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Keywords Protein energy wasting hemodia...

Protein energy wasting hemodialysis

https://read.qxmd.com/read/37143004/effect-of-intradialytic-oral-nutritional-supplementation-on-nutritional-markers-in-malnourished-chronic-hemodialysis-patients-prospective-randomized-trial
#21
RANDOMIZED CONTROLLED TRIAL
Mohamed Sary Gharib, Mariem Shaker Nazeih, Tamer Wahid El Said
BACKGROUND AND OBJECTIVES: Malnutrition is prevalent in chronic hemodialysis (HD) patients. It increases mortality and negatively affects quality of life. This study aimed to assess the effect of intradialytic oral nutritional supplement (ONS) on nutritional markers in chronic HD patients with protein energy wasting (PEW). METHODS: This 3-month prospective, open-label, randomized controlled trial included 60 chronic HD patients with PEW. The intervention group (30 patients) received intradialytic ONS and dietary counseling, whereas the control group (30 patients) received only dietary counseling...
May 4, 2023: BMC Nephrology
https://read.qxmd.com/read/36983116/recent-advances-in-the-nutritional-screening-assessment-and-treatment-of-japanese-patients-on-hemodialysis
#22
JOURNAL ARTICLE
Junko Ishida, Akihiko Kato
Patients on hemodialysis (HD) have a higher rate of protein-energy wasting (PEW) due to lower dietary intake of energy and protein (particularly on dialysis days) and greater loss of many nutrients in the dialysate effluent than other patients. The most well-known method of nutritional screening is the subjective global assessment. Moreover, the Global Leadership Initiative on MalnutIrition has developed the first internationally standardized method for diagnosing malnutrition; however, its use in patients on HD has not been established...
March 8, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/36963868/effect-of-oral-nutritional-supplementation-combined-with-impedance-vectors-for-dry-weight-adjustment-on-the-nutritional-status-hydration-status-and-quality-of-life-in-patients-on-chronic-hemodialysis-a-pilot-study
#23
JOURNAL ARTICLE
Iris Nieves-Anaya, Mónica B Várgas, Olga P García, Annabel Biruete, Brandon Kistler, Ximena Atilano-Carsi
BACKGROUND & AIMS: Protein energy wasting frequently affect hemodialysis patients and contribute to the development of overhydration. The objective of this study was to assess the effect of oral nutritional supplementation (ONS) combined with bioelectrical vector analysis (BIVA) on the nutritional and hydration status and the quality of life (QoL) in hemodialysis (HD) patients. METHODS: Thirty-two chronic HD patients were included in a 6-month randomized pilot study...
April 2023: Clinical Nutrition ESPEN
https://read.qxmd.com/read/36897875/ratio-of-extracellular-water-to-intracellular-water-and-simplified-creatinine-index-as-predictors-of-all-cause-mortality-for-patients-receiving-hemodialysis
#24
JOURNAL ARTICLE
Takahiro Yajima, Kumiko Yajima
The bioelectrical impedance analysis-measured ratio of extracellular water (ECW) to intracellular water (ICW) reflects fluid volume and malnutrition. It may be an indicator of protein-energy wasting and muscle wasting in hemodialysis patients. We examined the association between the ECW/ICW ratio and simplified creatinine index, which is a new surrogate marker of protein-energy wasting and muscle wasting, and whether their combination can accurately predict mortality. A total of 224 patients undergoing hemodialysis for more than 6 months and having undergone bioelectrical impedance analysis for the assessment of body composition were included...
2023: PloS One
https://read.qxmd.com/read/36875858/comorbidity-and-nutritional-status-in-adult-with-advanced-chronic-kidney-disease-influence-the-decision-making-choice-of-renal-replacement-therapy-modality-a-retrospective-5-year-study
#25
JOURNAL ARTICLE
Graciela Álvarez-García, Ángel Nogueira Pérez, María Pilar Prieto Alaguero, Carmen Pérez Garrote, Aránzazu Díaz Testillano, Miguel Ángel Moral Caballero, Mar Ruperto, Cristina González Blázquez, Guillermina Barril
BACKGROUND: Nutritional and inflammation status are significant predictors of morbidity and mortality risk in advanced chronic kidney disease (ACKD). To date, there are a limited number of clinical studies on the influence of nutritional status in ACKD stages 4-5 on the choice of renal replacement therapy (RRT) modality. AIM: This study aimed to examine relationships between comorbidity and nutritional and inflammatory status and the decision-making on the choice of RRT modalities in adults with ACKD...
2023: Frontiers in Nutrition
https://read.qxmd.com/read/36864620/the-association-of-cognition-with-protein-energy-wasting-and-synaptic-transmission-in-chronic-kidney%C3%A2-disease
#26
JOURNAL ARTICLE
Xia Yang, Yujun Quan, Erzhong Wu, Yuecheng Jiang, Qian Song, Yue Li, Qian Li, Zhaolin Sun, Jing Yuan, Yan Zha, Xiaoli Cui
INTRODUCTION:  In recent years, consciousness impairment in patients with end-stage renal disease (ESRD) has been paid more and more attention, but the cause and mechanism of consciousness state change is not clear. METHODS:  As the hippocampus played a crucial role in consciousness, we explored the pathological and electrophysiological changes in chronic kidney disease (CKD) mouse hippocampus. RESULTS:  Whole-cell recordings in hippocampal neurons showed that miniature excitatory postsynaptic current (mEPSC) frequency decreased, but the amplitude was unaltered in CKD_8w mice...
March 2, 2023: Seminars in Dialysis
https://read.qxmd.com/read/36853448/associations-between-insulin-like-growth-factor-1-standard-deviation-score-and-overall-nutritional-parameters-in-patients-with-maintenance-hemodialysis-a-cross-sectional-study
#27
JOURNAL ARTICLE
Tingting Xing, Yao Xu, Jiaqi Li, Luona Wen, Qingdong Xu, Weifeng Liang, Pan Liang, Yun Liu, Rongshao Tan, Yan Liu, Xiaoshi Zhong
BACKGROUND: This study investigated the association between insulin-like growth factor-1 and nutritional status indicators in patients undergoing maintenance hemodialysis (MHD). METHODS: Patients undergoing MHD for > 3 months were included in this single-center cross-sectional study in March 2021. Clinical, demographic, and body mass data and blood samples were collected before the hemodialysis sessions. Serum insulin-like growth factor-1 (IGF-1) levels were measured using a radioimmunoassay, and serum IGF-1 standard deviation score (SDS) was calculated for MHD patients according to age and sex...
February 28, 2023: International Urology and Nephrology
https://read.qxmd.com/read/36839171/association-between-cognitive-impairment-and-malnutrition-in-hemodialysis-patients-two-sides-of-the-same-coin
#28
JOURNAL ARTICLE
Silverio Rotondi, Lida Tartaglione, Marzia Pasquali, Maria Josè Ceravolo, Anna Paola Mitterhofer, Annalisa Noce, Monica Tavilla, Silvia Lai, Francesca Tinti, Maria Luisa Muci, Alessio Farcomeni, Sandro Mazzaferro
Cognitive impairment and malnutrition are prevalent in patients on hemodialysis (HD), and they negatively affect the outcomes of HD patients. Evidence suggests that cognitive impairment and malnutrition may be associated, but clinical studies to assess this association in HD patients are lacking. The aim of this study was to evaluate the association between cognitive impairment evaluated by the Montreal Cognitive Assessment (MoCA) score and nutritional status evaluated by the malnutrition inflammation score (MIS) in HD patients...
February 4, 2023: Nutrients
https://read.qxmd.com/read/36822866/-effect-of-hemoperfusion-on-protein-energy-wasting-and-long-term-prognosis-in-patients-on-maintenance-hemodialysis
#29
JOURNAL ARTICLE
J J Da, Y Sun, J C Chen, Q Li, Y Q Yang, S He, N Y Yang, P H He, Y Hu, Y J Long, J Yuan, Y Zha
Objective: To explore the effect of hemoperfusion (HP) combined with hemodialysis (HD) (HD+HP) on protein energy wasting (PEW) and long-term prognosis in patients on maintenance HD (MHD). Methods: A prospective multicenter cohort study was conducted. Adult MHD patients who completed PEW assessment and underwent regular dialysis between July 2015 and July 2021 at 23 hemodialysis centers in Guizhou Province were selected. Demographic characteristics, physical indicators, laboratory indicators, 3-day diet diary and HP treatment data of the subjects were collected...
February 28, 2023: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://read.qxmd.com/read/36805102/high-protein-whole-food-snack-and-albumin-outcomes-in-patients-with-dialysis-dependent-chronic-kidney-disease
#30
JOURNAL ARTICLE
Jennifer Rose Parker, Jeanette M Andrade, John Tibbetts, Yue Jiao, John W Larkin, Jeffrey L Hymes
OBJECTIVE: Protein-energy wasting is common among patients on hemodialysis (HD). This study sought to define effects that a novel, post-HD, high-calorie, high-protein whole food snack had on patients' serum albumin (serum alb), serum phosphorus and equilibrated normalized protein catabolic rate (enPCR). METHODS: A 12-month (6 months intervention, 6 months pre/post data collection), single-center, unblinded study was conducted. Participants (n = 67) consumed, ad libitum, a whole food snack post-HD for 6 treatments each month...
February 16, 2023: Journal of Renal Nutrition
https://read.qxmd.com/read/36726442/intradialytic-parenteral-nutrition-for-patients-on-hemodialysis-when-how-and-to-whom
#31
REVIEW
Juan J Carrero, David Severs, Didier Aguilera, Enrico Fiaccadori, Martin G Gonzalez, Christoph C Haufe, Daniel Teta, Pablo Molina, Wesley Visser
Hemodialysis is associated with high morbidity and mortality rates as well as low quality of life. Altered nutritional status and protein-energy wasting are important indicators of these risks. Maintaining optimal nutritional status in patients with hemodialysis is a critical but sometimes overlooked aspect of care. Nutritional support strategies usually begin with dietary counseling and oral nutritional supplements. Patients may not comply with this advice or oral nutritional supplements, however , or compliance may be affected by other complications of progressive chronic kidney disease...
January 2023: Clinical Kidney Journal
https://read.qxmd.com/read/36678182/prognostic-nutritional-index-as-a-predictor-of-mortality-in-101-616-patients-undergoing-hemodialysis
#32
JOURNAL ARTICLE
Yoshikazu Miyasato, Ramy M Hanna, Jun Morinaga, Masashi Mukoyama, Kamyar Kalantar-Zadeh
High mortality in dialysis patients is linked to malnutrition and inflammation. Prognostic nutritional index (PNI), calculated from serum albumin level and total lymphocyte count, has been developed as a prognostic marker for cancer patients. We investigated the clinical utility of PNI in predicting mortality in patients undergoing hemodialysis. Thus, 101,616 patients who initiated hemodialysis in United States dialysis centers between 2007 and 2011 were included in this retrospective cohort study. Using the Cox regression model, we assessed the relationship between PNI and mortality...
January 8, 2023: Nutrients
https://read.qxmd.com/read/36615825/nocturnal-hemodialysis-leads-to-improvement-in-physical-performance-in-comparison-with-conventional-hemodialysis
#33
JOURNAL ARTICLE
Manouk Dam, Peter J M Weijs, Frans J van Ittersum, Tiny Hoekstra, Caroline E Douma, Brigit C van Jaarsveld
End-stage kidney disease patients treated with conventional hemodialysis (CHD) are known to have impaired physical performance and protein-energy wasting (PEW). Nocturnal hemodialysis (NHD) was shown to improve clinical outcomes, but the evidence is limited on physical performance and PEW. We investigate whether NHD improves physical performance and PEW. This prospective, multicenter, non-randomized cohort study compared patients who changed from CHD (2-4 times/week 3-5 h) to NHD (2-3 times/week 7-8 h), with patients who continued CHD...
December 29, 2022: Nutrients
https://read.qxmd.com/read/36562038/an-updated-clinical-prediction-model-of-protein-energy-wasting-for-hemodialysis-patients
#34
JOURNAL ARTICLE
Si Chen, Xiaoyan Ma, Xun Zhou, Yi Wang, WeiWei Liang, Liang Zheng, Xiujuan Zang, Xiaobin Mei, Yinghui Qi, Yan Jiang, Shanbao Zhang, Jinqing Li, Hui Chen, Yingfeng Shi, Yan Hu, Min Tao, Shougang Zhuang, Na Liu
BACKGROUND AND AIM: Protein-energy wasting (PEW) is critically associated with the reduced quality of life and poor prognosis of hemodialysis patients. However, the diagnosis criteria of PEW are complex, characterized by difficulty in estimating dietary intake and assessing muscle mass loss objectively. We performed a cross-sectional study in hemodialysis patients to propose a novel PEW prediction model. MATERIALS AND METHODS: A total of 380 patients who underwent maintenance hemodialysis were enrolled in this cross-sectional study...
2022: Frontiers in Nutrition
https://read.qxmd.com/read/36364724/testosterone-deficiency-and-nutritional-parameters-as-predictors-of-all-cause-mortality-among-male-dialysis-patients
#35
JOURNAL ARTICLE
Ksymena Leśniak, Aleksandra Rymarz, Maria Sobol, Jolanta Dymus, Agnieszka Woźniak-Kosek, Stanisław Niemczyk
BACKGROUND: Chronic kidney disease (CKD) is associated with an accelerated risk of cardiovascular mortality. Hormonal and metabolic disorders in CKD may constitute novel risk factors. Our objective was to characterize and evaluate prognostic implications of circulating sex steroids and selected nutritional parameters in patients at different stages of CKD. METHODS: Studied groups were composed of 78 men: 31 on hemodialysis (HD), 17 on peritoneal dialysis (PD), 30 with CKD stage G3-G4...
October 24, 2022: Nutrients
https://read.qxmd.com/read/36363617/impact-of-membrane-modification-and-surface-immobilization-techniques-on-the-hemocompatibility-of-hemodialysis-membranes-a-critical-review
#36
REVIEW
Simin Nazari, Amira Abdelrasoul
Despite significant research efforts, hemodialysis patients have poor survival rates and low quality of life. Ultrafiltration (UF) membranes are the core of hemodialysis treatment, acting as a barrier for metabolic waste removal and supplying vital nutrients. So, developing a durable and suitable membrane that may be employed for therapeutic purposes is crucial. Surface modificationis a useful solution to boostmembrane characteristics like roughness, charge neutrality, wettability, hemocompatibility, and functionality, which are important in dialysis efficiency...
October 28, 2022: Membranes
https://read.qxmd.com/read/36339616/oral-energy-supplementation-improves-nutritional-status-in-hemodialysis-patients-with-protein-energy-wasting-a-pilot-study
#37
JOURNAL ARTICLE
Aiya Qin, Jiaxing Tan, Wen Hu, Yuan Liu, Lin Chen, Yi Tang, Wei Qin
Background: Protein-energy wasting (PEW) is highly prevalent in hemodialysis (HD) patients, which is associated with poor quality of life, complications, and an increased risk of mortality. A prospective study in HD patients with 2 months of oral energy supplements (OESs) was performed. Methods: A total of 37 HD patients with PEW were finally enrolled in this prospective study and were randomized into the OES group ( n = 19), which received oral energy supplementation (300 kcal) and dietary recommendations, while patients in the non-OES group ( n = 18) received only dietary recommendations...
2022: Frontiers in Pharmacology
https://read.qxmd.com/read/36296981/evolving-concepts-on-inflammatory-biomarkers-and-malnutrition-in-chronic-kidney-disease
#38
REVIEW
Fredzzia Graterol Torres, María Molina, Jordi Soler-Majoral, Gregorio Romero-González, Néstor Rodríguez Chitiva, Maribel Troya-Saborido, Guillem Socias Rullan, Elena Burgos, Javier Paúl Martínez, Marina Urrutia Jou, Carles Cañameras, Josep Riera Sadurní, Anna Vila, Jordi Bover
While patient care, kidney replacement therapy, and transplantation techniques for chronic kidney disease (CKD) have continued to progress, the incidence of malnutrition disorders in CKD appears to have remained unchanged over time. However, there is now a better understanding of the underlying pathophysiology according to the disease background, disease stage, and the treatment received. In CKD patients, the increased production of proinflammatory cytokines and oxidative stress lead to a proinflammatory milieu that is at least partially responsible for the increased morbidity and mortality in this patient population...
October 14, 2022: Nutrients
https://read.qxmd.com/read/36292538/barriers-and-facilitators-to-intradialytic-parenteral-nutrition-implementation-targeting-protein-energy-wasting-in-malaysian-hemodialysis-patients
#39
JOURNAL ARTICLE
Birinder Kaur Sadu Singh, Ban-Hock Khor, Sharmela Sahathevan, Abdul Halim Abdul Gafor, Enrico Fiaccadori, Karuthan Chinna, See-Hoe Ng, Tilakavati Karupaiah
The capacity to deliver intradialytic parenteral nutrition (IDPN) for patients on hemodialysis (HD) diagnosed with protein energy wasting (PEW) in low resource settings is unknown. This study aimed to examine the extent of IDPN practice in HD units in Malaysia, and its implementation to treat PEW. We surveyed pharmacists ( n = 56), who are central to parenteral nutrition delivery in Malaysia including IDPN. Seventeen healthcare stakeholders engaging with the Promoting Action on Research Implementation in Health Services (PARIHS) framework used the Likert scale to rate survey outcomes on IDPN implementation to treat PEW, according to the Evidence , Context , and Facilitation elements...
October 20, 2022: Healthcare (Basel, Switzerland)
https://read.qxmd.com/read/36221328/factors-associated-with-the-prevalence-of-malnutrition-among-adult-hemodialytic-patients-a-two-center-study-in-the-jeddah-region-saudi-arabia
#40
JOURNAL ARTICLE
Firas S Azzeh, Waad M Turkistani, Mazen M Ghaith, Lujain A Bahubaish, Osama A Kensara, Hussain A Almasmoum, Abdullah F Aldairi, Anmar A Khan, Ahmad A Alghamdi, Ghalia Shamlan, Maha H Alhussain, Reham M Algheshairy, Abdullah M AlShahrani, Maysoun S Qutob, Awfa Y Alazzeh, Haitham M H Qutob
Chronic kidney disease, one of the most common diseases in the world, is characterized by irreversible impairment of the kidney's metabolic, excretory, and endocrine functions. During end-stage renal disease, patients require renal replacement therapy, such as hemodialysis (HD). Protein-energy wasting is a common health problem among HD patients. This study aims to assess the nutritional status of HD patients at two HD centers in Jeddah, Saudi Arabia, and to determine its associated factors. A cross-sectional study was conducted at two different dialysis centers in Jeddah, Saudi Arabia; 211 female and male HD patients...
October 7, 2022: Medicine (Baltimore)
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