Short-term and long-term effects of Food and Nutrition Education actions on the nutritional profile of hemodialysis patients

Abstract

Introduction: Chronic Kidney Disease (CKD) has being considered a Millennium epidemic, since there is a high prevalence worldwide. Currently, the final stage of the disease is considered a global health problem. Objectives: To evaluate the impact of interventions of Food and Nutrition Education (FNE) on the nutritional profile of individuals undergoing hemodialysis (HD). Methodology: Non-randomized controlled clinical study developed at the Hemodialysis Center of the University Hospital of the Federal University of Juiz de Fora (HU-UFJF). The patients were divided into two groups: Intervention Group (IG), who participated in the interventions of FNE, and the Control Group (CG). Data were collected for both groups at three moments: Baseline (BL), Post-Intervention Immediate (PII) (shortly after the end of the last intervention), and Post-Intervention Late (PIL) (six months after the last intervention). Results: It was observed a decrease in the median serum phosphorus in the GI, in the short and long term, demonstrating a positive result of the EAN activities. There was no influence of the interventions on the anthropometric and alimentary profile of hemodialysis patients. Conclusion: Interventions of FNE can lead to positive changes in hyperphosphatemia in hemodialysis patients. However, these actions must be continuous and part of the routine of individuals, so that the positive effects are more comprehensive.