Nutritional Status in Peritoneal Dialysis: Nutritional Guidelines, Adequacy and the Management of Malnutrition

Kiebalo, Thomas; Holotka, Jacqueline; Habura, Ireneusz; Pawlaczyk, Krzysztof

doi:10.3390/nu12061715

Cited by 54 publications

(48 citation statements)

References 82 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[ 13 , 14 ] Nevertheless, patients with PD are characterized through the high risk of malnutrition, with the estimated prevalence of 40%. [ 15 , 16 ] The former studies have suggested continuous follow-up plans and health care in CKD patients treated for PD, but have failed to focus on the management of nutrition. [ 17 ] There is a lack of the tailored nutritional interventions for the patients and adequate monitoring by medical practitioners.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Omaha system-based nursing management on nutritional status in patients undergoing peritoneal dialysis

Peng

Gao²,

Lü³

et al. 2020

Medicine

View full text Add to dashboard Cite

The chronic kidney disease (CKD) patients may have a variety of complications during receiving peritoneal dialysis (PD). The malnutrition in CKD patients is related to their lower life quality, higher hospitalization rates, and higher risk of cardiovascular disease, as well as the increased morbidity and mortality. Hence, it is very important to monitor and then manage the nutritional status of CKD patients. Thus, we perform this randomized controlled study protocol to introduce a continuing nursing program based on Omaha system (OS) for the patients with CKD receiving PD treatment. The randomized trial will be implemented from November 2020 to May 2021 and was granted through the Research Ethics Committee of Wuhan No.1 Hospital (2020003281). Two hundred patients meet inclusion criteria and exclusion criteria are included. Patients who meet the following criteria will be selected: voluntary participation, aged 20 to 60; undergoing the regular PD treatment for at least 3 months. Patients will be excluded if the patients are in unstable status, or experience the intermittent PD or some other kinds of dialysis mode, have severe cachexia, infection, or malnutrition, or if they have mental disorders. In control group, patients are given routine treatment, containing general guidance associated with PD and the outpatient telephone calls from the clinical nurses during follow-up. In study group, the patients are given the continuous nursing treatment scheme based on OS. The clinical results are the biochemical parameters after intervention, anthropometry, as well as the subjective global assessment. Table 1 reveals the clinical endpoints between the 2 groups. This protocol can guide nurses to develop a nursing program based on evidence for patients with CKD receiving PD. Trial registration: This study protocol was registered in Research Registry (researchregistry6202).

show abstract

Section: Discussionmentioning

confidence: 99%

Efficacy of Omaha system-based nursing management on nutritional status in patients undergoing peritoneal dialysis

Peng

Gao²,

Lü³

et al. 2020

Medicine

View full text Add to dashboard Cite

show abstract

“…The Charlson Comorbidity Index (CCI) was used to assess the comorbidity load. The Comprehensive Malnutrition Inflammation Score (MIS) [ 12 ] and Subjective Global Assessment (SGA) [ 13 ] were used to assess nutritional state.…”

Section: Methodsmentioning

confidence: 99%

Interaction between central obesity and frailty on the clinical outcome of peritoneal dialysis patients

et al. 2020

View full text Add to dashboard Cite

Background Frailty and obesity contribute to the adverse clinical outcome of peritoneal dialysis (PD) patients, but the interaction between frailty and obesity remains uncertain. Objective To examine the interaction between frailty and obesity on the clinical outcome of PD patients. Design Single centre prospective observational cohort study. Patients 267 prevalent Chinese PD patients were recruited. Measurements Frailty was identified by a standard score. General and central obesity were determined by body mass index (BMI) and waist-hip ratio (WHR), respectively. Body composition was assessed by bioimpedance spectroscopy. All patients were followed for two years. Outcome measures included all-cause as well as cardiovascular mortality and hospitalization. Results Of the 267 patients, 120 (44.9%) were frail. Frail individuals were more likely to have central obesity (p < 0.001) but not general obesity. Although WHR did not predict patient survival, there was a significant interaction between WHR and frailty on patient survival and cardiovascular survival (p = 0.002 and p = 0.038, respectively). For patients without frailty, the two-year cardiovascular survival was 91.3% and 74.4% for those with and without central obesity, respectively (p = 0.002). For patients with frailty, however, the two-year cardiovascular survival was 64.6% and 66.7% for those with and without central obesity, respectively (p = 0.6). For patients without frailty, the number of hospital admission for cardiovascular disease over 2 years were 0.12 ± 0.37 and 0.34 ± 0.72 for those with and without central obesity, respectively (p = 0.03). For frail patients, however, the number of hospital admission was similar between those with and without central obesity. Conclusion There is a significant interaction between frailty and central obesity on the outcome of PD patients. The protective role of central obesity is only apparent in PD patients without frailty but not the frail ones, and there is a little prognostic value of general (non-central) obesity.

show abstract

“…Pasien CAPD membutuhkan asupan energi dan protein yang tinggi untuk menunjang proses fisioliogis, mempertahankan status gizi optimal, mencegah penimbunan sisa metabolisme berlebih, mengatur keseimbangan air dan elektrolit, menggantikan asam amino yang hilang dan mempertahankan fungsi ginjal yang tersisa 1, 14,17,18 .…”

Section: Introduction (Pendahuluan)unclassified

Peran Edukasi Gizi Terhadap Asupan Energi-Protein Dan Indeks Massa Tubuh Pasien Gagal Ginjal Kronis Dengan Terapi Continuous Ambulatory Peritoneal Dialysis (Capd)

et al. 2021

View full text Add to dashboard Cite

Background: Nutrition are the essential factor to maintain body weight, body mass index and food intake in CAPD patients. Dialysis could increase nutrients lost and had to be replaced by adequate intake. Nutrition education should be needed to increase patient’s knowledge, food intake and body mass index.Objectives: To determine the role of nutrition education towards energy-protein intake and body mass index in patient with continuous ambulatory peritoneal dialysis (CAPD)Method: A cross-sectional study design with total sampling technique to obtains thirthy CAPD outpatient at RSUPN Dr. Cipto Mangunkusumo. Energy and protein intake were assessed by 3-days-food records (weekday and weekend). Nutritional status were obtained with BMI by dry body weight. Data were analyzed with independent t-test.Results: Most of subject are male outpatients, 25 – 55 years old (76.7%), had hypertension (83.3%) and normal BMI (50%). Most of subject had been undergoing peritoneal dialysis more than a year (67%), and had less than two times education per year. Energy intake were categorized as sufficient (80%) but protein intake were categorized as insufficient. There were no differences between frequency of nutrition education with energy-protein intake and nutritional status (p0.05)Conclusion: There are no differences between energy-protein intake and nutritional status with the frequency of nutrition education. Nutritional education by nutritionist and/or dietitian according to the recommendations help to maintain normal body mass index.

show abstract

Nutritional Status in Peritoneal Dialysis: Nutritional Guidelines, Adequacy and the Management of Malnutrition

Cited by 54 publications

References 82 publications

Efficacy of Omaha system-based nursing management on nutritional status in patients undergoing peritoneal dialysis

Efficacy of Omaha system-based nursing management on nutritional status in patients undergoing peritoneal dialysis

Interaction between central obesity and frailty on the clinical outcome of peritoneal dialysis patients

Peran Edukasi Gizi Terhadap Asupan Energi-Protein Dan Indeks Massa Tubuh Pasien Gagal Ginjal Kronis Dengan Terapi Continuous Ambulatory Peritoneal Dialysis (Capd)

Contact Info

Product

Resources

About