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[Nutrition and chronic renal failure].
A Ayúcar Ruiz de Galarreta1, M L Cordero Lorenzana, E Martínez-Puga y López
1Unidad de Nutrición Artificial, Complejo Hospitalario Juan Canalejo, A Coruña, España.
Nutricion Hospitalaria
|February 28, 2001
Summary
Malnutrition is common in chronic kidney failure patients due to disease and treatment. Nutritional therapy faces challenges but can be improved with oral, parenteral, or enteral nutrition methods.
Area of Science:
- Nephrology
- Clinical Nutrition
Context:
- Chronic kidney failure (CKF) presents complex nutritional challenges.
- Malnutrition is prevalent in CKF patients, impacting treatment efficacy.
Purpose:
- To review the causes, prevalence, and treatment of malnutrition in CKF.
- To explore current and emerging nutritional therapy strategies for CKF.
Summary:
- Malnutrition in CKF stems from dietary restrictions, metabolic derangements, anorexia, and dialysis-related factors.
- Altered calcium, phosphorus, potassium, and lipid metabolism further complicate nutritional management.
- Optimal nutritional repletion involves oral intake, supplemented by oral supplements, parenteral nutrition during dialysis, or home enteral nutrition (e.g., PEG in children).
Impact:
- Highlights the need for tailored nutritional interventions in CKF.
- Informs clinical practice regarding protein intake, ketoanalogues, and nutrient delivery methods.
- Emphasizes strategies to mitigate malnutrition and support growth in pediatric CKF patients.