Nutrition Commons^™

Impact Of Dietary Patterns On Health Outcomes In African American Maintenance Hemodialysis Patients, Dina Angela Tallman

Wayne State University Dissertations

In the United States, African Americans (AA) suffer a disproportionate burden of ESRD, accounting for 35% of all dialysis patients, and are 3.7 times more likely to progress to ESRD than whites. This increase in CKD risk is partially attributed to higher rates of hypertension, diabetes mellitus, and cardiovascular disease. Paradoxically, once on hemodialysis, AA have a survival advantage over whites, likely due to multiple factors including nutritional status, inflammation, psychosocial status, and genetic variation.

Although both the dialysis procedure and pharmacological treatments are effective at reducing the uremic toxin load, HD patients are still encouraged to adhere to strict …