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Oral supplements and serum albumin levels in dialysis patients as a function of food insecurity

Coleman, Megan E
http://rave.ohiolink.edu/etdc/view?acc_num=ucin1384851154

Abstract Details

2013, MS, University of Cincinnati, Allied Health Sciences: Nutrition.
Background: Food insecurity, defined as access by all people at all times to have enough food for an active life, is associated with many chronic diseases that affect Americans annually. These include heart disease, cancer, stroke as well as chronic kidney disease and end stage renal failure. A food security survey can be used in the dialysis centers to determine patient's access to food and help health care professionals understand the importance of nutrition within this population. Providing or arranging access to oral nutrition supplements can improve overall nutrition status and help decrease food insecurity. In addition, oral nutrition supplements can decrease the food gap that is prevalent in patients on dialysis. Purpose: The purpose of this study was to explore the relationship between access to food and oral nutrition supplements and blood albumin levels in patients receiving outpatient dialysis. Study Design: Survey and Chart Review Subjects: Participants were eligible if they were over the age of 18 years, English speaking, and had their blood albumin measured within 30 days of the study. Location: The study took place in Cincinnati, OH at two DCI (Dialysis Center Incorporated) locations, McMillan and Western Hills. Methods: The validated USDA survey was used to assess food security. Also, three additional questions were added pertaining to oral supplements. Results: Associations were observed between measured variables and food security scores and albumin levels. Race, gender, access and location showed no relationship to food security scores. Age was inversely correlated to food security score. An increase in household members corresponded to an increase in food security scores. In regards to albumin, there was no relationship between albumin levels, food security score, and consumption of oral supplements. Albumin was significantly related to the number of oral supplements consumed, gender, access and age. A greater proportion of patients consuming supplements had inadequate albumin levels. Patients using Medicaid to receive their oral supplements had lower average albumin levels than those who were self-pay or received supplements through donations. Additionally, patients who were >60 years of age were also more likely to have lower average albumin levels. In regards to gender, men had higher mean albumin levels than females. None of the aforementioned variables were significant predictors of albumin levels. Conclusions: 85 participants, Mean age, 58+/- 11, 48.2% Male, 51.8% Female, 90.6 % African American, 9.4% Caucasian. Mean food security score- 1.8. 44.7% consumed some form of nutrition supplement, with the majority consuming 1 per day (55.3%). Mean albumin- 3.79mg/dL. 39% had albumin levels (4.0mg/dL or greater) and 61% had albumin levels (3.9mg/dL or less).
Debra Ann Krummel, Ph.D. (Committee Chair)
Heather Duncan, Ph.D. (Committee Member)
49 p.
Nutrition
food security; nutrition; dialysis; albumin; oral supplements

Recommended Citations

Citations

  • Coleman, M. E. (2013). Oral supplements and serum albumin levels in dialysis patients as a function of food insecurity [Master's thesis, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1384851154

    APA Style (7th edition)

  • Coleman, Megan. Oral supplements and serum albumin levels in dialysis patients as a function of food insecurity. 2013. University of Cincinnati, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1384851154.

    MLA Style (8th edition)

  • Coleman, Megan. "Oral supplements and serum albumin levels in dialysis patients as a function of food insecurity." Master's thesis, University of Cincinnati, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1384851154

    Chicago Manual of Style (17th edition)

ucin1384851154
492
© 2013, all rights reserved.
This open access ETD is published by University of Cincinnati and OhioLINK.