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- W747804919 abstract "Maintenance hemodialysis (MHD) is the primary treatment for end-stage renal disease in the U.S. but only 36% of patients survive beyond 5 years and these patients have poor compliance with lifestyle recommendations. Further, registered dietitians are overtaxed with a high patient load and physical activity is rarely discussed. The objective of this pilot is to establish feasibility for a full-time lifestyle interventionist (LI) employing social cognitive theory-based lifestyle counseling in MHD clinics. MHD patients are randomized to either standard care (CON) or standard care plus interaction with a LI counseling on nutrition and physical activity. Nutrition assessments are conducted at baseline, 6 and 12 months. A preliminary analysis was conducted using data from participants who completed baseline and 6 month time points (n=6). These preliminary data suggest that the LI model is feasible with numeric improvements in interdialytic weight gain, serum phosphorus, protein intake, and self-efficacy. Specifically, LI participants had lower interdialytic weight gains after 6 months (CON 3.3 ± 0.9 vs. LI 2.4 ± 0.5 kg) and lower serum phosphorus (CON 5.0 ± 0.5 vs. LI 4.6 ± 0.6 mg/dL). Protein intake (% of estimated needs) increased over 6 months in the LI group (63 ± 10% baseline vs 73 ± 5% 6 months) whereas CON decreased (68 ± 14% vs 63 ± 8%). These changes were associated with improved self-efficacy (0-100 scale with a greater number indicating greater self-efficacy) for knowledge and controlling intake of phosphorus (CON 61 ± 11; LI 81 ± 8.0) and protein (CON= 71 ± 16; LI= 81 ± 11) in the LI group after 6 months. These data suggest that incorporation of a LI into clinics may be a feasible option for facilitating lifestyle modification in MHD patients." @default.
- W747804919 created "2016-06-24" @default.
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- W747804919 date "2015-04-01" @default.
- W747804919 modified "2023-09-26" @default.
- W747804919 title "Maintenance Hemodialysis Lifestyle Intervention Trial: A Pilot and Feasibility Study" @default.
- W747804919 doi "https://doi.org/10.1096/fasebj.29.1_supplement.911.15" @default.
- W747804919 hasPublicationYear "2015" @default.
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