Inadequate dietary calcium and vitamin D intakes in renal-transplant recipients in Ireland.

Hdl Handle:
http://hdl.handle.net/10147/209252
Title:
Inadequate dietary calcium and vitamin D intakes in renal-transplant recipients in Ireland.
Authors:
Lynch, Irene T; Eustace, Joseph A; Plant, Willliam D; Cashman, Kevin D; O'Keefe, Majella; Lordan, Sinead; Moloney, Rachel
Affiliation:
Department of Clinical Nutrition, Cork University Hospital, Cork, Ireland., Irene.Lynch@mailp.hse.ie
Citation:
J Ren Nutr. 2007 Nov;17(6):408-15.
Journal:
Journal of renal nutrition : the official journal of the Council on Renal, Nutrition of the National Kidney Foundation
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/209252
DOI:
10.1053/j.jrn.2007.05.005
PubMed ID:
17971313
Abstract:
OBJECTIVE: To quantify the dietary calcium and vitamin D intake in adult renal-transplant recipients attending at a large teaching hospital in Ireland for follow-up. SETTING: Outpatient renal-transplant follow-up clinic. SUBJECTS: Fifty-nine adult renal transplant recipients (58% male) with a mean age of 46 years, a median transplant duration of 6 years, and a mean estimated glomerular filtration rate (eGFR) of 50 mL/min per 1.73 m2. Fifty-three percent were at National Kidney Foundation stage 3 chronic kidney disease, and 14% had stage 4 chronic kidney disease. INTERVENTION: This cross-sectional, observational study used a tailored food frequency questionnaire specific for calcium and vitamin D intake in Irish adults, which was completed during a face-to-face interview with each subject. MAIN OUTCOME MEASURE: The main outcome measure was the average daily dietary and supplemented calcium and vitamin D intake. RESULTS: The median interquartile range (IQR) dietary calcium intake was 820 mg/day (range, 576-1,177 mg/day), and was similar in men and women (recommended intake > or = 1,000 mg/day in adult men and nonmenopausal adult women, > or = 1,500 mg/day in menopausal women). Five participants received calcium supplementation. Overall, 59% of men and 64% of women had total calcium intakes below the recommended amounts. The median IQR estimated dietary vitamin D intake was 5.2 microg/day (range, 2.4-6.4 microg/day) in women, and 4.6 microg/day (range, 2.2-6.6 microg/day) in men (recommended intake, > or = 10 microg/day). Six subjects received vitamin D supplementation. Total vitamin D intakes were suboptimal in 91% of men and 87% of women. Dietary calcium and vitamin D intakes significantly correlated with each other, but neither was significantly related to eGFR category, and was similarly low in both presumed menopausal women and in the initial year posttransplantation. CONCLUSION: These findings suggest that dietary and total calcium and vitamin D intakes in adult renal-transplant patients are in many cases inadequate.
Language:
eng
MeSH:
Adult; Bone Density Conservation Agents/*administration & dosage; Calcium/blood; Calcium, Dietary/*administration & dosage; Cross-Sectional Studies; Dietary Supplements; Female; Follow-Up Studies; Humans; Ireland; *Kidney Transplantation; Male; Middle Aged; *Nutritional Requirements; Parathyroid Hormone/blood; Questionnaires; Serum Albumin/analysis; Vitamin D/*administration & dosage
ISSN:
1532-8503 (Electronic); 1051-2276 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorLynch, Irene Ten_GB
dc.contributor.authorEustace, Joseph Aen_GB
dc.contributor.authorPlant, Willliam Den_GB
dc.contributor.authorCashman, Kevin Den_GB
dc.contributor.authorO'Keefe, Majellaen_GB
dc.contributor.authorLordan, Sineaden_GB
dc.contributor.authorMoloney, Rachelen_GB
dc.date.accessioned2012-02-03T15:16:17Z-
dc.date.available2012-02-03T15:16:17Z-
dc.date.issued2012-02-03T15:16:17Z-
dc.identifier.citationJ Ren Nutr. 2007 Nov;17(6):408-15.en_GB
dc.identifier.issn1532-8503 (Electronic)en_GB
dc.identifier.issn1051-2276 (Linking)en_GB
dc.identifier.pmid17971313en_GB
dc.identifier.doi10.1053/j.jrn.2007.05.005en_GB
dc.identifier.urihttp://hdl.handle.net/10147/209252-
dc.description.abstractOBJECTIVE: To quantify the dietary calcium and vitamin D intake in adult renal-transplant recipients attending at a large teaching hospital in Ireland for follow-up. SETTING: Outpatient renal-transplant follow-up clinic. SUBJECTS: Fifty-nine adult renal transplant recipients (58% male) with a mean age of 46 years, a median transplant duration of 6 years, and a mean estimated glomerular filtration rate (eGFR) of 50 mL/min per 1.73 m2. Fifty-three percent were at National Kidney Foundation stage 3 chronic kidney disease, and 14% had stage 4 chronic kidney disease. INTERVENTION: This cross-sectional, observational study used a tailored food frequency questionnaire specific for calcium and vitamin D intake in Irish adults, which was completed during a face-to-face interview with each subject. MAIN OUTCOME MEASURE: The main outcome measure was the average daily dietary and supplemented calcium and vitamin D intake. RESULTS: The median interquartile range (IQR) dietary calcium intake was 820 mg/day (range, 576-1,177 mg/day), and was similar in men and women (recommended intake > or = 1,000 mg/day in adult men and nonmenopausal adult women, > or = 1,500 mg/day in menopausal women). Five participants received calcium supplementation. Overall, 59% of men and 64% of women had total calcium intakes below the recommended amounts. The median IQR estimated dietary vitamin D intake was 5.2 microg/day (range, 2.4-6.4 microg/day) in women, and 4.6 microg/day (range, 2.2-6.6 microg/day) in men (recommended intake, > or = 10 microg/day). Six subjects received vitamin D supplementation. Total vitamin D intakes were suboptimal in 91% of men and 87% of women. Dietary calcium and vitamin D intakes significantly correlated with each other, but neither was significantly related to eGFR category, and was similarly low in both presumed menopausal women and in the initial year posttransplantation. CONCLUSION: These findings suggest that dietary and total calcium and vitamin D intakes in adult renal-transplant patients are in many cases inadequate.en_GB
dc.language.isoengen_GB
dc.subject.meshAdulten_GB
dc.subject.meshBone Density Conservation Agents/*administration & dosageen_GB
dc.subject.meshCalcium/blooden_GB
dc.subject.meshCalcium, Dietary/*administration & dosageen_GB
dc.subject.meshCross-Sectional Studiesen_GB
dc.subject.meshDietary Supplementsen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshFollow-Up Studiesen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIrelanden_GB
dc.subject.mesh*Kidney Transplantationen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.mesh*Nutritional Requirementsen_GB
dc.subject.meshParathyroid Hormone/blooden_GB
dc.subject.meshQuestionnairesen_GB
dc.subject.meshSerum Albumin/analysisen_GB
dc.subject.meshVitamin D/*administration & dosageen_GB
dc.titleInadequate dietary calcium and vitamin D intakes in renal-transplant recipients in Ireland.en_GB
dc.contributor.departmentDepartment of Clinical Nutrition, Cork University Hospital, Cork, Ireland., Irene.Lynch@mailp.hse.ieen_GB
dc.identifier.journalJournal of renal nutrition : the official journal of the Council on Renal, Nutrition of the National Kidney Foundationen_GB
dc.description.provinceMunster-

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