The Frustrating Attempt to Limit the Interdialytic Weight Gain in Patients on Chronic Hemodialysis: New Insights Into an Old Problem

被引：41
作者：
Bossola, Maurizio [1 ]
Pepe, Gilda [2 ]
Vulpio, Carlo [1 ]
机构：
[1] Inst Clin Surg, Hemodialysis Unit, Rome, Italy
[2] Univ Cattolica Sacro Cuore, Dept Emergency Surg, Rome, Italy
来源：
JOURNAL OF RENAL NUTRITION | 2018年 / 28卷 / 05期
关键词：
RANDOMIZED CONTROLLED-TRIAL; STAGE RENAL-DISEASE; DIALYSATE SODIUM CONCENTRATION; SENSORY STIMULATION ACUPUNCTURE; PATIENTS RECEIVING HEMODIALYSIS; SELF-REGULATION INTERVENTION; BLOOD-PRESSURE CONTROL; HEART-FAILURE; FLUID-INTAKE; MAINTENANCE HEMODIALYSIS;
D O I：
10.1053/j.jrn.2018.01.015
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：
A significant percentage of patients on chronic hemodialysis have an interdialytic weight gain (IDWG) above the recommended values. High IDWG has detrimental effects on survival, cardiovascular outcomes, and quality of life. High IDWG is secondary to poor adherence to fluid restriction and to excessive intake of fluids, due to thirst and xerostomia. Various strategies have been proposed to limit IDWG such as the reduction of dietary salt intake, behavioral interventions aimed at improving the adherence to fluid restriction, the improvement of xerostomia, and the use of lower dialysate sodium concentration. The present narrative review aims to evaluate the efficacy of each of such strategies. (C) 2018 by the National Kidney Foundation, Inc. All rights reserved.
引用
收藏
页码：293 / 301
页数：9
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