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Factors Affecting Dietary Adherence and Strategies for Improving Adherence in Chronic Kidney Disease

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Nutrition in Kidney Disease

Part of the book series: Nutrition and Health ((NH))

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Abstract

Medical nutrition therapy (MNT) is an integral component for successful treatment outcomes in patients with chronic kidney disease (CKD). Treatment requires adherence to a complex dietary prescription that changes throughout the stages of the disease. This chapter will review the factors (positive and negative) that may influence a patient’s ability to follow the recommended diet prescription. Factors that may improve adherence include social support from family and/or caregivers and the health practitioner’s knowledge of the patient’s culture, food habits, beliefs, and practices. On the other hand, inhibitors of dietary adherence include the patient’s lifestyle, attitude toward the disease, socioeconomic status, and cultural barriers. The health professional needs to understand these factors and implement strategies for achieving dietary adherence in CKD patients. This chapter will also provide evidence-based recommendations from the American Heart Association that the renal practitioner can apply to the CKD patient which may enhance adherence to the renal diet. Moreover, a brief comment about the use of technology to aid in achieving dietary adherence is included.

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References

  1. World Health Organization. Section I. World Health Organization. 2003. Available from https://www.who.int/chp/knowledge/publications/adherence_Section1.pdf.

  2. Osterberg L, Blaschke T. Adherence to medication. N Engl J Med. 2005;353(5):487–97.

    Article  CAS  Google Scholar 

  3. World Health Organization. Adherence to long term therapies: evidence for action. World Health Organization. 2003. Available from http://www.who.int/chp/knowledge/publications/adherence_report/en/.

  4. World Health Organization. The World Health Report. Reducing risks, promoting healthy life. Geneva: World Health Organization; 2002. p. 2002.

    Google Scholar 

  5. Dunbar-Jacob J, Erlen JA, Schlenk EA, Ryan CM, Sereika SM, Doswell WM. Adherence in chronic disease. Annu Rev Nurs Res. 2000;18:48–90.

    Article  CAS  Google Scholar 

  6. Cohen SM. Concept analysis of adherence in the context of cardiovascular risk reduction. Nurs Forum. 2009;44:25–36.

    Article  Google Scholar 

  7. Clark S, Farrington K, Chilcot J. Nonadherence in dialysis patients: prevalence, measurement, outcome, and psychological determinants. Semin Dialysis. 2014;27(1):42–9.

    Article  Google Scholar 

  8. DiMatteo MR. Variations in patients’ adherence to medical recommendations. Med Care. 2004;42(3):200–9.

    Article  Google Scholar 

  9. DiMatteo MR, Reiter RC, Gambone JC. Enhancing medication adherence through communication and informed collaborative choice. Health Commun. 1994;6(4):253–65.

    Article  Google Scholar 

  10. Desroches S, Lapointe A, Ratté S, Gravel K, Légare F, Turcotte S. Interventions to enhance adherence to dietary advice for preventing and managing chronic diseases in adults. Cochrane Database Syst Rev. 2013;2:CD008722.

    Google Scholar 

  11. Chironda G, Manwere A, Nyamakura R, Chipfuwa T, Bhengu B. Perceived health status and adherence to haemodialysis by End Stage Renal Disease (ESRD) patients: a case of a central hospital in Zimbabwe. IOSR J Nurs Health Sci. 2014;22:31.

    Google Scholar 

  12. Alebiosu CO, Aodele OE. The global burden of chronic kidney disease and the way forward. Ethnic Dis. 2005;15:418.

    CAS  Google Scholar 

  13. Chironda G, Bhengu G. Contributing factors to non-adherence among chronic kidney disease (CKD) patients: a systematic review of literature. Med Clin Rev. 2016;2(4).

    Google Scholar 

  14. DiMatteo MR, Lepper HS, Croghan TW. Depression is a risk factor for noncompliance with medical treatment: meta-analysis of the effects of anxiety and depression on patient adherence. Arch Int Med. 2000;160:2101–7.

    Article  CAS  Google Scholar 

  15. Williams ME. Management of diabetes in dialysis patients. Curr Diabetes Rep. 2009;9:466–72.

    Article  Google Scholar 

  16. LaRosa JC. Poor compliance: the hidden risk factor. Curr Atheroscler Rep. 2000;2:1–4.

    Article  CAS  Google Scholar 

  17. Miller W, Rollnick S. Motivational interviewing. New York: Guilford Press; 1999.

    Google Scholar 

  18. Oquendo LG, Asencio JMM, de las Nieves CB. Contributing factors for therapeutic diet adherence in patients receiving hemodialysis treatment: an integrative review. J Clin Nurs. 2017;26:3893–905.

    Article  Google Scholar 

  19. Dunbar JM, Marshall GD, Hovell MF. Behavioral strategies for improving compliance. In: Haynes RB, Taylor DW, Sacket DL, editors. Compliance in health care. Baltimore: Johns Hopkins University Press; 1979. p. 174–90.

    Google Scholar 

  20. Leventhal H, Cameron L. Behavioral theories and the problem of compliance. Patient Educ Couns. 1987;10:117–38.

    Article  Google Scholar 

  21. Gibson ES. Compliance and the organization of health services. In: Haynes RB, Taylor DW, Sacket DL, editors. Compliance in health care. Baltimore: Johns Hopkins University Press; 1979. p. 278–85.

    Google Scholar 

  22. Elliott WJ. Compliance strategies. Curr Opin Nephrol Hypertens. 1994;3:271–8.

    Article  CAS  Google Scholar 

  23. Green LW. Educational strategies to improve compliance with therapeutic and preventive regimens: the recent evidence. In: Haynes RB, Taylor DW, Sacket DL, editors. Compliance in health care. Baltimore: Johns Hopkins University Press; 1979. p. 157–73.

    Google Scholar 

  24. Sherman AM, Bowen DJ, Vitolins M, Perri MG, Rosal MC, Sevick MA, et al. Dietary adherence: characteristics and interventions. Control Clin Trials. 2000;21:206S–11.

    Article  CAS  Google Scholar 

  25. Webb D, Byrd-Bredbenner C. Overcoming consumer inertia to dietary guidance. Adv Nutr. 2015;65(4):391–6.

    Article  Google Scholar 

  26. VanHorn L, Carson JS, Appel LJ, Burke LE, Economos C, Karmally W, et al. Recommended dietary pattern to achieve adherence to the American Heart Association/American College of Cardiology (AHA/ACC) guidelines. Circulation. 2016;134:e505–3329.

    CAS  Google Scholar 

  27. Welch J, Dowell S, Johnson CS. Feasibility of using a personal digital assistant to self-monitor diet and fluid intake: a pilot study. Nephrol Nurs J. 2007;34(1):43–8.

    PubMed  Google Scholar 

  28. Stark S, Snetselaar L, Piraino B, Stone RA, Kim S, Hall B, et al. Personal digital assistant-based self-monitoring adherence rates in two dialysis dietary intervention pilot studies: balance-wise HD and balance-wise PD. J Ren Nutr. 2011;21(6):492–8.

    Article  Google Scholar 

  29. Welch JL, Astroth KS, Perkins SM, Johnson CS, Connelly K, Siek K, et al. Using a mobile application to self-monitor diet and fluid intake among adults receiving hemodialysis. Res Nurs Health. 2013;36(3):284–98.

    Article  Google Scholar 

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Burrowes, J.D. (2020). Factors Affecting Dietary Adherence and Strategies for Improving Adherence in Chronic Kidney Disease. In: Burrowes, J., Kovesdy, C., Byham-Gray, L. (eds) Nutrition in Kidney Disease. Nutrition and Health. Humana, Cham. https://doi.org/10.1007/978-3-030-44858-5_34

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  • DOI: https://doi.org/10.1007/978-3-030-44858-5_34

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  • Publisher Name: Humana, Cham

  • Print ISBN: 978-3-030-44857-8

  • Online ISBN: 978-3-030-44858-5

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