
dc.subjectascorbic acid
dc.subjectcalcium
dc.subjectfolic acid
dc.subjectmultivitamin
dc.subjectnicotinic acid
dc.subjectphosphate
dc.subjectpyridoxine
dc.subjectretinol
dc.subjectriboflavin
dc.subjectthiamine
dc.subjectvitamin B complex
dc.subjectvitamin D
dc.subjectvitamin K group
dc.subjectalbumin blood level
dc.subjectanthropometric parameters
dc.subjectarticle
dc.subjectbioenergy
dc.subjectbody mass
dc.subjectcaloric intake
dc.subjectchronic kidney failure
dc.subjectclinical examination
dc.subjectclinical practice
dc.subjectcompetence
dc.subjectdiet supplementation
dc.subjectdietitian
dc.subjecthemodialysis
dc.subjecthuman
dc.subjectmajor clinical study
dc.subjectnutritional health
dc.subjectnutritional requirement
dc.subjectnutritional status
dc.subjectnutritional value
dc.subjectparamedical education
dc.subjectpatient compliance
dc.subjectpatient counseling
dc.subjectpatient monitoring
dc.subjectpopulation research
dc.subjectprofessional standard
dc.subjectprotein calorie malnutrition
dc.subjectquestionnaire
dc.subjectSouth Africa
dc.subjectvitamin supplementation
dc.titleNutritional management of chronic renal failure by dietitians - The South African experience
dc.typeArticle
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