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Khor B, Sahathevan S, Ali MSM, Sualeheen A, Chinna K, Gafor AHA, Daud ZAM, Khosla P, Karupaiah T. Associations of dietary fatty acid intakes with inflammation, nutritional status, and all-cause mortality in maintenance hemodialysis patients. Clin Nutr ESPEN 2021. [DOI: 10.1016/j.clnesp.2021.09.090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Kelly B, Vandevijvere S, Hoe NS, Pravst I, Boyland E, Royo-Bordonada MA, Calleja P, Potvin Kent M, Jaichuen N, Karupaiah T, Allemandi L, Cosenza EL, Tutuo Wate J, Zamora-Corrales I, González-Zapata LI, Mchiza ZJR, Zeng L, Swinburn B. Benchmarking children’s potential exposures to television unhealthy food advertising globally. Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky212.676] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- B Kelly
- INFORMAS: International Network for Food and Obesity / Non-communicable Diseases (NCDs) Research, Monitoring and Action Support
| | - S Vandevijvere
- INFORMAS: International Network for Food and Obesity / Non-communicable Diseases (NCDs) Research, Monitoring and Action Support
| | - NS Hoe
- INFORMAS: International Network for Food and Obesity / Non-communicable Diseases (NCDs) Research, Monitoring and Action Support
| | - I Pravst
- INFORMAS: International Network for Food and Obesity / Non-communicable Diseases (NCDs) Research, Monitoring and Action Support
| | - E Boyland
- INFORMAS: International Network for Food and Obesity / Non-communicable Diseases (NCDs) Research, Monitoring and Action Support
| | - MA Royo-Bordonada
- INFORMAS: International Network for Food and Obesity / Non-communicable Diseases (NCDs) Research, Monitoring and Action Support
| | - P Calleja
- INFORMAS: International Network for Food and Obesity / Non-communicable Diseases (NCDs) Research, Monitoring and Action Support
| | - M Potvin Kent
- INFORMAS: International Network for Food and Obesity / Non-communicable Diseases (NCDs) Research, Monitoring and Action Support
| | - N Jaichuen
- INFORMAS: International Network for Food and Obesity / Non-communicable Diseases (NCDs) Research, Monitoring and Action Support
| | - T Karupaiah
- INFORMAS: International Network for Food and Obesity / Non-communicable Diseases (NCDs) Research, Monitoring and Action Support
| | - L Allemandi
- INFORMAS: International Network for Food and Obesity / Non-communicable Diseases (NCDs) Research, Monitoring and Action Support
| | - EL Cosenza
- INFORMAS: International Network for Food and Obesity / Non-communicable Diseases (NCDs) Research, Monitoring and Action Support
| | - J Tutuo Wate
- INFORMAS: International Network for Food and Obesity / Non-communicable Diseases (NCDs) Research, Monitoring and Action Support
| | - I Zamora-Corrales
- INFORMAS: International Network for Food and Obesity / Non-communicable Diseases (NCDs) Research, Monitoring and Action Support
| | - LI González-Zapata
- INFORMAS: International Network for Food and Obesity / Non-communicable Diseases (NCDs) Research, Monitoring and Action Support
| | - ZJR Mchiza
- INFORMAS: International Network for Food and Obesity / Non-communicable Diseases (NCDs) Research, Monitoring and Action Support
| | - L Zeng
- INFORMAS: International Network for Food and Obesity / Non-communicable Diseases (NCDs) Research, Monitoring and Action Support
| | - B Swinburn
- INFORMAS: International Network for Food and Obesity / Non-communicable Diseases (NCDs) Research, Monitoring and Action Support
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Sabatino A, Regolisti G, Karupaiah T, Sahathevan S, Sadu Singh BK, Khor BH, Salhab N, Karavetian M, Cupisti A, Fiaccadori E. Protein-energy wasting and nutritional supplementation in patients with end-stage renal disease on hemodialysis. Clin Nutr 2016; 36:663-671. [PMID: 27371993 DOI: 10.1016/j.clnu.2016.06.007] [Citation(s) in RCA: 108] [Impact Index Per Article: 13.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2016] [Revised: 05/24/2016] [Accepted: 06/11/2016] [Indexed: 10/21/2022]
Abstract
BACKGROUND & AIMS Protein-Energy Wasting (PEW) is the depletion of protein/energy stores observed in the most advanced stages of Chronic Kidney Disease (CKD). PEW is highly prevalent among patients on chronic dialysis, and is associated with adverse clinical outcomes, high morbidity/mortality rates and increased healthcare costs. This narrative review was aimed at exploring the pathophysiology of PEW in end-stage renal disease (ESRD) on hemodialysis. The main aspects of nutritional status evaluation, intervention and monitoring in this clinical setting were described, as well as the current approaches for the prevention and treatment of ESRD-related PEW. METHODS An exhaustive literature search was performed, in order to identify the relevant studies describing the epidemiology, pathogenesis, nutritional intervention and outcome of PEW in ESRD on hemodialysis. RESULTS AND CONCLUSION The pathogenesis of PEW is multifactorial. Loss of appetite, reduced intake of nutrients and altered lean body mass anabolism/catabolism play a key role. Nutritional approach to PEW should be based on a careful and periodic assessment of nutritional status and on timely dietary counseling. When protein and energy intakes are reduced, nutritional supplementation by means of specific oral formulations administered during the hemodialysis session may be the first-step intervention, and represents a valid nutritional approach to PEW prevention and treatment since it is easy, effective and safe. Omega-3 fatty acids and fibers, now included in commercially available preparations for renal patients, could lend relevant added value to macronutrient supplementation. When oral supplementation fails, intradialytic parenteral nutrition can be implemented in selected patients.
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Affiliation(s)
- A Sabatino
- Acute and Chronic Renal Failure Unit, Department of Clinical and Experimental Medicine, University of Parma, Parma, Italy
| | - G Regolisti
- Acute and Chronic Renal Failure Unit, Department of Clinical and Experimental Medicine, University of Parma, Parma, Italy
| | - T Karupaiah
- Dietetics Program, Faculty of Health Sciences, National University of Malaysia, Kuala Lumpur, Malaysia
| | - S Sahathevan
- Dietetics Program, Faculty of Health Sciences, National University of Malaysia, Kuala Lumpur, Malaysia
| | - B K Sadu Singh
- Dietetics Program, Faculty of Health Sciences, National University of Malaysia, Kuala Lumpur, Malaysia
| | - B H Khor
- Dietetics Program, Faculty of Health Sciences, National University of Malaysia, Kuala Lumpur, Malaysia
| | - N Salhab
- Department of Nutrition and Translational Research in Metabolism, Maastricht University, Netherlands
| | - M Karavetian
- Department of Natural Sciences in Public Health, Zayed University, Dubai, United Arab Emirates
| | - A Cupisti
- Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy
| | - E Fiaccadori
- Acute and Chronic Renal Failure Unit, Department of Clinical and Experimental Medicine, University of Parma, Parma, Italy.
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Low WHH, Seet W, A S R, Ng KK, H J, Dan SP, Teng CL, Lee VKM, Chua SS, M Y FA, T K, Chee WSS, Goh PP, M Z, Lim TO. Community-based cardiovascular Risk Factors Intervention Strategies (CORFIS) in managing hypertension: A pragmatic non-randomised controlled trial. Med J Malaysia 2013; 68:129-135. [PMID: 23629558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
BACKGROUND Hypertension is the number one cardiovascular risk factor in Malaysia. This study aimed to evaluate the effectiveness of a Community-Based Cardiovascular Risk Factors Intervention Strategies (CORFIS) in the management of hypertension in primary care. METHODS This is a pragmatic, non-randomized controlled trial. Seventy general practitioners (GPs) were selected to provide either CORFIS (44 GPs) or conventional care (26 GPs) for 6 months. A total of 486 hypertensive patients were recruited; 309 were in the intervention and 177 in the control groups. Primary outcome was the proportion of hypertensive patients who achieved target blood pressure (BP) of <140/90mmHg (for those without diabetes mellitus) and <130/80mmHg (with diabetes mellitus). Secondary outcomes include change in the mean/median BP at 6-month as compared to baseline. RESULTS The proportion of hypertensive patients who achieved target BP at 6-month was significantly higher in the CORFIS arm (69.6%) as compared to the control arm (57.6%), P=0.008. Amongst those who had uncontrolled BP at baseline, the proportion who achieved target BP at 6-month was also significantly higher in the CORFIS arm (56.6%) as compared to the control arm (34.1%), p<0.001. There was no difference in the patients who had already achieved BP control at baseline. There were significant reductions in SBP in the CORFIS arm (median -9.0mmHg; -60 to 50) versus control (median -2mmHg; -50 to 48), p=0.003; as well as in DBP (CORFIS arm: median -6.0mmHg; ranged from -53 to 30 versus control arm: median 0.0mmHg; ranged from -42 to 30), p<0.001. CONCLUSIONS Patients who received CORFIS care demonstrated significant improvements in achieving target BP.
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Affiliation(s)
- W H H Low
- Clinical Research Center, Clinical Epidemiology Unit, 1st Floor MMA House, 124, Jalan Pahang, Kuala Lumpur 53000 Malaysia.
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Chee WS, Chong PN, Chuah KA, Karupaiah T, Mustafa N, Suniza S, Chinna K, Horcajada MN, Ameye L, Offord-Cavin E. Calcium Intake, Vitamin D and Bone Health Status of Post-menopausal Chinese Women in Kuala Lumpur. Malays J Nutr 2010; 16:233-242. [PMID: 22691928] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Bone health status was investigated in 178 free-living Chinese post-menopausal women in Kuala Lumpur. Body mass index (BMI), body composition (using whole body DXA), calcium intake and serum 25-OH vitamin D status were measured along with biochemical markers of bone turnover, that is, pro-collagen Type 1 N-terminal peptide (P1NP), osteocalcin (OC) and C-telopeptide β cross link of Type 1 collagen (CTX- β). Bone mineral density (BMD) was measured using DXA (Hologic, USA) at the lumbar spine, femoral neck and total hip. Results showed that osteopenia was present in 50% of the subjects at the spine and 57.9% at the femoral neck. Osteoporosis was diagnosed in 10% of the subjects at both the femoral neck and spine. A total of 29.3% of the subjects had high levels of CTX- β. Mean serum level of 25-OH vitamin D was 60.4+15.6 nmol/L and 50.6% of the subjects had hypovitaminosis D (defined as < 50 nmol/l). Mean total calcium intake of the subjects was 497 + 233 mg, of which only 14% met the RNI for calcium with the additional intake of calcium supplements. Body fat was also significantly correlated (r=0.181, p< 0.05) with BMD at the spine but not BMD at the femoral neck. Lean body mass was positively correlated with BMD at the spine (r=0.289, p< 0.001) and femoral neck (r=0.295, p< 0.001). CTX-β was negatively correlated with BMD at the spine (r= -0.235, p< 0.001), whereas P1NP (r=-0.215, p< 0.001) and osteocalcin (r=-0.265, p< 0.001) were both negatively correlated with BMD at the femoral neck. Generally, the study found that women with osteopenia had higher levels of bone turnover markers, less lean body mass and lower calcium intake than women with normal BMD. In conclusion, this study demonstrated that the majority of free living Chinese post-menopausal women in Kuala Lumpur have low calcium intake, low 25-OH vitamin D status and low bone mass and elevated biochemical markers of bone turnover.
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Affiliation(s)
- W Ss Chee
- Department of Nutrition and Dietetics, International Medical University Bukit Jalil, 57000 Kuala Lumpur
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Karupaiah T, Swee CS, Abdullah R. Developing a nutrition education package for Malaysian hemodialysis patients. J Ren Nutr 2001; 11:220-7. [PMID: 11680003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/22/2023] Open
Abstract
OBJECTIVE To develop an education package with uniform nutrition messages appropriate for Malaysian patients undergoing hemodialysis. METHODS Nutritional problems and socioeconomic, ethnic, cultural, and religious factors influencing food habits of HD patients were considered in planning the package. The package comprised a Flipchart and 55 food Fotocards. The Flipchart used a modular format to target nutrition education in stages. The food Fotocards were designed to help the patient plan a daily menu and enjoy greater food variety. Photographs related to common food servings carried symbols for significant nutrient sources of energy, protein, fat, sodium, potassium, and phosphate. A traffic-light color system quantified potassium and phosphate content. The package was evaluated by 25 respondents, composed of nephrologists, nurses, dietitians, and patients. RESULTS Eighty percent of evaluators rated the Flipchart as good and 20% rated it as excellent, whereas 28% rated the Food Fotocards as good and 72% rated them as as excellent. CONCLUSION This package is a useful nutrition education tool for both health educators and dietitians to present first-line nutrition advice to patients undergoing hemodialysis.
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Affiliation(s)
- T Karupaiah
- Department of Nutrition and Dietetics, Faculty of Allied Health Sciences, National University of Malaysia, Kuala Lumpur, Malaysia.
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