Nutritional Status in Peritoneal Dialysis: Nutritional Guidelines, Adequacy and the Management of Malnutrition

被引:67
作者
Kiebalo, Thomas [1 ]
Holotka, Jacqueline [1 ]
Habura, Ireneusz [2 ]
Pawlaczyk, Krzysztof [1 ]
机构
[1] Poznan Univ Med Sci, Dept Nephrol Transplantol & Internal Med, PL-60355 Poznan, Poland
[2] Univ Hosp Karol Marcinkowski Zielona Gora, Dept Nephrol, PL-65046 Zielona Gora, Poland
关键词
peritoneal dialysis; nutritional status; adequacy; protein intake; renal replacement therapy; CHRONIC KIDNEY-DISEASE; CLINICAL-PRACTICE GUIDELINES; SUBJECTIVE GLOBAL ASSESSMENT; STAGE RENAL-DISEASE; EXIT-SITE INFECTION; METABOLIC-ACIDOSIS; SERUM-ALBUMIN; SUBSEQUENT PERITONITIS; HOMOCYSTEINE LEVELS; PROTEIN INTAKE;
D O I
10.3390/nu12061715
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
The positive impact of nutritional status on the health and treatment adequacy of peritoneal dialyzed patients has been well established. Protein intake is an important factor used to stratify malnutrition, with inadequate intake leading to protein-energy wasting during the course of therapy. In this review, we discuss the recommendations made by nephrological societies regarding nutrition in this population of dialysis patients. Special attention is given to the intake of protein, and recommendations on the intake of micronutrients are also discussed. Furthermore, factors that may impair nutritional intake and balance are discussed, with mention of the innovative strategies utilized to combat them. In light of inconsistent recommendations that vary between each respective society, as well as a general lack of concise information, it is our intention to call for further research regarding nutritional recommendations in peritoneal dialysis (PD), as well as to advocate for clear and accessible information for patients.
引用
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页码:1 / 14
页数:14
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