Appetite Predicts Intake and Nutritional Status in Patients Receiving Peritoneal Dialysis

Abstract

Anorexia was a key risk factor for inadequate protein intake and malnutrition in patients undergoing PD. These findings highlight a need to closely monitor patients with appetite disturbances.

Factors related to malnutrition in community‐dwelling patients with schizophrenia

“…27 The score was, however, lower than the 15.5 previously obtained in community-dwelling older adults. 45 Appetite was a significant factor related to malnutrition in patients with gynecologic cancer, 26 peritoneal dialysis, 46 and inflammatory bowel disease. 47 In addition, body weight was related to malnutrition in patients with hemodialysis 48 or Parkinson's disease.…”

The challenge of nutritional management in people with kidney disease

“…Whereas patients who have advanced CKD are challenged by the need to change their established dietary habits, clinical management also poses problems. Due to poor appetite and metabolic disturbance, especially in end‐stage kidney disease (ESKD) , patients are at high risk of protein–energy malnutrition and require close monitoring of nutritional status. As with all dietary assessment approaches, investigating adherence to renal‐nutrition regimens is problematic and becomes more complicated where patients have poor understanding of their condition or low literacy .…”

“…Malnutrition is strongly associated with greater mortality risk. A number of approaches may be taken to monitoring malnutrition in this patient group, ranging from as simple as following appetite to using indices that encompass serum albumin, mid‐upper arm muscle area, skinfold thicknesses, protein catabolic rate , inflammatory markers and indices of muscle strength (pinch grip or hand grip) .…”

The Challenge of Nutritional Management in People With Kidney Disease

“…Whilst patients who have advanced CKD are challenged by the need to change their established dietary habits, clinical management also poses problems. Due to poor appetite and metabolic disturbance, especially in end stage kidney disease (ESKD) (Young et al ), patients are at high risk of protein‐energy malnutrition (Nafzger et al ) and require close monitoring of nutritional status. As with all dietary assessment approaches, investigating adherence to renal‐nutrition regimens is problematic and becomes more complicated where patients have poor understanding of their condition or low literacy (Duffrin et al ).…”

“…Malnutrition is strongly associated with greater mortality risk. A number of approaches may be taken to monitoring malnutrition in this patient group, ranging from as simple as following appetite (Young et al ) to using indices that encompass serum albumin, mid‐upper arm muscle area, skinfold thicknesses, protein catabolic rate (Nafzger et al ), inflammatory markers (Ruperto et al ) and indices of muscle strength (pinch grip or hand grip) (El‐Katab et al ).…”