Dietary habits in Australian, New Zealand and Malaysian patients with end stage kidney failure: A pre-specified cross-sectional study of the FAVOURED trial participants

Conley M 1 , Barden A 2 , Viecelli AK 3 , Irish AB 4 , Cass A 5 , Hawley CM 3 Show all authors , Voss D 6 , Pascoe EM 7 , Lenhoff K 8 , Polkinghorne KR 9 , Hooi LS 10 , Ong LM 11 , Paul-Brent PA 7 , Kerr PG 12 , Mori TA 2 , FAVOURED Trial Investigator Team

Affiliations 

  • 1 Department of Nutrition and Dietetics, Princess Alexandra Hospital, Woolloongabba, QLD, Australia
  • 2 Medical School, University of Western Australia, Perth, WA, Australia
  • 3 Department of Nephrology, Princess Alexandra Hospital, Brisbane, QLD, Australia
  • 4 Department of Nephrology, Fiona Stanley Hospital, Perth, WA, Australia
  • 5 Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia
  • 6 Middlemore Renal Services, Middlemore Hospital, Auckland, New Zealand
  • 7 Australasian Kidney Trials Network University of Queensland, Brisbane, QLD, Australia
  • 8 Department of Dietetics, Fiona Stanley Hospital, Perth, WA, Australia
  • 9 Department of Nephrology, Monash Medical Centre, Melbourne, VIC, Australia
  • 10 Department of Medicine and Haemodialysis Unit, Hospital Sultanah Aminah, Johor Bahru, Malaysia
  • 11 Penang Hospital, Georgetown, Malaysia
  • 12 Department of Medicine, Monash University, Melbourne, VIC, Australia
J Hum Nutr Diet, 2022 Dec;35(6):1178-1191.
PMID: 34921448 DOI: 10.1111/jhn.12983

Abstract

BACKGROUND: Dietary management plays an important role in patients with kidney failure. Current dietary habits of Australians and New Zealanders (ANZ) and Malaysians with chronic kidney disease (CKD Stage 4-5) have not been adequately investigated. We report the dietary habits of people with advanced CKD and their adherence to country-specific dietary guidelines.

METHODS: Participants with CKD Stage 4-5, enrolled in the Omega-3 Fatty Acids (Fish oils) and Aspirin in Vascular access Outcomes in Renal Disease (FAVOURED) trial, completed a lifestyle questionnaire at baseline on their dietary intake.

RESULTS: Of 567 participants, 538 (ANZ, n = 386; Malaysian, n = 152; mean ± SD age 54.8 ± 14.3 years, 64% male) completed the questionnaire. Dietary fruit and vegetable intakes were higher in ANZ participants; 49% (n = 189) consumed ≥2 serves day-1 of fruit and 61% (n = 235) ate ≥2 serves day-1 of vegetables compared to 24% (n = 36) and 34% (n = 52) of Malaysians, respectively (p 2 chicken serves week-1 and 65% (n = 251) ate >2 serves week-1 of red meat compared to 43% (n = 65) and 15% (n = 23) of Malaysians, respectively.

CONCLUSIONS: Significant regional variation in dietary intake for fruit, vegetables and animal protein is described that likely reflects cultural and economic differences. Barriers to meeting recommended dietary intakes require further investigation.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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