Protein-Energy Malnutrition/Wasting During Peritoneal Dialysis

Carrero, Juan Jesús; Heimbürger, Olof; Chan, Maria; Axelsson, Jonas; Stenvinkel, Peter; Lindholm, Bengt

doi:10.1007/978-0-387-78940-8_21

Cited by 6 publications

(6 citation statements)

References 299 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…; Carrero et al . ); the effect of dialysate solutions on appetite regulating hormones (Kopple ); use of glucose or amino acid‐based dialysate solutions (Carrero et al . ; Pajek et al .…”

Section: Discussionmentioning

confidence: 99%

“…; Carrero et al . ; Akbulut et al . ) and more than 50% have inadequate protein intake (Boudville et al .…”

Section: Introductionmentioning

confidence: 99%

“…Malnutrition and inadequate protein intake in patients undergoing PD are associated with poor clinical outcomes such as hospitalisation and increased risk of morbidity and mortality (Carrero et al . ; British Dietetic Association ; Valesquez et al . ).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Appetite Predicts Intake and Nutritional Status in Patients Receiving Peritoneal Dialysis

Young

Balaam

Orazio

et al. 2016

Journal of Renal Care

View full text Add to dashboard Cite

show abstract

“…; Carrero et al . ); the effect of dialysate solutions on appetite regulating hormones (Kopple ); use of glucose or amino acid‐based dialysate solutions (Carrero et al . ; Pajek et al .…”

Section: Discussionmentioning

confidence: 99%

“…; Carrero et al . ; Akbulut et al . ) and more than 50% have inadequate protein intake (Boudville et al .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Appetite Predicts Intake and Nutritional Status in Patients Receiving Peritoneal Dialysis

Young

Balaam

Orazio

et al. 2016

Journal of Renal Care

View full text Add to dashboard Cite

show abstract

“…Other studies have demonstrated that supplementation with calcium caseinate and egg albumin increases levels of serum albumin and nutrient intake [74,75]. When considering the use of these supplements, in addition to the type and quantity to use, one must also take into consideration the baseline nutritional status, dietary intake, patient preference, acceptance, willingness to use and to purchase the supplements, tolerance and contraindications, and duration of use in the care plan [76].…”

Section: Oral Nutritional Supplementationmentioning

confidence: 99%

Diagnosis, Prevention, and Treatment of Protein-Energy Wasting in Peritoneal Dialysis

Yanowsky-Escatell¹,

Pazarín-Villaseñor²,

Andrade‐Sierra³

et al. 2018

Evolving Strategies in Peritoneal Dialysis

View full text Add to dashboard Cite

Protein-energy wasting (PEW) is highly prevalent in peritoneal dialysis (PD) patients and is associated with mortality. Reduced protein and energy intake, comorbidity conditions, endocrine disorders, increased inflammatory cytokines, uremic toxins, metabolic acidosis, oxidative stress, nutrient losses into dialysate, continuous absorption of glucose from PD solutions, abdominal fullness induced by the dialysate, and peritonitis contribute to PEW. Assessment of nutritional status for the detection and management of PEW includes the PEW definition criteria, subjective global assessment (SGA), malnutrition-inflammation score (MIS), and geriatric nutritional risk index (GNRI). Diverse factors can affect nutritional and metabolic status in these patients so multiple strategies may be required to prevent or reverse PEW. Preventive measures include continuous nutritional counseling, optimizing dietary nutrient intake, and managing comorbidities. To treat PEW, the following may be used: administration of oral, intraperitoneal, enteral, or parenteral nutritional supplementation and adjunct therapies such as anabolic agents, appetite stimulants, antiinflammatory interventions, and exercise. Diagnosis, prevention, and treatment of PEW in PD patients may favorably impact the prognosis and course of the disease.

show abstract

“…PEW is associated with decreased quality of life (QoL) and increased risks of falls, hospitalization and mortality 4 . The causes and features of PEW in patients on dialysis are similar between HD and PD.…”

Section: Introductionmentioning

confidence: 99%

Association between self‐reported appetite and clinical outcomes of peritoneal dialysis patients: Findings from a low middle‐income country

et al. 2021

View full text Add to dashboard Cite

Aim Patient‐reported outcome measures (PROM) has gained international recognition as important predictors of clinical outcomes in peritoneal dialysis (PD). We sought to understand the associations between patient‐reported appetite and clinical outcomes. Methods In the Thailand Peritoneal Dialysis Outcomes and Practice Patterns Study (PDOPPS), 690 of 848 randomly selected PD patients from 22 facilities reported their appetite by using the short form (three items) of the Appetite and Diet Assessment Tool (ADAT), between 2016 and 2018. In this questionnaire, the patients rated their appetite as well as a change in appetite over time. Cox proportional hazards model regression was used to estimating associations between self‐reported appetite and clinical outcomes, including mortality, haemodialysis (HD) transfer and peritonitis. Results Half of the PD patients reported a good appetite, whereas 34% and 16% reported fair and poor appetites, respectively. Poor appetite was more prevalent among female, diabetic, congestive heart failure, older age and patients who had worse nutritional indicators, including lower time‐averaged serum albumin and serum creatinine concentrations, as well as a higher proportions of hypokalaemia and severe hypoalbuminemia (serum albumin <3 g/dl). After adjusting for age, sex, comorbidities, and PD vintage, poor appetite was associated with increased risks of peritonitis (adjusted hazard ratio [HR] 1.73, 95% confidence interval [CI] 1.14–2.62), HD transfer (adjusted HR 2.25, 95% CI 1.24–4.10) and all‐cause mortality (adjusted HR 1.60, 95% CI 1.08–2.39) compared to patients with good appetite. Conclusion Patient‐reported poor appetite was independently associated with higher risks of peritonitis, HD transfer and all‐cause mortality. This warrants further investigation to identify effective interventions.

show abstract

Protein-Energy Malnutrition/Wasting During Peritoneal Dialysis

Cited by 6 publications

References 299 publications

Appetite Predicts Intake and Nutritional Status in Patients Receiving Peritoneal Dialysis

Appetite Predicts Intake and Nutritional Status in Patients Receiving Peritoneal Dialysis

Diagnosis, Prevention, and Treatment of Protein-Energy Wasting in Peritoneal Dialysis

Association between self‐reported appetite and clinical outcomes of peritoneal dialysis patients: Findings from a low middle‐income country

Contact Info

Product

Resources

About