The effect of food intake during hemodialysis on blood pressure: A nonrandomized experimental trial.

IF 1.5 4区医学 Q3 HEMATOLOGY

Therapeutic Apheresis and Dialysis Pub Date : 2023-08-01 DOI:10.1111/1744-9987.13967

Melek Avci, Fatma Arikan

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引用次数: 1

Abstract

Background: Intradialytic hypotension (IDH) is one of the most important intradialytic complications and is thought to be associated with intradialytic food intake. Allowing intradialytic feeding is still unclear. This study aimed to determine the relationship between IDH and intradialytic food intake.

Methods: A nonrandomized experimental study was conducted to determine the effect of intradialytic food intake on blood pressure (BP) in hemodialysis patients. Each patient was assessed twice using an ambulatory BP monitor with and without intradialytic food intake.

Results: The study was completed with 54 patients. Intradialytic hypotension developed in 40 patients (74.1%) during the food intake session, while intradialytic hypotension developed in 22 participants (40%) in the no-food session. Repeated BP readings showed that eating 2 h or more after the start of hemodialysis significantly reduced BP.

Conclusions: Intradialytic food intake affects the development of IDH. Patients who ate during hemodialysis had a trend of higher of IDH than those who ate nothing during hemodialysis. Eating during dialysis is not recommended.

查看原文本刊更多论文

血液透析期间食物摄入对血压的影响:一项非随机实验试验。

背景:分析性低血压(IDH)是最重要的分析性并发症之一，被认为与分析性食物摄入有关。目前尚不清楚是否允许透析喂养。本研究旨在确定IDH与胃内食物摄入之间的关系。方法:采用非随机实验研究，探讨透析患者血溶期食物摄入对血压的影响。每位患者使用动态血压监测仪评估两次，有或没有分析性食物摄入。结果:54例患者完成研究。有40名患者(74.1%)在进食期间出现了分析性低血压，而22名参与者(40%)在不进食期间出现了分析性低血压。重复的血压读数显示，在血液透析开始后2小时或更长时间进食可显著降低血压。结论:消化期食物摄入影响IDH的发展。血液透析期间进食的患者IDH高于不进食的患者。不建议在透析期间进食。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Therapeutic Apheresis and Dialysis 医学-泌尿学与肾脏学

CiteScore

3.00

自引率

10.50%

发文量

166

审稿时长

6-12 weeks

期刊介绍： Therapeutic Apheresis and Dialysis is the official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis and the Japanese Society for Dialysis Therapy. The Journal publishes original articles, editorial comments, review articles, case reports, meeting abstracts and Communications information on apheresis and dialysis technologies and treatments.