Association of dietary patterns with serum phosphorus in maintenance haemodialysis patients: a cross-sectional study
Sources of dietary phosphate differentially contribute to hyperphosphatemia in maintenance haemodialysis (MHD) patients. This cross-sectional study in Malaysia investigated association between dietary patterns and serum phosphorus in MHD patients. Dietary patterns were derived by principal component...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Nature Publishing
2020
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| Online Access: | http://psasir.upm.edu.my/id/eprint/87969/ http://psasir.upm.edu.my/id/eprint/87969/1/ABSTRACT.pdf |
| _version_ | 1848860530775687168 |
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| author | Khor, Ban Hock Sualeheen, Ayesha Sahathevan, Sharmela Chinna, Karuthan Abdul Gafor, Abdul Halim Bavanandan, Sunita Goh, Bak Leong Morad, Zaki Mat Daud, Zulfitri 'Azuan Khosla, Pramod Yee, Angela Moon Wang Karupaiah, Tilakavati |
| author_facet | Khor, Ban Hock Sualeheen, Ayesha Sahathevan, Sharmela Chinna, Karuthan Abdul Gafor, Abdul Halim Bavanandan, Sunita Goh, Bak Leong Morad, Zaki Mat Daud, Zulfitri 'Azuan Khosla, Pramod Yee, Angela Moon Wang Karupaiah, Tilakavati |
| author_sort | Khor, Ban Hock |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Sources of dietary phosphate differentially contribute to hyperphosphatemia in maintenance haemodialysis (MHD) patients. This cross-sectional study in Malaysia investigated association between dietary patterns and serum phosphorus in MHD patients. Dietary patterns were derived by principal component analysis, based on 27 food groups shortlisted from 3-day dietary recalls of 435 MHD patients. Associations of serum phosphorus were examined with identified dietary patterns. Three dietary patterns emerged: Home foods (HFdp), Sugar-sweetened beverages (SSBdp), and Eating out noodles (EO-Ndp). The highest tertile of patients in HF (T3-HFdp) pattern significantly associated with higher intakes of total protein (p = 0.002), animal protein (p = 0.001), and animal-based organic phosphate (p < 0.001), whilst T3-SSBdp patients had significantly higher intakes of total energy (p < 0.001), inorganic phosphate (p < 0.001), and phosphate:protein ratio (p = 0.001). T3-EO-Ndp patients had significantly higher intakes of total energy (p = 0.033), total protein (p = 0.003), plant protein (p < 0.001), but lower phosphate:protein ratio (p = 0.009). T3-SSBdp patients had significantly higher serum phosphorus (p = 0.006). The odds ratio of serum phosphorous > 2.00 mmol/l was significantly 2.35 times higher (p = 0.005) with the T3-SSBdp. The SSBdp was associated with greater consumption of inorganic phosphate and higher serum phosphorus levels. |
| first_indexed | 2025-11-15T12:46:42Z |
| format | Article |
| id | upm-87969 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T12:46:42Z |
| publishDate | 2020 |
| publisher | Nature Publishing |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-879692022-05-24T07:36:58Z http://psasir.upm.edu.my/id/eprint/87969/ Association of dietary patterns with serum phosphorus in maintenance haemodialysis patients: a cross-sectional study Khor, Ban Hock Sualeheen, Ayesha Sahathevan, Sharmela Chinna, Karuthan Abdul Gafor, Abdul Halim Bavanandan, Sunita Goh, Bak Leong Morad, Zaki Mat Daud, Zulfitri 'Azuan Khosla, Pramod Yee, Angela Moon Wang Karupaiah, Tilakavati Sources of dietary phosphate differentially contribute to hyperphosphatemia in maintenance haemodialysis (MHD) patients. This cross-sectional study in Malaysia investigated association between dietary patterns and serum phosphorus in MHD patients. Dietary patterns were derived by principal component analysis, based on 27 food groups shortlisted from 3-day dietary recalls of 435 MHD patients. Associations of serum phosphorus were examined with identified dietary patterns. Three dietary patterns emerged: Home foods (HFdp), Sugar-sweetened beverages (SSBdp), and Eating out noodles (EO-Ndp). The highest tertile of patients in HF (T3-HFdp) pattern significantly associated with higher intakes of total protein (p = 0.002), animal protein (p = 0.001), and animal-based organic phosphate (p < 0.001), whilst T3-SSBdp patients had significantly higher intakes of total energy (p < 0.001), inorganic phosphate (p < 0.001), and phosphate:protein ratio (p = 0.001). T3-EO-Ndp patients had significantly higher intakes of total energy (p = 0.033), total protein (p = 0.003), plant protein (p < 0.001), but lower phosphate:protein ratio (p = 0.009). T3-SSBdp patients had significantly higher serum phosphorus (p = 0.006). The odds ratio of serum phosphorous > 2.00 mmol/l was significantly 2.35 times higher (p = 0.005) with the T3-SSBdp. The SSBdp was associated with greater consumption of inorganic phosphate and higher serum phosphorus levels. Nature Publishing 2020 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/87969/1/ABSTRACT.pdf Khor, Ban Hock and Sualeheen, Ayesha and Sahathevan, Sharmela and Chinna, Karuthan and Abdul Gafor, Abdul Halim and Bavanandan, Sunita and Goh, Bak Leong and Morad, Zaki and Mat Daud, Zulfitri 'Azuan and Khosla, Pramod and Yee, Angela Moon Wang and Karupaiah, Tilakavati (2020) Association of dietary patterns with serum phosphorus in maintenance haemodialysis patients: a cross-sectional study. Scientific Reports, 10. art. no. 12278. pp. 1-14. ISSN 2045-2322 https://www.nature.com/articles/s41598-020-68893-4 10.1038/s41598-020-68893-4 |
| spellingShingle | Khor, Ban Hock Sualeheen, Ayesha Sahathevan, Sharmela Chinna, Karuthan Abdul Gafor, Abdul Halim Bavanandan, Sunita Goh, Bak Leong Morad, Zaki Mat Daud, Zulfitri 'Azuan Khosla, Pramod Yee, Angela Moon Wang Karupaiah, Tilakavati Association of dietary patterns with serum phosphorus in maintenance haemodialysis patients: a cross-sectional study |
| title | Association of dietary patterns with serum phosphorus in maintenance haemodialysis patients: a cross-sectional study |
| title_full | Association of dietary patterns with serum phosphorus in maintenance haemodialysis patients: a cross-sectional study |
| title_fullStr | Association of dietary patterns with serum phosphorus in maintenance haemodialysis patients: a cross-sectional study |
| title_full_unstemmed | Association of dietary patterns with serum phosphorus in maintenance haemodialysis patients: a cross-sectional study |
| title_short | Association of dietary patterns with serum phosphorus in maintenance haemodialysis patients: a cross-sectional study |
| title_sort | association of dietary patterns with serum phosphorus in maintenance haemodialysis patients: a cross-sectional study |
| url | http://psasir.upm.edu.my/id/eprint/87969/ http://psasir.upm.edu.my/id/eprint/87969/ http://psasir.upm.edu.my/id/eprint/87969/ http://psasir.upm.edu.my/id/eprint/87969/1/ABSTRACT.pdf |