EVALUATION AND NUTRITIONAL INTERVENTIONS IN HEMODIALYSIS PATIENTS

被引:0
作者
Noemi Sanchez, Mariana [1 ]
Andrea Merlo, Carolina [2 ]
Rita Aguad, Zarina [2 ]
Ricardo Torino, Jose [2 ]
机构
[1] Hosp Reg Ushuaia, Serv Nutr, Gobernador Ernesto Campos, Ushuaia, Tierra Fuego, Argentina
[2] Hosp Reg Ushuaia, Serv Nefrol & Dialisis, Gobernador Ernesto Campos, Ushuaia, Tierra Fuego, Argentina
来源
REVISTA DE NEFROLOGIA DIALISIS Y TRASPLANTE | 2018年 / 38卷 / 04期
关键词
nutrition of risk groups; renal dialysis; recommended daily intake; supplementary feeding; serum albumin; SUBJECTIVE GLOBAL ASSESSMENT; DIALYSIS OUTCOMES; PRACTICE PATTERNS; MALNUTRITION; INDICATORS; GUIDELINES; DISEASE; SUPPLEMENTATION; MORTALITY; K/DOQI;
D O I
暂无
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Introduction: Malnutrition, being a condition with a multifactorial etiology, is very frequent in dialysis patients. Objective: To make a diagnosis of the situation and the evolution of parameters following nutrition intervention. Expected goals after six months: nutritional assessment of 100% of patients; 70% with type A subjective global assessment (SGA); 80% with >= 3.5 g/dL albumin levels, and 70% with >0.8 g/kg/day protein intake (nPNA). Methods: Patients undergoing dialysis for more than 90 days were evaluated during March and April (diagnostic stage) and November and December 2016 (evolution of parameters), recording personal, anthropometric and laboratory data, food history and SGA. The nutritional actions were: interviews to patients and relatives, education through group talks and indication of hyperproteic supplements to patients selected according to appetite, weight loss and albumin. Results: In the diagnostic stage, 35 patients were evaluated; 18 (51%) had BMI > 23 and < 35; 9 (26%) with nPNA > 0.8 g/kg/day. Albumin was >= 3.5 g/dL in 24 patients (69%). Type A SGA in 16 patients (46%); type B in 12 of them (34%) and type C in 7 (20%). Five patients received supplements (14%). In a later stage, 28 patients were evaluated; 11 (39%) with BMI > 23 and < 35. nPNA; > 0.8 g/kg/day in 27 patients (96%). Albumin was >= 3.5 g/dL in 23 patients (82%). Type A SGA in 18 patients (64%); type B in 9 of them (32%) and type C in 1 (4%). 100% of the supplemented subjects achieved the expected goals. Conclusion: Periodic nutritional assessment, interventions and supplementation improve the short-term nutritional goals of the dialysis population.
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收藏
页码:244 / 257
页数:14
相关论文
共 37 条
  • [31] Nutritional status in the HEMO study cohort at baseline
    Rocco, MV
    Paranandi, L
    Burrowes, JD
    Cockram, DB
    Dwyer, JT
    Kusek, JW
    Leung, J
    Makoff, R
    Maroni, B
    Poole, D
    [J]. AMERICAN JOURNAL OF KIDNEY DISEASES, 2002, 39 (02) : 245 - 256
  • [32] Russolillo Femenias G, 2008, NUTR DIETETICA CLIN, P264
  • [33] Tapiawala Shruti, 2006, J Assoc Physicians India, V54, P923
  • [34] Torresani ME, 2005, LINEAMIENTOS CUIDADO, P387
  • [35] A review of guidelines for nutrition care of renal patients
    Wiggins, KL
    Harvey, KS
    [J]. JOURNAL OF RENAL NUTRITION, 2002, 12 (03) : 190 - 196
  • [36] Wilkowski MJ., 1997, J RENAL NUTR, V7, P77, DOI DOI 10.1016/S1051-2276(97)90043-1
  • [37] Wiser NA, 1997, J Ren Nutr, V7, P187, DOI [DOI 10.1016/S1051-2276(97)90017-0, 10.1016/S1051-2276(97)90017-0]