Nutrition and chronic kidney disease.

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.

journal_name

Kidney Int

journal_title

Kidney international

authors

Fouque D,Pelletier S,Mafra D,Chauveau P

doi

10.1038/ki.2011.118

subject

Has Abstract

pub_date

2011-08-01 00:00:00

pages

348-57

issue

4

eissn

0085-2538

issn

1523-1755

pii

S0085-2538(15)55046-1

journal_volume

80

pub_type

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