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Nutrition and chronic kidney disease.
- Source :
-
Kidney international [Kidney Int] 2011 Aug; Vol. 80 (4), pp. 348-57. Date of Electronic Publication: 2011 May 11. - Publication Year :
- 2011
-
Abstract
- The incidence of malnutrition disorders in chronic kidney disease (CKD) appears unchanged over time, whereas patient-care and dialysis techniques continue to progress. Despite some evidence for cost-effective treatments, there are numerous caveats to applying these research findings on a daily care basis. There is a sustained generation of data confirming metabolic improvement when patients control their protein intake, even at early stages of CKD. A recent protein-energy wasting nomenclature allows a simpler approach to the diagnosis and causes of malnutrition. During maintenance dialysis, optimal protein and energy intakes have been recently challenged, and there is no longer an indication to control hyperphosphatemia through diet restriction. Recent measurements of energy expenditure in dialysis patients confirm very low physical activity, which affects energy requirements. Finally, inflammation, a common state during CKD, acts on both nutrient intake and catabolism, but is not a contraindication to a nutritional intervention, as patients do respond and improve their survival as well as do noninflamed patients.
- Subjects :
- Animals
Chronic Disease
Dietary Proteins administration & dosage
Dietary Proteins metabolism
Humans
Inflammation etiology
Inflammation metabolism
Inflammation physiopathology
Kidney Diseases complications
Kidney Diseases metabolism
Kidney Diseases physiopathology
Malnutrition metabolism
Malnutrition physiopathology
Malnutrition prevention & control
Protein-Energy Malnutrition etiology
Protein-Energy Malnutrition physiopathology
Risk Assessment
Risk Factors
Treatment Outcome
Energy Metabolism
Kidney Diseases therapy
Malnutrition etiology
Nutritional Status
Renal Dialysis adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1523-1755
- Volume :
- 80
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Kidney international
- Publication Type :
- Academic Journal
- Accession number :
- 21562470
- Full Text :
- https://doi.org/10.1038/ki.2011.118