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J Am Soc Nephrol 10:2244-2247, 1999
© 1999 American Society of Nephrology


DISEASE OF THE MONTH

Management of Protein and Energy Intake in Dialysis Patients

MARSHA WOLFSON

Renal Division, Baxter HealthCare Corporation, McGaw Park, Illinois.

Correspondence to Dr. Marsha Wolfson, Renal Division Research MPR-D1, Baxter Healthcare Corporation, 1620 Waukegan Road, McGaw Park, IL 60085-6730. Phone: 847-473-6342; Fax: 847-473-6902; E-mail: wolfsonm{at}baxter.com

Abstract

Abstract. Malnutrition is not uncommon in patients with end-stage renal disease treated with maintenance dialysis. The presence of several abnormal parameters of nutritional status are reported to be predictive of poorer outcomes in these patients, compared to dialysis patients without evidence of malnutrition. This article describes methods that may be used to recognize the presence of malnutrition in end-stage renal disease patients and the management of protein and energy intake. Whether the correction of malnutrition will improve outcomes, such as morbidity and mortality, is unknown.




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D. Fouque, J. McKenzie, R. de Mutsert, R. Azar, D. Teta, M. Plauth, N. Cano, and the Renilon Multicentre Trial Study Group
Use of a renal-specific oral supplement by haemodialysis patients with low protein intake does not increase the need for phosphate binders and may prevent a decline in nutritional status and quality of life
Nephrol. Dial. Transplant., September 1, 2008; 23(9): 2902 - 2910.
[Abstract] [Full Text] [PDF]




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