The Effects of Individualized Nutritional Management to Slow the Progression of Stage 3 to 4 Chronic Kidney Disease in Primary Care Units of Northeast Thailand
Kankarn W, MNS1, Wichitthongchai C, CDT2, Sancharon P, MSC3, Anutrakulchai S, MD, PhD4
Affiliation : 1 Faculty of Nursing, Ubon Ratchathani Rajabhat University, Ubon Ratchathani, Thailand 2 Queen Sirikit Heart Center, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand 3 Faculty of Medicine, Mahasarakham University, Mahasarakham, Thailand 4 Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
Objective : The aim of the present study was to investigate the effect individualized nutritional management can improve nutritional
behaviors and slow the progression of stage 3 to 4 chronic kidney disease.
Materials and Methods : This 12-months experimental research was conducted at the primary care units in the Northeast, Thailand
from June 2017 to May 2018 study period. The sample consisted of 200 stages 3 to 4 CKD patients. They were recruited and
randomly assigned to either the intervention group or the control group. The intervention group received individualized nutritional
management and the control group received standard care. The data were analysed using descriptive statistics and independent t-
test.
Results : A total of 172 stage 3 to 4 CKD patients were included in the study. Their average age was 69.70 years. The nutritional
behavior and absolute eGFR at the end of the study was significantly higher in the intervention group than in the control group
(46.93 versus 43.25 ml/min/1.73 m2; p<0.05). The average blood pressure and HbA1C in the intervention group less than the
control group with statistical significance at p<0.05. However, body mass index and waist circumference were not significantly
different between the two group.
Conclusion : Individualized nutritional management can delay CKD progression.
Keywords : Nutritional management, Chronic kidney disease, Primary care
