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[Complementary artificial nutrition in kidney failure].

A Ortiz1, E G Parra, M Rodeles

  • 1Servicio de Nefrología, Hospital del Aire, Madrid, Spain.

Nutricion Hospitalaria
|November 1, 1992
PubMed
Summary
This summary is machine-generated.

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High-calorie, high-protein enteral diets significantly improve body weight and muscle mass in dialysis patients. This nutritional intervention enhances patient well-being without compromising dialysis effectiveness or causing side effects.

Area of Science:

  • Nephrology
  • Clinical Nutrition

Context:

  • Uremic patient malnutrition significantly contributes to morbidity and mortality.
  • Existing treatments primarily address nutritional factors, not humoral or hormonal catabolic drivers.
  • Dialysis patients often experience malnutrition, impacting their overall health outcomes.

Purpose:

  • To investigate the impact of a high-calorie, high-protein enteral diet on the nutritional status of hemodialysis patients.
  • To assess changes in anthropometric measurements, analytical data, and urea kinetics.
  • To evaluate the safety and efficacy of supplemental enteral nutrition in this patient population.

Summary:

  • Six hemodialysis patients received 236 ml of a complete enteral diet daily for two months.
  • Statistically significant increases in body weight (58 to 60 kg) and tricipital fold (10 to 12 cm) were observed (p < 0.01).

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  • No significant changes were noted in analytical data or urea kinetics (PCR: 0.8 g/kg/day, Kt/V: 0.8).
  • Impact:

    • The study demonstrates that this enteral diet significantly improves the nutritional state of hemodialysis patients.
    • The intervention was well-tolerated, with no reported side effects.
    • The findings suggest potential applications for this nutritional approach in predialysis and acute kidney failure patients.