Factors impacting sodium restriction in patients with chronic kidney disease: a cohort study from a Chinese center.

Abstract:

PURPOSE:Sodium restriction is important for the management of chronic kidney disease (CKD). The present study evaluated the factors impacting dietary sodium restriction in a cohort of Chinese patients with CKD. METHODS:A questionnaire on dietary sodium restriction was administered to patients with non-dialysis CKD who visited our CKD clinic from September 2014 to March 2015. Twenty-four-hour urinary sodium excretion (24-h UNa) was measured. Logistic regression was performed to examine the association between patient characteristics and sodium restriction. RESULTS:Two hundred and twenty-nine patients were included in the final analysis. Most of the patients (97.7 %) declared their awareness of the necessity of sodium restriction, but 27.3 % of them chose an incorrect sodium restriction limit. Most of the patients (85.2 %) also reported that they had taken actions to reduce their sodium consumption, with intolerance of sodium restriction as the most common reason for taking no actions. Only 42 patients (18.3 %) had a 24-h UNa of <100 mmol. Multivariable logistic regression showed that age and the use of condiments were independently associated with successful sodium restriction [odds ratio (95 % confidence interval) 1.04 (1.01-1.07), p = 0.006 and 0.38 (0.16-0.88), p = 0.023, respectively]. Most of the patients (83.0 %) did not know how to estimate their sodium intake from condiments. CONCLUSIONS:This study indicates that there is much room for improvement in dietary sodium restriction in Chinese patients with CKD. Condiments as a hidden source of sodium intake should be stressed in the education of these patients.

journal_name

Int Urol Nephrol

authors

Wang Y,Yu F,Bao Y,Zhang L,Wang H

doi

10.1007/s11255-016-1223-1

subject

Has Abstract

pub_date

2016-05-01 00:00:00

pages

745-9

issue

5

eissn

0301-1623

issn

1573-2584

pii

10.1007/s11255-016-1223-1

journal_volume

48

pub_type

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