Adequacy of Dialysis and Nutritional Status in Hemodialysis Patients
作者:
Amalia Morgenstern,
Janos Winkler,
Revital Narkis,
Sima Zilverman,
Rina Lipa,
Geoffrey Boner,
Gabriel Morduchowicz,
期刊:
Nephron
(Karger Available online 1994)
卷期:
Volume 66,
issue 4
页码: 438-441
ISSN:1660-8151
年代: 1994
DOI:10.1159/000187860
出版商: S. Karger AG
关键词: Adequacy of dialysis;End-stage renal failure;Hemodialysis;Protein catabolic rate
数据来源: Karger
摘要:
Twenty-three nondiabetic end-stage renal failure patients on hemodialysis were studied for adequacy of dialysis and nutritional status. Midweek predialysis blood urea nitrogen was 27.1 ± 6.4 mmol/l of urea, KT/V, according to urea kinetic modelling, was 1.21 ± 0.22 and mean normalized protein catabolic rate (nPCR) was 1.15 ± 0.23 g/kg/day. Only 1 patient had a KT/V less than 1 and 4 patients had an nPCR less than 1 g/kg/day. No correlation was found between the different nutritional parameters. All patients had normal serum albumin. However, some of the patients could be classified as severely malnourished when parameters such as body weight (2 patients), triceps skinfold (5) and total lymphocyte count (3) were taken into account. No correlation was found between adequacy of dialysis and the different nutritional parameters. Furthermore, when patients were divided into low and normal KT/V, no differences were found in their nPCR. We conclude that a global assessment of the nutritional status is required in hemodialysis patients, and at least in patients with an acceptable KT/V, nPCR is not dependent on the adequacy of dialys
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