![]() HD patients will be recruited and randomized to 2 groups: 1) Low-sodium meal feeding plus dietary counseling or 2) a weight-list control group that will initially receive dietary counseling alone. It is hypothesized that feeding low-sodium meals for one month will significantly reduce IDWG and related outcomes, and continued dietary counseling and education support for 6 months will result in a sustained reduction in sodium intake upon patient resumption of meal responsibility. ![]() ![]() The objective of this randomized controlled trial is to determine if short-term feeding of low-sodium meals can "prime" changes in long-term nutrition behavior. However, data from recently published investigations demonstrate that dietary counseling alone may be ineffective. HD patients are often counselled to restrict their dietary sodium intake to help manage thirst and reduce their interdialytic weight gain (IDWG). VO is caused in part by excessive fluid intake that is secondary to the consumption of a high salt diet. Chronic volume overload (VO) is a primary factor responsible for the excessive cardiovascular morbidity and mortality in hemodialysis (HD) patients. ![]()
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