Access the full text.
Sign up today, get DeepDyve free for 14 days.
J. Müller-Deile, R. Lichtinghagen, H. Haller, R. Schmitt (2014)
Online Kt/V Monitoring in Haemodialysis by UV Absorbance: Variations during Intra-Dialytic MealsBlood Purification, 37
Jennifer Flythe, Jula Inrig, T. Shafi, T. Chang, K. Cape, Kumar Dinesh, Shrikanth Kunaparaju, S. Brunelli (2013)
Association of intradialytic blood pressure variability with increased all-cause and cardiovascular mortality in patients treated with long-term hemodialysis.American journal of kidney diseases : the official journal of the National Kidney Foundation, 61 6
Naveen Singri, Duncan Johnstone, James Paparello, Neenoo Khosla, S. Ahya, C. Ghossein, W. Schlueter, R. Rosa, D. Batlle, M. Levin (2004)
Effect of predialysis eating on measurement of urea reduction ratio and Kt/V.Advances in chronic kidney disease, 11 4
Thiane Gama-Axelsson, O. Heimbürger, P. Stenvinkel, P. Bárány, B. Lindholm, A. Qureshi (2012)
Serum albumin as predictor of nutritional status in patients with ESRD.Clinical journal of the American Society of Nephrology : CJASN, 7 9
Magdalene Assimon, Jennifer Flythe (2015)
Intradialytic Blood Pressure Abnormalities: The Highs, The Lows and All That Lies BetweenAmerican Journal of Nephrology, 42
E. Lacson, Weiling Wang, B. Zebrowski, R. Wingard, R. Hakim (2012)
Outcomes associated with intradialytic oral nutritional supplements in patients undergoing maintenance hemodialysis: a quality improvement report.American journal of kidney diseases : the official journal of the National Kidney Foundation, 60 4
Connie Rhee, Amy You, Tara Parsons, A. Tortorici, R. Bross, D. St-Jules, Jennie Jing, Martin Lee, D. Benner, C. Kovesdy, R. Mehrotra, J. Kopple, K. Kalantar-Zadeh (2017)
Title Effect of high-protein meals during hemodialysis combined with lanthanum carbonate in hypoalbuminemic dialysis patients : findings from the FrEDI randomized controlled trial Permalink
R. Sherman (2016)
Hyperphosphatemia in Dialysis Patients: Beyond Nonadherence to Diet and Binders.American journal of kidney diseases : the official journal of the National Kidney Foundation, 67 2
C. Zoccali, F. Mallamaci, M. Ciccarelli, Q. Maggiore (1989)
Postprandial alterations in arterial pressure control during hemodialysis in uremic patients.Clinical nephrology, 31 6
M. Miguelsanz, S. Pilar, M. Pablos (2001)
Reduction of Kt/V by food intake during haemodialysis.EDTNA/ERCA journal, 27 3
Jongha Park, Connie Rhee, J. Sim, Yong-Lim Kim, Joni Ricks, E. Streja, Tania Vashistha, R. Tolouian, C. Kovesdy, K. Kalantar-Zadeh (2013)
A comparative effectiveness research study of the change in blood pressure during hemodialysis treatment and survivalKidney international, 84
Y. Shibagaki, K. Takaichi (1998)
Significant reduction of the large-vessel blood volume by food intake during hemodialysis.Clinical nephrology, 49 1
S. Borzou, F. Mahdipour, K. Oshvandi, M. Salavati, N. Alimohammadi (2016)
Effect of Mealtime During Hemodialysis on Patients’ ComplicationsJournal of Caring Sciences, 5
R. Agarwal (2012)
How can we prevent intradialytic hypotension?Current Opinion in Nephrology and Hypertension, 21
J. Strong, M. Burgett, M. Buss, M. Carver, S. Kwankin, D. Walker (2001)
Effects of calorie and fluid intake on adverse events during hemodialysis.Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation, 11 2
M. Scott, Niyati Shah, A. Vilay, J. Thomas, M. Kraus, B. Mueller (2009)
Effects of peridialytic oral supplements on nutritional status and quality of life in chronic hemodialysis patients.Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation, 19 2
Brandon Kistler, Peter Fitschen, T. Ikizler, K. Wilund (2015)
Rethinking the restriction on nutrition during hemodialysis treatment.Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation, 25 2
A. Friedman, S. Fadem (2010)
Reassessment of albumin as a nutritional marker in kidney disease.Journal of the American Society of Nephrology : JASN, 21 2
K. Kalantar-Zadeh, A. Tortorici, Joline Chen, M. Kamgar, W. Lau, H. Moradi, Connie Rhee, E. Streja, C. Kovesdy (2015)
Dietary Restrictions in Dialysis Patients: Is There Anything Left to Eat?Seminars in Dialysis, 28
T. Chang, J. Paik, T. Greene, M. Desai, F. Bech, A. Cheung, G. Chertow (2011)
Intradialytic hypotension and vascular access thrombosis.Journal of the American Society of Nephrology : JASN, 22 8
M. Sivalingam, A. Banerjee, G. Nevett, K. Farrington (2008)
Haemodynamic Effects of Food Intake during HaemodialysisBlood Purification, 26
K. Kalantar-Zadeh, Amy Braglia, Joanne Chow, O. Kwon, N. Kuwae, Sara Colman, D. Cockram, J. Kopple (2005)
An anti-inflammatory and antioxidant nutritional supplement for hypoalbuminemic hemodialysis patients: a pilot/feasibility study.Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation, 15 3
L. Pupim, K. Majchrzak, P. Flakoll, T. Ikizler (2006)
Intradialytic oral nutrition improves protein homeostasis in chronic hemodialysis patients with deranged nutritional status.Journal of the American Society of Nephrology : JASN, 17 11
D. Weiner, H. Tighiouart, Vlad Ladik, K. Meyer, P. Zager, Douglas Johnson (2014)
Oral intradialytic nutritional supplement use and mortality in hemodialysis patients.American journal of kidney diseases : the official journal of the National Kidney Foundation, 63 2
R. Sherman, F. Torres, R. Cody (1988)
Postprandial blood pressure changes during hemodialysis.American journal of kidney diseases : the official journal of the National Kidney Foundation, 12 1
K. Kalantar-Zadeh, T. Ikizler (2013)
Let them eat during dialysis: an overlooked opportunity to improve outcomes in maintenance hemodialysis patients.Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation, 23 3
B. Kara, C. Açikel (2010)
The effect of intradialytic food intake on the urea reduction ratio and single-pool Kt/V values in patients followed-up at a hemodialysis center*Turkish Journal of Medical Sciences
Mohammed Barakat, Nawab Zm, Yu Aw, Alan Lau, Todd Ing, J. Daugirdas (1993)
Hemodynamic effects of intradialytic food ingestion and the effects of caffeine.Journal of the American Society of Nephrology : JASN, 3 11
P. Lertdumrongluk, E. Streja, Connie Rhee, J. Sim, D. Gillen, C. Kovesdy, K. Kalantar-Zadeh (2015)
Changes in pulse pressure during hemodialysis treatment and survival in maintenance dialysis patients.Clinical journal of the American Society of Nephrology : CJASN, 10 7
M. Benaroia, E. Iliescu (2008)
Oral intake during hemodialysis: Is there an association with intradialytic hypotension?Hemodialysis International, 12
Y. Camp, B. Vrijens, I. Abraham, B. Rompaey, M. Elseviers (2014)
Adherence to phosphate binders in hemodialysis patients: prevalence and determinantsJournal of Nephrology, 27
T. Shoji, Y. Tsubakihara, M. Fujii, E. Imai (2004)
Hemodialysis-associated hypotension as an independent risk factor for two-year mortality in hemodialysis patients.Kidney international, 66 3
B. Stefánsson, S. Brunelli, C. Cabrera, D. Rosenbaum, E. Anum, K. Ramakrishnan, Donna Jensen, N. Stålhammar (2014)
Intradialytic hypotension and risk of cardiovascular disease.Clinical journal of the American Society of Nephrology : CJASN, 9 12
H. Franch (2016)
Peanuts or Pretzels? Changing Attitudes about Eating on Hemodialysis.Clinical journal of the American Society of Nephrology : CJASN, 11 5
D. Benner, M. Burgess, M. Stasios, B. Brosch, K. Wilund, S. Shen, Brandon Kistler (2016)
In-Center Nutrition Practices of Clinics within a Large Hemodialysis Provider in the United States.Clinical journal of the American Society of Nephrology : CJASN, 11 5
K. Çağlar, L. Fedje, R. Dimmitt, R. Hakim, Y. Shyr, T. Ikizler (2002)
Therapeutic effects of oral nutritional supplementation during hemodialysis.Kidney international, 62 3
J. Kooman, A. Basci, F. Pizzarelli, B. Canaud, P. Haage, D. Fouque, K. Konner, A. Martín-Malo, L. Pedrini, J. Tattersall, J. Tordoir, M. Vennegoor, C. Wanner, P. Wee, R. Vanholder (2007)
EBPG guideline on haemodynamic instability.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 22 Suppl 2
ABSTRACTAllowing dialysis patients to eat during the treatment is controversial. It is, therefore, no surprise that practices and policies with respect to intradialytic food consumption vary considerably from unit to unit and from country to country. Those who defend the position of feeding during dialysis reason that intradialytic meals offer a supervised and effective therapy for protein-energy wasting. Those who take the opposite view argue that intradialytic food intake should be avoided for the following three reasons. First, interventional studies show that eating during dialysis causes a clinically significant reduction in systemic blood pressure during the postprandial period and elevates the risk of symptomatic intradialytic hypotension; the latter is associated with increased mortality risk. Second, clinical studies have shown that eating during dialysis interferes with the adequacy of the delivered dialysis, whereas eating 2–3 h before the dialysis session has no impact on the efficiency of the subsequent dialysis treatment. And third, randomized studies show that eating during dialysis focus on the positive outcomes but do not adequately balance this potential benefit against the risk of intradialytic hemodynamic instability and poor quality of delivered dialysis. Even after half a century of providing long-term dialysis, definitive randomized trials that balance risks and benefits of eating during dialysis are missing. These knowledge gaps require randomized trials. Since there is a real possibility of harm with eating during dialysis, we caution that instead of encouraging the widespread use of intradialytic meals, practices and policies should focus on adequate nutrient intake during the interdialytic interval.
Nephrology Dialysis Transplantation – Oxford University Press
Published: Jun 1, 2018
Keywords: blood pressure; dialysis adequacy; intradialytic hypotension; intradialytic meals
Read and print from thousands of top scholarly journals.
Already have an account? Log in
Bookmark this article. You can see your Bookmarks on your DeepDyve Library.
To save an article, log in first, or sign up for a DeepDyve account if you don’t already have one.
Copy and paste the desired citation format or use the link below to download a file formatted for EndNote
Access the full text.
Sign up today, get DeepDyve free for 14 days.
All DeepDyve websites use cookies to improve your online experience. They were placed on your computer when you launched this website. You can change your cookie settings through your browser.