Nutritional problems in adult patients with stage 5 chronic kidney disease on dialysis (both haemodialysis and peritoneal dialysis)

摘要: Nutritional problems in adult patients with stage 5 chronic kidney disease (CKD) on dialysis can be classified into three categories: protein–energy wasting (PEW), obesity and diabetes. The prevalence of is strikingly increasing [1]. In a European cohort incident from the Netherlands (1997–2004), average BMI was found to 25.3 kg/m2 showing that more than half were overweight or obese [2]. relationship haemodialysis (HD) patient outcome discussed another article this issue. Diabetes type 2 which less 10% French HD ten years ago [3] now ∼20% associated 2-fold increase mortality rate [4,5]. Its impact nutritional status responsiveness therapies will below. present focuses PEW patients. varies, according considered parameters, 20% 70% 18% 56% peritoneal (PD) [6]. an independent determinant morbidity as well PD Twenty-five percent exhibit high-risk malnutrition estimated serum albumin transthyretin (prealbumin) levels [3]. yearly rates low are close 25–30% [7]. Similar data reported Because severity dialysis, several guidelines scientific societies recently addressed monitoring status, requirements treatment malnourished [8–12]. causes management