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Assessment of Dietary Folate Intake and Pill Burden among Saudi Patients on Maintenance Hemodialysis

Ibrahim Sales, Ghada Bawazeer, Ahmad R. Tarakji, Feriel K. Ben Salha, Nourah H. Al-Deaiji, Marwah Saeed, Rawan S. Idris, Mohammad H. Aljawadi, Majidah A. Aljohani, Mansour Adam Mahmoud and Wajid Syed
Additional contact information
Ibrahim Sales: Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh 11451, Saudi Arabia
Ghada Bawazeer: Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh 11451, Saudi Arabia
Ahmad R. Tarakji: Consultant Nephrologist, St. George Medical Centre, Kitchener, ON N2R 0H3, Canada
Feriel K. Ben Salha: Primary Point of Contact, Roche Tunisia & Libya, Roche Tunisie SA, Les Arcades, Lac Loch Ness Street, Berges du Lac, Tunis 1053, Tunisia
Nourah H. Al-Deaiji: Pharmaceutical Care Division, National Care Hospital, Riyadh 11461, Saudi Arabia
Marwah Saeed: Pharmaceutical Care Division, King Faisal Specialist Hospital & Research Centre, Riyadh 11564, Saudi Arabia
Rawan S. Idris: Pharmaceutical Care Division, Green Crescent Hospital, Riyadh 12711, Saudi Arabia
Mohammad H. Aljawadi: Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh 11451, Saudi Arabia
Majidah A. Aljohani: Pharmaceutical Care Division, King Saud Medical City, Riyadh 12746, Saudi Arabia
Mansour Adam Mahmoud: Department of Clinical and Hospital Pharmacy, College of Pharmacy, Taibah University, Al-Madinah Al-Munawarah 42353, Saudi Arabia
Wajid Syed: Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh 11451, Saudi Arabia

IJERPH, 2021, vol. 18, issue 23, 1-10

Abstract: The aim of this study was to assess the adequacy of dietary folate intake and perceptions of pill burden among Saudi patients on maintenance hemodialysis (MHD). This was a cross-sectional study of adults (>18 years) on MHD (>3 months) attending the dialysis unit at King Saud University Medical City. Patient demographics, dietary folic acid intake, and perceptions of pill burden were collected. Fifty-four patients met the eligibility criteria, with a mean age of 57 ± 15.5 years. The majority were females (63%), and the most prevalent comorbidities were diabetes (43%) and hypertension (76%). The average number of medications/patients was 11 ± 2.9, and most patients were receiving folate supplementation (68.5%). The average dietary folate intake was 823 ± 530 mcg/day. Pill burden was bothersome, primarily due to taking too many medications (57%) while taking medications at the workplace was the least bothersome burden (17%). The reported high pill burden and adequate dietary folate intake by Saudi patients on MHD indicates that the omission of folate supplementation may be advantageous for this special population.

Keywords: folic acid; anemia; burden of oral therapy; maintenance hemodialysis (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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