Zulfitri ‘Azuan Mat Daud, PhD, RDN
Senior Lecturer & Dietitian
Universiti Putra Malaysia
Assoc. Prof. Dr. Zulfitri ‘Azuan Mat Daud is an academician cum a dietitian at Universiti Putra Malaysia (UPM). He is currently served as a head of dietetic department at Faculty of Medicine and Health Sciences and Hospital Pengajar UPM. He began his career in academia since 2014 after returning from the United States of America, following his PhD study at Wayne State University. He also obtained his credential as a registered dietitian nutritionist (RDN) from the Commission of Dietetic Registration, USA. Dr. Zulfitri’s research focuses on aspects pertaining to renal nutrition and actively collaborating in various research projects including an international multi-centers clinical trial on palm tocotrienols (PATCH Study) that involved dialysis centers in Malaysia, the United States, Bangladesh and India. His recent research work among others include Ramadan study among hemodialysis patients and development of mobile apps to increase patient’s engagement in a patient-centered care setting. He has been actively participating in capacity building of renal dietetic workforce locally and internationally including upskilling program in several countries with the aimed to advocate dietitians’ competency and visibility in nephrology practice.
Khor Ban Hock, Ph.D.
Senior Lecturer & Dietitian
Universiti Malaysia Sabah
Khor Ban Hock obtained his Bachelor's degree in Dietetics from UKM in 2011 and served as a clinical dietitian in the Ministry of Health, Malaysia for four years before pursuing his Ph.D. in UKM in 2015. He completed his Ph.D. in 2019 and has worked as a postdoctoral researcher in the Faculty of Medicine, UKM for one year before joining Universiti Malaysia Sabah as a senior lecturer in the Faculty of Food Science and Nutrition. His research interests include fatty acids and nutrition in patients with kidney diseases. He has authored peer-reviewed several scientific publications related to Malaysian hemodialysis patients and produced several patient education materials for Malaysian patients with kidney diseases. He is a member of the United States National Kidney Foundation Council on Renal Nutrition (CRN) and also currently serves in the Patient Resource Committee of the International Society of Renal Nutrition and Metabolism (ISRNM).
Ramadan Fasting among Dialysis Patients: Are They at Nutritional Risks?
Assoc. Prof. Dr. Zulfitri ‘Azuan Mat Daud, PhD, RDN
Department of Dietetics,
Faculty of Medicine and Health Sciences & Hospital Pengajar UPM
Universiti Putra Malaysia, Malaysia.
Ramadan is a month of spiritual reflection, faith and unity for Muslims worldwide. Although end stage renal disease (ESRD) patients undergoing dialysis are exempted from fasting and advised against it, around 40-70% of them chose to be fasting as an act of religious obligation. During Ramadan, there is a dramatic change in eating habit related to meal timing and meal frequency to accommodate fasting during daylight hours. This daily lifestyle changes raise concern among health care practitioners and pose significant challenges to the patients. ESRD patients undergoing dialysis are vulnerable to higher risk for developing malnutrition, as well as fluid and electrolytes imbalance. This patient group experiences the retention of uremic solutes due to limited removal via dialysis and high level of cytokines from the catabolic nature of dialysis treatment itself. Hence, dialysis patients have to adhere to prescribed diets with specific fluid and nutrient restrictions that at the same time are adequate for energy and protein to prevent malnutrition. Therefore, this presentation will discuss the dialysis patients’ perspective on Ramadan fasting practices and highlight the effect of Ramadan fasting on nutritional outcomes that have been reported in the literature. This presentation will also discuss the current evidence to guide healthcare practitioners and dialysis patients for safe fasting during Ramadan and ensure nutritional adequacy.
KDOQI Clinical Practice Guideline for Nutrition in CKD 2020: What's New?
Khor Ban Hock, Ph.D.
Senior Lecturer & Dietitian
Faculty of Food Science and Nutrition
Universiti Malaysia Sabah
The Institute of Medicine defines clinical practice guidelines as “statements that include recommendations, intended to optimize patient care, that are informed by a systematic review of evidence and an assessment of the benefits and harms of alternative care options”. The National Kidney Foundation’s Kidney Disease Outcomes Quality Initiative (KDOQI) published the first clinical practice guideline for nutrition in 2000, which has been the primary reference for most healthcare providers in nephrology services. However, the accumulation of new evidence in the nutritional management of kidney diseases warrants an update on the existing clinical practice guideline. In 2020, a new KDOQI clinical practice guideline for nutrition was developed as a joint effort between the Academy of Nutrition and Dietetics and the National Kidney Foundation. In this session, we will look into the updates of the latest KDOQI nutrition guideline.