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Water Drinking Practices in ADPKD Patients: A Questionnaire Based Study.

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|January 24, 2022
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Summary

Many patients with autosomal dominant polycystic kidney disease (ADPKD) do not receive adequate dietary recommendations, leading to insufficient water intake and continued consumption of coffee and tea, impacting kidney health management.

Keywords:
ADPKDAdherencecoffeecyclic AMPplasma arginine vasopressinteawater drinking

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Area of Science:

  • Nephrology
  • Internal Medicine
  • Public Health

Background:

  • Autosomal dominant polycystic kidney disease (ADPKD) patients with normal renal function may benefit from increased water intake to lower vasopressin levels and urine osmolality.
  • Adequate hydration is a potential strategy to manage ADPKD progression.

Purpose of the Study:

  • To assess the extent of dietary recommendations given to ADPKD patients regarding water intake and consumption of coffee/tea.
  • To evaluate patient adherence to nephrologists' advice on hydration and dietary restrictions.

Main Methods:

  • A cross-sectional study involving ADPKD patients across chronic kidney disease stages 1-5.
  • A questionnaire was used to gather data on dietary recommendations received and patient adherence.
  • Key recommendations assessed included consuming at least 3000 mL of water daily and avoiding coffee and tea.

Main Results:

  • Nearly half (48.2%) of the 294 patients studied did not receive any dietary recommendations.
  • Only 20.3% of patients reported consuming more than 3.0 liters of water daily.
  • A significant portion (32.3%) continued to consume coffee and tea despite advice, often due to habit.

Conclusions:

  • A substantial gap exists in communicating proper dietary advice to ADPKD patients.
  • Patient adherence to hydration and dietary recommendations is suboptimal, influenced by factors like habit and access to water.
  • Improved patient education and addressing barriers to adherence are crucial for managing ADPKD.