慢性腎臓病における多文化の健康的な食事

他の：すべての参加者が介入を受けます

他の：多文化健康ダイエット

食品ベースの成分は、進行中の MHD 研究 (NCT03240406) の抗炎症食に似ています。これは、参加者の文化的背景に特有の抗炎症食品/食品成分に焦点を当てて、動物性および高飽和脂肪食品を制限することを強調しています。 . 食事は、ナトリウム摂取量の低下に焦点を当てるなど、CKD 人口のニーズにも合わせて調整されます。 介入（食事カウンセリング）は、経験豊富な腎疾患栄養士によって行われます。

Feasibility of Dietary Intervention

Feasibility will be assessed using the Automated Self-Administered 24-hour (ASA24®) Dietary Assessment Tool and the Energy-Adjusted Dietary Inflammatory Index (E-DII®).

The ASA24® is a web-based tool that enables multiple, automatically coded, self-administered 24-hour diet recalls and/or single or multi-day food records (i.e., food diaries).

The Energy Adjusted Dietary Inflammatory Index (E-DII®) quantifies the inflammatory potential of a person's diet while adjusting for total energy intake. Scores range from -8.87 (maximally anti-inflammatory) to +7.98 (maximally pro-inflammatory). Higher (positive) scores indicate greater adherence to a pro-inflammatory dietary pattern (e.g., highly processed or fried foods, sugary beverages) and are associated with poorer health outcomes, whereas lower (negative) scores indicate greater adherence to an anti-inflammatory dietary pattern (e.g., leafy greens, fruits, fish) and are associated with better health outcomes.

Acceptability of Dietary Intervention

Acceptability of the dietary intervention will be assessed using the Acceptability of the Multicultural Healthy Diet (MHD) in CKD questionnaire. Participants will be asked to rate acceptability based on five items regarding whether the dietary intervention met their approval; was appealing; whether they liked the diet, in general; liked using herbs/spices that they had not used before; and would recommend the diet to family/friends. Responses to each item are rated on a 5-point ordinal scale: (Completely disagree, Disagree, Neither agree nor disagree, Agree or Completely agree). The number/percentage of participants selecting each category will be tabulated.

Potassium Level

A serum potassium will be assessed 2-4 weeks after starting the diet as an added safety measure. Results are summarized in milliequivalents/liter (mEq/L).