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Malnutrition: detection and intervention.

L M McCann1

  • 1Satellite Dialysis Centers, Inc., Redwood City, California 94063, USA.

Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis
|July 16, 1999
PubMed
Summary
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Malnutrition is prevalent in renal failure patients due to complex causes. Identifying and treating malnutrition in these patients requires multifaceted approaches, as standard markers are unreliable.

Area of Science:

  • Nephrology
  • Clinical Nutrition

Background:

  • Malnutrition is a significant complication in patients with renal failure.
  • Causes are diverse and influenced by renal replacement therapy methods.

Purpose of the Study:

  • To highlight the challenges in identifying and treating malnutrition in renal failure patients.
  • To emphasize the need for improved diagnostic and therapeutic strategies.

Main Methods:

  • Review of existing literature and clinical practices.
  • Discussion of various nutritional assessment parameters and therapeutic interventions.

Main Results:

  • No single marker reliably identifies malnutrition in renal failure.
  • Traditional markers are often confounded by renal disease and comorbidities.

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  • Treatment approaches are varied and not definitively established.

    • Conclusions:

    • Optimal nutrition status, identification techniques, and treatment protocols for malnutrition in renal failure require further research.
    • Multidisciplinary approaches involving renal dietitians are crucial.