Prevalence of Taste Changes and Association with Other Nutrition-Related Symptoms in End-Stage Kidney Disease Patients.

J Ren Nutr

Nephrology Department, St George Hospital, Kogarah, North South Wales, Australia; St George and Sutherland Clinical School, University of New South Wales, Kensington, North South Wales, Australia.

Published: January 2021

AI Article Synopsis

  • * Researchers analyzed data from 298 ESKD patients, finding that 38% experienced taste changes, which were linked to gastrointestinal symptoms like nausea and anorexia.
  • * The results suggest that taste changes are prevalent in ESKD patients and may contribute to malnutrition, highlighting the need for further research on effective management strategies.

Article Abstract

Objectives: Gastrointestinal symptoms are common in end-stage kidney disease (ESKD) and have been associated with reduced health-related quality of life and malnutrition. The aim of this study is to describe the prevalence of taste changes in an ESKD population and to evaluate whether taste changes are associated with the presence or severity of other nutrition-related symptoms and malnutrition.

Methods: We conducted a retrospective audit of people with ESKD on conservative, nondialysis management or renal replacement therapy who had completed a taste change assessment. Taste change was assessed on a Likert scale from none to overwhelming. Descriptions of taste changes were also collected. Other outcomes included gastrointestinal symptoms collected using the iPOS-renal symptom inventory, nutritional status, and biochemical parameters.

Results: In total, 298 patients were included in our analysis. Taste changes were reported in 38% of this cohort. Taste changes were significantly associated with upper gastrointestinal symptoms (nausea, vomiting, anorexia, and dry/sore mouth) and malnutrition.

Conclusions: Our findings indicate that taste changes are highly prevalent and probably under-recognized in ESKD. Further investigation of the association with malnutrition is needed. Future trials are needed to evaluate strategies to manage taste changes in this population.

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Source
http://dx.doi.org/10.1053/j.jrn.2020.06.003DOI Listing

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