Can Dietitians Reduce Interdialytic Weight Gain in at Risk Hemodialysis Patients Through Tailored Education on Dietary Sodium and Fluid Intake?

Academy of Nutrition and Dietetics

Status

Completed

Conditions

End Stage Renal Disease Requiring Hemodialysis

Treatments

Behavioral: Intensive Tailored Education

Study type

Interventional

Funder types

Other

Identifiers

NCT02130089

13-186

Details and patient eligibility

About

The purpose of this project is to understand if more frequent education of dialysis patients (patients with kidney failure who get their blood cleaned and fluid removed by a machine instead of their kidneys) on reducing sodium intake reduces the amount of fluid weight that patients gain between dialysis sessions. Patients who usually gain more fluid than is considered ideal will be recruited for this project. Because all patients gain different amounts to start, data will be collected for 3 months while the patients receive their usual amount of dietitian education. Then the patients will receive intensive (2x/month) education on reducing sodium intake from the dietitian and the same data will be collected to see if they gain less after the education. After 3 months of intensive education, data will be collected for one more month to see if patients keep gaining less or if they go back to their old patterns.

Enrollment

50 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Average Interdialytic weight gain (IDWG) for 2 weeks prior to screening period greater than or equal to 4% estimated dry weight
Able to sign the locally approved informed consent
Willing to receive dietitian education on sodium and fluid control during normal dialysis time
Receiving thrice weekly maintenance hemodialysis for greater than or equal to 6 months Age greater than or equal to 18 years

Exclusion criteria

On hospice or international equivalent
Receiving corticosteroid treatment
Less than 18 years old
On interdialytic parenteral nutrition
Transfer to another facility expected within 3 months
Severe malnutrition, as assessed by Subjective Global Assessment (SGA) or other standard assessment tool