Nutrition and Kidney Disease: A New Era
Editor(s): Suzuki, H. (Saitama)Kimmel, P.L. (Washington, DC)
Nutritional Status, Psychological Issues and Survival in Hemodialysis PatientsCohen S. ยท Kimmel P.L.Division of Renal Diseases and Hypertension, Department of Medicine, George
Washington University School of Medicine, Washington, D.C., USA
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Article / Publication Details
Published online: March 19, 2007
Cover Date: 2007
Number of Print Pages: 17
Number of Figures: 0
Number of Tables: 0
ISBN: 978-3-8055-8203-2 (Print)
eISBN: 978-3-318-01419-8 (Online)
Abstract
There is a high prevalence of protein-energy malnutrition in the end-stage renal disease population. There are a number of causes of malnutrition in hemodialysis patients, which can often be directly linked to the uremic state. Laboratory measures including albumin, prealbumin, and serum cholesterol, as well as anthropometric measures, have been used to assess malnutrition in this patient population. There is, however, no single accepted measure of malnutrition in patients with chronic kidney disease. Failure to achieve adequate nutritional goals may lead to protein-energy malnutrition, which has been linked to decreased survival. Several studies have also shown a direct association between psychosocial variables, including depression, and the nutritional status of hemodialysis patients, in particular the serum albumin concentration. Interventions such as oral nutritional supplements or intradialytic parenteral nutrition may be necessary to improve nutritional status if conservative measures such as nutritional counseling and regular dietician follow-up fail to produce the changes needed to sustain health. In addition, given the potential link between psychological conditions, such as depression, and overall nutritional status, interventions designed to screen for and treat psychiatric disorders may lead to improvements in nutritional status and therefore increased survival rates of patients with end-stage renal disease treated with hemodialysis. Further study is needed to evaluate the association between depression, malnutrition, and survival in patients with chronic kidney disease.
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Article / Publication Details
Published online: March 19, 2007
Cover Date: 2007
Number of Print Pages: 17
Number of Figures: 0
Number of Tables: 0
ISBN: 978-3-8055-8203-2 (Print)
eISBN: 978-3-318-01419-8 (Online)
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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