Nutrition in end-stage renal disease

被引:251
作者
Ikizler, TA [1 ]
Hakim, RM [1 ]
机构
[1] VANDERBILT UNIV, MED CTR, DIV NEPHROL, NASHVILLE, TN 37232 USA
关键词
D O I
10.1038/ki.1996.323
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
In summary, it is evident that malnutrition is highly prevalent in ESRD patients. This is clearly related to multiple factors encountered during the pre-dialysis stage, as well as during maintenance dialysis therapy. A body of evidence highlights the existence of relationship between malnutrition and outcome in this patient population. Several preliminary studies suggest that interventions to improve the poor nutritional status of the ESRD patients may actually improve the expected outcome in these patients, although their long-term efficacy is not well established. It is therefore important to emphasize that malnutrition is a major co-morbid condition in the ESRD population and that the nutritional status and the treatment parameters of these patients should be altered to improve not only the mortality outcome of ESRD patients but also their quality of life.
引用
收藏
页码:343 / 357
页数:15
相关论文
共 182 条
[41]   INSULIN RESISTANCE IN UREMIA [J].
DEFRONZO, RA ;
ALVESTRAND, A ;
SMITH, D ;
HENDLER, R ;
HENDLER, E ;
WAHREN, J .
JOURNAL OF CLINICAL INVESTIGATION, 1981, 67 (02) :563-568
[42]  
DUMLER F, 1992, MINER ELECTROL METAB, V18, P284
[43]  
FEEHALLY J, 1986, LANCET, V2, P486
[44]   RENAL REPLACEMENT THERAPY IN CANADA - A REPORT FROM THE CANADIAN ORGAN REPLACEMENT REGISTER [J].
FENTON, S ;
DESMEULES, M ;
COPLESTON, P ;
ARBUS, G ;
FROMENT, D ;
JEFFERY, J ;
KJELLSTRAND, C .
AMERICAN JOURNAL OF KIDNEY DISEASES, 1995, 25 (01) :134-150
[45]   RECOMBINANT HUMAN GROWTH-HORMONE TREATMENT OF CHILDREN WITH CHRONIC-RENAL-FAILURE - LONG-TERM (1-YEAR TO 3-YEAR) OUTCOME [J].
FINE, RN ;
PYKEGRIMM, K ;
NELSON, PA ;
BOECHAT, MI ;
LIPPE, BM ;
YADIN, O ;
KAMIL, E .
PEDIATRIC NEPHROLOGY, 1991, 5 (04) :477-481
[46]   INFUSION OF TUMOR NECROSIS FACTOR CACHECTIN PROMOTES MUSCLE CATABOLISM IN THE RAT - A SYNERGISTIC EFFECT WITH INTERLEUKIN-1 [J].
FLORES, EA ;
BISTRIAN, BR ;
POMPOSELLI, JJ ;
DINARELLO, CA ;
BLACKBURN, GL ;
ISTFAN, NW .
JOURNAL OF CLINICAL INVESTIGATION, 1989, 83 (05) :1614-1622
[47]  
FOULKES CJ, 1991, RENAL NUTR, V1, P23
[48]   EFFECTS OF PARATHYROID-HORMONE ON SKELETAL-MUSCLE PROTEIN AND AMINO-ACID-METABOLISM IN THE RAT [J].
GARBER, AJ .
JOURNAL OF CLINICAL INVESTIGATION, 1983, 71 (06) :1806-1821
[49]   PREALBUMIN AND LIPOPROTEIN(A) IN HEMODIALYSIS - RELATIONSHIPS WITH PATIENT AND VASCULAR ACCESS SURVIVAL [J].
GOLDWASSER, P ;
MICHEL, MA ;
COLLIER, J ;
MITTMAN, N ;
FEIN, PA ;
GUSIK, SA ;
AVRAM, MM .
AMERICAN JOURNAL OF KIDNEY DISEASES, 1993, 22 (01) :215-225
[50]  
GOLDWASSER P, 1993, J AM SOC NEPHROL, V3, P1613