Association of diet-related quality of life with dietary regimen practice, health-related quality of life, and gastrointestinal symptoms in end-stage renal disease patients with hemodialysis

JinJu Lee; Ji-Myung Kim; Yuri Kim

doi:10.4163/kjn.2013.46.2.137

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Lee, Kim, and Kim: Association of diet-related quality of life with dietary regimen practice, health-related quality of life, and gastrointestinal symptoms in end-stage renal disease patients with hemodialysis

Research Article

Korean Journal of Nutrition 2013; 46(2): 137-146.

Published online: 30 April 2013

DOI: https://doi.org/10.4163/kjn.2013.46.2.137

Association of diet-related quality of life with dietary regimen practice, health-related quality of life, and gastrointestinal symptoms in end-stage renal disease patients with hemodialysis

JinJu Lee¹, Ji-Myung Kim², Yuri Kim^1,³

¹The Graduate School of Clinical Health Sciences, Ewha Womans University, Seoul 120-750, Korea.

²Department of Food and Nutritional Sciences, Hanbuk University, Dongducheon 483-777, Korea.

³Department of Nutritional Science and Food Management, Ewha Womans University, Seoul 120-750, Korea.

To whom correspondence should be addressed. (yuri.kim@ewha.ac.kr)

Received 30 January 2013 Revised 21 February 2013 Accepted 13 March 2013

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The purpose of this study was to evaluate diet-related Quality of Life (QOL) and to analyze the relationship among diet-related QOL, dietary regimen practice, health-related QOL, and gastrointestinal symptoms in hemodialysis patients. Subjects were recruited from an artificial kidney center in Seoul. The self-report questionnaire consisted of socio-demographic characteristics, diet-related QOL, compliance with dietary regimen practice, health-related QOL, and gastrointestinal symptoms was distributed. Diet-related QOL includes a 'Quality of Life and Related to Dietary Change Questionnaire', 'Satisfaction Survey', and 'Dietary Impact Survey'. According to their responses, participants had experienced the greatest difficulty with 'Dietary Impact'. In particular, the mean score for general health was low. Association of dietary regimen practice showed a positive association with 'Cost' and 'Self-care' score. In addition, diet-related QOL showed positive correlation with health-related QOL, particularly in 'taste'. Scores for 'Taste', 'Convenience', and 'Dietary Impact' were lower for subjects with constipation compared to those of subjects without constipation. Scores for 'Taste' and 'Dietary Impact' were lower in subjects with irritable bowel syndrome compared to those of subjects without the syndrome (p < 0.05). Diet-related QOL showed a positive association with health-related QOL (p < 0.05), whereas it showed a negative association with constipation (p < 0.01). In conclusion, hemodialysis patients in Korea suffer from burden of dietary regimen practice and most scores for diet-related QOL and health-related QOL from patients with gastrointestinal symptoms were low. Therefore, appropriate nutrition education considering gastrointestinal symptoms is necessary for improvement of patients' QOL during dietary regimen practice.

Keywords: diet-related QOL, hemodialysis, diet regimen practice, health-related QOL, gastrointestinal symptoms

Figures and Tables

Table 1

General characteristics of the subjects (n = 101)

1) Values are % (n) 2) Values are Mean ± SD 3) BMI: Body Mass Index 4) BUN: Blood Urea Nitrogen 5) HbA1c: Hemoglobin A1c (self reported)

Table 2

Diet-related QOL¹⁾ score of the subjects (score/100)

1) QOL: Quality of Life 2) Values are Mean ± SD. Each category score range from 0 to 100, greater number indicating a better QOL

Table 3

Dietary regimen practice of the subjects

1) Values are Mean ± SD 2) Each question score ranges from 1 to 5, total scores range from 11 to 55, Greater number indicates a better dietary regimen practice

Table 4

Health-related QOL (SF-36) score of the subjects (score/100)

1) PF: Physical Functioning 2) Values are Mean ± SD, Each category score ranges from 0 to 100. Greater number indicates a better dietary regimen practice. 3) BP: Bodily Pain 4) GH: General Health 5) VT: Vitality 6) SF: Social Functioning 7) MH: Mental Health 8) HT: Health Transition 9) MCS: Mental Component Summary 10) PCS: Physical Component summary

Table 5

Dyspepsia symptoms of the subjects (score/10)

1) Values are Mean ± SD

Table 6

Correlations between dietary regimen compliance and diet-related QOL

^*: p < 0.05 by Pearson's correlation coefficient

Table 7

Associations between health-related QOL and diet-related QOL of the subjects

1) PF: Physical Functioning 2) BP: Bodily Pain 3) GH: General Health 4) VT: Vitality 5) SF: Social Functioning 6) MH: Mental health 7) HT: Health Transition 8) MCS: Mental Component Summary 9) PCS: Physical Component summary

^*: p < 0.05, ^**: p < 0.01 by Pearson's correlation coefficient

Table 8

Associations between Gastrointestinal symptoms and diet-related QOL of the subjects (n = 101)

1) Values are Mean ± SD, each category score ranges from 0 to 100, and greater number indicates a better QOL

^*: p < 0.05, ^**: p < 0.01, ^***: p < 0.001 by Student t-test

Table 9

Factors Influencing diet-related QOL in hemodialysis patients who practice the dietary regimen

^*: p < 0.05, ^**: p < 0.01 by Multiple regression

Notes

This work was supported by the Ewha Global Top 5 Grant 2012 of Ewha Womans University

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