Low resting energy expenditure in middle-aged and elderly hemodialysis patients with poor nutritional status

被引：10

作者：

Kogirima, Miho ^{[1
]}

Sakaguchi, Katsuhiko ^{[1
]}

Nishino, Kohsuke ^{[1
]}

Ichikawa, Yoko ^{[1
]}

Hiramatsu, Fumie ^{[1
]}

Yamamoto, Shigeru ^{[1
]}

机构：

[1] Univ Tokushima, Grad Sch, Inst Hlth Biosci, Dept Internal Publ Hlth Nutr, Tokushima, Japan

来源：

JOURNAL OF MEDICAL INVESTIGATION | 2006年 / 53卷 / 1-2期

关键词：

hemodialysis patient; resting energy expenditure; physical activity level; serum albumin; poor nutritional status;

D O I：

10.2152/jmi.53.34

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Due to high resting energy expenditure REE in maintenance hemodialysis patients, an increase in energy intake is usually recommended to improve their nutritional status. However, some patients appear to have poor appetite and low energy in take. In such patients low energy metabolism is expected. We hypothesized that in maintenance hemodialysis patients there are two types of the energy metabolism, high and low. This study was aimed at finding the energy metabolismin maintenance hemodialysis patients, especially in those with poor nutritional status. Subjects were hemodialysis out-patients 34 males and 20 females, mean age 59.1 center dot 10.7y center dot REE was measured by an indirect calorimeter. Protein intake was obtained from normalized protein catabolic rate nPCR, and physical activity level PAL was obtained by time study. Nutritional status assessed by serum albumin concentration was poor 3.7 center dot 0.2g/dL in spite of theadequate proteinintake 1.1 center dot 0.3g/kgperday. Only11% of the subjects had appropriate serum albumin concentration. Mean REE was 24.6 kcal/kg per day which was lower than that of healthy Japanese 26.5kcal/kg per day. REE and PAL positively correlated with serum albumin concentration p<0.01. The results suggest that maintenance hemodialysis patients with poor nutritional status may have low REE.

引用

页码：34 / 41

页数：8

共 34 条

[11]

Kato M., Tajika M., Miwa Y., Moriwaki H., Validation of a portable indirect calorimeter (Metavine8reg

[12]

) for measuring energy expenditure in an elderly population, Clin Exp Pharmacol Physiol (Suppl 29), (2002)

[13]

Revision, pp. 31-51, (1999)

[14]

Ozeki T., Ebisawa H., Ichikawa M., Nagasawa N., Sato F., Fujita Y., Physical activities and energy expenditures of institutionalized Japanese elderly women, J Nutr Sci Vitaminol, 46, pp. 188-192, (2000)

[15]

Neyra R., Chen K.Y., Sun M., Shyr Y., Hakim R.M., Ikizler T.A., Increased resting energy expenditure in patients with end-stage renal disease, J Parent Ent Nutr, 27, pp. 36-42, (2003)

[16]

The Annual National Health and Nutrition Survey, (2004)

[17]

Guidelines for life style and dietary therapy for kidney diseases, Jpn J Nephrol, 39, pp. 1-37, (1997)

[18]

Kishi K., Miyatani S., Inoue G., Requirement and utilization of egg protein by Japanese young men with marginal intakes of energy, J Nutr, 108, pp. 658-669, (1978)

[19]

Bergstrom J., Nutrition and mortality in hemodialysis, J Am Soc Nephrol, 6, pp. 1329-1341, (1995)

[20]

Bergstrom J., Why are dialysis patients malnourished?, Am J Kidney Dis, 26, pp. 229-241, (1995)

← 1 2 3 4 →