Expert working group report on nutrition in adult patients with renal insuffciency (Part 2 of 2)

Toigo, G.; Aparicio, Michel; Po, Attman; Cano, Noël; Cianciaruso, Bruno; Engel, Barbara; Fouque, Denis; Heidland, A.; Teplan, Vladimı́r; Wanner, Christoph

doi:10.1054/clnu.2000.0129

Cited by 67 publications

(25 citation statements)

References 76 publications

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“…A series of reference numbers were progressively integrated into the indications and guidelines for the nutritional management of dialysis patients [79,80,81,82,83,84,85,86]. Some of these may prove to be too high and others too low.…”

Section: Diet and Dialysis: Four Questions And Four Paradoxesmentioning

confidence: 99%

“…Most nutritional indications on extracorporeal dialysis are based on the metabolic needs of “conventional” thrice-weekly bicarbonate-buffered haemodialysis [79,80,81,82,83,84,85,86]. However, there is increased acknowledgement that if dialysis is more frequent and/or sessions are longer, metabolic balance and nutritional status are more easily restored [87,88,89,90,91].…”

Section: Diet and Dialysis: Four Questions And Four Paradoxesmentioning

confidence: 99%

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The Diet and Haemodialysis Dyad: Three Eras, Four Open Questions and Four Paradoxes. A Narrative Review, Towards a Personalized, Patient-Centered Approach

et al. 2017

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The history of dialysis and diet can be viewed as a series of battles waged against potential threats to patients’ lives. In the early years of dialysis, potassium was identified as “the killer”, and the lists patients were given of forbidden foods included most plant-derived nourishment. As soon as dialysis became more efficient and survival increased, hyperphosphatemia, was identified as the enemy, generating an even longer list of banned aliments. Conversely, the “third era” finds us combating protein-energy wasting. This review discusses four questions and four paradoxes, regarding the diet-dialysis dyad: are the “magic numbers” of nutritional requirements (calories: 30–35 kcal/kg; proteins > 1.2 g/kg) still valid? Are the guidelines based on the metabolic needs of patients on “conventional” thrice-weekly bicarbonate dialysis applicable to different dialysis schedules, including daily dialysis or haemodiafiltration? The quantity of phosphate and potassium contained in processed and preserved foods may be significantly different from those in untreated foods: what are we eating? Is malnutrition one condition or a combination of conditions? The paradoxes: obesity is associated with higher survival in dialysis, losing weight is associated with mortality, but high BMI is a contraindication for kidney transplantation; it is difficult to limit phosphate intake when a patient is on a high-protein diet, such as the ones usually prescribed on dialysis; low serum albumin is associated with low dialysis efficiency and reduced survival, but on haemodiafiltration, high efficiency is coupled with albumin losses; banning plant derived food may limit consumption of “vascular healthy” food in a vulnerable population. Tailored approaches and agreed practices are needed so that we can identify attainable goals and pursue them in our fragile haemodialysis populations.

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Section: Diet and Dialysis: Four Questions And Four Paradoxesmentioning

confidence: 99%

Section: Diet and Dialysis: Four Questions And Four Paradoxesmentioning

confidence: 99%

The Diet and Haemodialysis Dyad: Three Eras, Four Open Questions and Four Paradoxes. A Narrative Review, Towards a Personalized, Patient-Centered Approach

et al. 2017

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“…O Consumo total de nutrientes foi comparado às recomendações específicas da Sociedade Brasileira de Cardiologia 14 . Já os valores de absorção de glicose foram comparados às estimativas de Tiogo et al 23 . Como parâmetro de referência para o consumo alimentar de carboidrato, foi utilizada a recomendação específica para pacientes renais em DP 23 .…”

Section: N T R O D U ç ã Ounclassified

“…Já os valores de absorção de glicose foram comparados às estimativas de Tiogo et al 23 . Como parâmetro de referência para o consumo alimentar de carboidrato, foi utilizada a recomendação específica para pacientes renais em DP 23 .…”

Section: N T R O D U ç ã Ounclassified

“…No presente estudo, elevada contribuição energética dos carboidratos e alto consumo de gordura saturada, além do baixo consumo de gordura monoinsaturadas e de fibras da dieta, foram observados na população e nos grupos 14 . O elevado consumo de carboidrato alimentar -acima de 35% do VCT 23 -contribuiu para a alteração do percentual desse macronutriente no VCT, já que a quantidade de glicose absorvida do dialisato se encontrou dentro dos valores estimados para o programa de diálise 22,23 . Entre os fatores de risco não tradicionais, sabe-se que a hiperfosfatemia, hipercalemia, elevação do produto cálcio e fósforo e hiperparatireoidismo constituem fatores de risco para calcificação vascular, isquemia e adversas complicações cardíacas 28 .…”

Section: I S C U S S ã Ounclassified

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Desnutrição, inflamação e outros fatores de risco para doença cardiovascular em pacientes sob diálise peritoneal

et al. 2010

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DESNUTRIÇÃO E INFLAMAÇÃO | 335Rev. Nutr., Campinas, 23(3):335-345, maio/jun., 2010Revista R E S U M O ObjetivoIdentificar a ocorrência de desnutrição, inflamação e outros fatores de risco para doença cardiovascular em pacientes sob diálise peritoneal. MétodosEstudo transversal, envolvendo 61 pacientes em duas unidades de diálise em Salvador (BA). O estado nutricional foi avaliado por meio da Avaliação Subjetiva Global. Realizou-se a dosagem de proteína C reativa ultrassensível para determinar inflamação. Foram estudados fatores de risco tradicionais para doença cardiovascular, como gênero, idade, etilismo, tabagismo, sedentarismo, hipertensão, diabetes, dislipidemia e hábitos alimentares e fatores não tradicionais, como alterações no metabolismo de cálcio, fósforo e anemia. ResultadosNessa população, 36,0% dos pacientes encontravam-se desnutridos e 49,2% com processo inflamatório. Desnutrição e inflamação foram evidenciadas em 21,3% dos pacientes. O grupo de pacientes desnutridos

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Acute Kidney Injury

Kalista-Richards

2013

Nutrition in Kidney Disease

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Expert working group report on nutrition in adult patients with renal insuffciency (Part 2 of 2)

Cited by 67 publications

References 76 publications

The Diet and Haemodialysis Dyad: Three Eras, Four Open Questions and Four Paradoxes. A Narrative Review, Towards a Personalized, Patient-Centered Approach

The Diet and Haemodialysis Dyad: Three Eras, Four Open Questions and Four Paradoxes. A Narrative Review, Towards a Personalized, Patient-Centered Approach

Desnutrição, inflamação e outros fatores de risco para doença cardiovascular em pacientes sob diálise peritoneal

Acute Kidney Injury

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