N Ruddock - Academia.edu (original) (raw)
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Union Graduate College-Icahn School of Medicine at Mount Sinai Bioethics Program
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Papers by N Ruddock
Journal of Renal Nutrition, 2021
Objective: Protein-energy wasting (PEW) is highly prevalent in people with end-stage kidney disea... more Objective: Protein-energy wasting (PEW) is highly prevalent in people with end-stage kidney disease receiving regular haemodialysis. Currently, it is unclear what the optimal nutritional recommendations are, which is further complicated by differences in dietary patterns between countries. The aim of the study was to understand and compare dietary intake between individuals receiving haemodialysis in Leicester, UK and Nantong, China. Methods: The study assessed forty UK and forty-four Chinese participants' dietary intake over a period of 14 days using 24-hour diet recall interviews. Nutritional blood parameters were obtained from medical records. Food consumed by participants in UK and China was analysed using the Nutritics and Nutrition calculator to quantify nutritional intake. Results: Energy and protein intake were comparable between UK and Chinese participants, but with both below the recommended daily intake. Potassium intake was higher in the UK compared to Chinese participants (2115 [888] versus. 1159 [861] mg/d; P<0.001), as was calcium (618 [257] versus. 360 [312] mg/d; P<0.001), and phosphate intake (927 [485] versus. 697 [434] mg/d; P=0.007). Vitamin C intake was lower in the UK participants compared to their Chinese counterparts (39 [51] versus. 64 [42] mg/d; P=0.024). Data reported here as median [IQR]. Conclusion: Both UK and Chinese haemodialysis participants have insufficient protein and energy in their diet. New strategies are required to increase protein and energy intakes. All participants had inadequate daily intake of vitamins C and D, there may well be a role in the oral supplementation of these vitamins, further studies are urgently required.
BMC nephrology, Jan 20, 2018
This report comments on the relevance and utility of the recently published (2017) KDIGO Clinical... more This report comments on the relevance and utility of the recently published (2017) KDIGO Clinical Practice Guideline Update for the diagnosis, evaluation, prevention and treatment of mineral bone disease in patients with chronic kidney disease (CKD-MBD) with respect to UK clinical practice. This document replaces all previously published Renal Association guidelines on the topic.
Journal of Renal Nutrition, 2021
Objective: Protein-energy wasting (PEW) is highly prevalent in people with end-stage kidney disea... more Objective: Protein-energy wasting (PEW) is highly prevalent in people with end-stage kidney disease receiving regular haemodialysis. Currently, it is unclear what the optimal nutritional recommendations are, which is further complicated by differences in dietary patterns between countries. The aim of the study was to understand and compare dietary intake between individuals receiving haemodialysis in Leicester, UK and Nantong, China. Methods: The study assessed forty UK and forty-four Chinese participants' dietary intake over a period of 14 days using 24-hour diet recall interviews. Nutritional blood parameters were obtained from medical records. Food consumed by participants in UK and China was analysed using the Nutritics and Nutrition calculator to quantify nutritional intake. Results: Energy and protein intake were comparable between UK and Chinese participants, but with both below the recommended daily intake. Potassium intake was higher in the UK compared to Chinese participants (2115 [888] versus. 1159 [861] mg/d; P<0.001), as was calcium (618 [257] versus. 360 [312] mg/d; P<0.001), and phosphate intake (927 [485] versus. 697 [434] mg/d; P=0.007). Vitamin C intake was lower in the UK participants compared to their Chinese counterparts (39 [51] versus. 64 [42] mg/d; P=0.024). Data reported here as median [IQR]. Conclusion: Both UK and Chinese haemodialysis participants have insufficient protein and energy in their diet. New strategies are required to increase protein and energy intakes. All participants had inadequate daily intake of vitamins C and D, there may well be a role in the oral supplementation of these vitamins, further studies are urgently required.
BMC nephrology, Jan 20, 2018
This report comments on the relevance and utility of the recently published (2017) KDIGO Clinical... more This report comments on the relevance and utility of the recently published (2017) KDIGO Clinical Practice Guideline Update for the diagnosis, evaluation, prevention and treatment of mineral bone disease in patients with chronic kidney disease (CKD-MBD) with respect to UK clinical practice. This document replaces all previously published Renal Association guidelines on the topic.