Document Detail


Nutrition in dialysis patients.
MedLine Citation:
PMID:  11666026     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Adequate nutrition is very important for dialysis patients for a better overall outcome. Protein energy malnutrition is highly prevalent (25-50%) among dialysis patients and is associated with increased morbidity and mortality. Causes of malnutrition in dialysis patients include anorexia (inadequate calorie or protein intake), metabolic acidosis (stimulation of amino acid and protein degradation), and infection/inflammation (stimulation of protein degradation). Anorexia resulting into decreased intake is probably the most important factor. Nutritional assessment can be done by anthropometric measurements, laboratory parameters, subjective global assessment, dialysis malnutrition score, near infra-red interactance and other methods. Subjective global assessment is currently the most accepted one and classifies patients into three nutritional categories: Well nourished, moderately malnourished, and severely malnourished. Prevention of malnutrition by proper dietary counselling and adequate dietary intake starting from redialysis days is probably the most effective therapeutic approach. Other therapeutic approaches include adequate dialysis delivery, avoidance of acidaemia, aggressive treatment of catabolic illnesses and food supplements: Oral, enteral or parenteral, particulary intradialytic parenteral nutrition. Experimental approaches for treatment of malnutrition in dialysis patients include amino acids in peritoneal or haemodialysate, appetite stimulants and use of recombinant human growth hormone and insulin like growth factor I. There are few randomised controlled trials unequivocally proving the efficacy of any treatment modality. Large scale, randomised trials are urgently needed to establish effective therapy for malnutrition in dialysis patients. This applies more so for Indian patients.
Authors:
R K Sharma; K M Sahu
Related Documents :
2693726 - Treatment of severe malaria.
6130196 - Undernutrition, hypothermia, and injury in elderly women with fractured femur: an injur...
21251056 - Serum concentrations of anti-müllerian hormone (amh) in 95 patients with klinefelter s...
2204906 - Clinical management of short-bowel syndrome. enhancing the patient's quality of life.
7744936 - Medullary lavage reduces embolic phenomena and cardiopulmonary changes during cemented ...
21321496 - Motor root conduction block in the lewis-sumner syndrome.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the Indian Medical Association     Volume:  99     ISSN:  0019-5847     ISO Abbreviation:  J Indian Med Assoc     Publication Date:  2001 Apr 
Date Detail:
Created Date:  2001-10-22     Completed Date:  2001-12-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7505608     Medline TA:  J Indian Med Assoc     Country:  India    
Other Details:
Languages:  eng     Pagination:  206-8, 210-1, 213     Citation Subset:  IM    
Affiliation:
Department of Nephrology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Humans
India / epidemiology
Nutrition Assessment
Nutritional Status*
Peritoneal Dialysis, Continuous Ambulatory / adverse effects*
Protein-Energy Malnutrition / epidemiology,  etiology*,  prevention & control,  therapy*
Renal Dialysis / adverse effects*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Hepatitis and HIV infection during haemodialysis.
Next Document:  Mental health around the world.