만성콩팥병 환자의 다문화 건강식

다른: 모든 참가자는 중재를 받게 됩니다.

다른: 다문화건강식단

식품 기반 구성 요소는 진행 중인 MHD 연구(NCT03240406)의 항염증 식단과 유사할 것입니다. 이 연구에서는 참가자의 문화적 맥락에 특정한 항염증 식품/식품 구성 요소에 초점을 두고 동물성 및 고포화 지방 식품 제한을 강조합니다. . 식이요법은 또한 나트륨 섭취량 감소에 초점을 맞추는 것을 포함하여 CKD 인구의 요구에 맞춰질 것입니다. 개입(식이 상담)은 경험이 풍부한 신장 질환 영양사가 제공합니다.

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).