Dietary Micronutrient Intake in Peritoneal Dialysis Patients: Relationship with Nutrition and Inflammation Status

Effect of Resistance Exercises on the Indicators of Muscle Reserves and Handgrip Strength in Adult Patients on Hemodialysis

“…[4][5][6] Worldwide, it has been documented that approximately 75% of patients with chronic kidney disease on renal replacement therapy suffer from malnutrition. 7 In Mexico, this number is up to 81% for patients on peritoneal dialysis 8 and approximately 64% for patients on hemodialysis. 9 The nutritional status of patients with chronic kidney disease is affected by various causes, including loss of appetite due to azotemia, decrease in food consumption, protein hypercatabolism, decrease in the variation in diet, and costs of treatment and food, all of which increase as the disease progresses.…”

“…8 The recommended caloric intake for patients on substitutive therapy is 30 to 35 kcal/kg/day. 17, 18 Cheema et al 14 reported a mean intake of 32.3 6 7.3 kcal/kg/day, whereas in our population, the mean was 24.2 6 11 kcal/kg/day.…”

“…9 The nutritional status of patients with chronic kidney disease is affected by various causes, including loss of appetite due to azotemia, decrease in food consumption, protein hypercatabolism, decrease in the variation in diet, and costs of treatment and food, all of which increase as the disease progresses. 6,8 Recently, diverse studies have used exercise interventions, and ''exercise'' is defined as a planned, structured, and repetitive activity, 10 resulting in beneficial changes in clinical and nutritional indicators. 10,11 In the case of resistance exercise, improvements have been observed in muscle reserves, muscle strength, and the quality of life.…”

Les spécificités du soin nutritionnel en dialyse péritonéale

“…Il semblerait que les carences soient plus profondes chez les patients pré sentant une perte de la fonction ré nale ré siduelle [47,48]. Une supplé mentation selon les recommandations des EBPG est donc souhaitable.…”

“…L'ajout des micronutriments dans la solution est indispensable [52] ; en situation chronique, c'est l'indication de la DP qui est à revoir. Les é tiologies qui relè vent de l'indication d'une nutrition parenté rale exclusive, chez l'adulte, sont les pathologies digestives inflammatoires, sté nosantes, ou les fistules digestives [48]. Toutes ces situations sont à haut risque d'infection de liquide de dialyse pé ritoné ale par translocation et l'inflammation locale majore la perte protidique par voie pé ritoné ale.…”