关键词: adequacy nutritional status peritoneal dialysis protein intake renal replacement therapy

Mesh : Dietary Proteins / administration & dosage Eating / physiology Female Humans Male Micronutrients / administration & dosage Nutrition Therapy / methods Nutritional Physiological Phenomena / physiology Nutritional Status Peritoneal Dialysis / adverse effects Practice Guidelines as Topic Protein-Energy Malnutrition / etiology therapy

来  源:   DOI:10.3390/nu12061715   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
The positive impact of nutritional status on the health and treatment adequacy of peritoneal dialyzed patients has been well established. Protein intake is an important factor used to stratify malnutrition, with inadequate intake leading to protein-energy wasting during the course of therapy. In this review, we discuss the recommendations made by nephrological societies regarding nutrition in this population of dialysis patients. Special attention is given to the intake of protein, and recommendations on the intake of micronutrients are also discussed. Furthermore, factors that may impair nutritional intake and balance are discussed, with mention of the innovative strategies utilized to combat them. In light of inconsistent recommendations that vary between each respective society, as well as a general lack of concise information, it is our intention to call for further research regarding nutritional recommendations in peritoneal dialysis (PD), as well as to advocate for clear and accessible information for patients.
摘要:
营养状况对腹膜透析患者的健康和治疗充分性的积极影响已经得到证实。蛋白质摄入量是用于对营养不良进行分层的重要因素,在治疗过程中,摄入不足会导致蛋白质能量消耗。在这次审查中,我们讨论了肾病学会对这一透析患者人群的营养提出的建议.特别注意蛋白质的摄入,并讨论了微量营养素摄入量的建议。此外,讨论了可能损害营养摄入和平衡的因素,提到了用来打击它们的创新策略。鉴于每个社会之间的建议不一致,以及普遍缺乏简明的信息,我们的目的是呼吁进一步研究腹膜透析(PD)的营养建议,以及倡导为患者提供清晰易懂的信息。
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