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Updated: Aug 10, 2026
04:36
Measurement of Tissue Oxygenation Using Near-Infrared Spectroscopy in Patients Undergoing Hemodialysis
Published on: October 2, 2020
[Resting energy expenditure during hemodialysis]
M Fortová1, S Dusilová Sulková, J Horácek
1Interní oddĕlení Strahov 1. lékarské fakulty UK a VFN, Praha. MagdalenaFortova@seznam.cz
Vnitrni Lekarstvi
|March 11, 2006
Summary
Resting energy expenditure (REE) in chronic renal failure patients undergoing hemodialysis (HD) is similar to healthy individuals. The HD procedure itself does not significantly alter REE, regardless of thermal balance during treatment.
Area of Science:
- Nephrology
- Metabolic Medicine
- Physiology
Context:
- Limited data exists on resting energy expenditure (REE) in chronic renal failure patients.
- No studies have investigated REE during hemodialysis (HD).
- Hypothesized increase in REE during HD due to inflammatory response to extracorporeal circuit, potentially modified by thermal balance.
Purpose:
- To measure and compare REE in HD patients and healthy controls.
- To assess the influence of isothermic and thermoneutral HD sessions on REE.
- To investigate intra-dialysis changes in REE.
Summary:
- REE measured by indirect calorimetry in 13 HD patients and 14 healthy controls.
- No significant difference in pre-dialysis REE between HD patients and controls.
- Intra-dialysis REE showed slight, transitory decrease then returned to pre-dialysis values, with no significant difference between isothermic and thermoneutral HD sessions.
- Post-meal REE increase was observed, but overall REE was not significantly influenced by the HD procedure or thermal settings.
Impact:
- Findings suggest that REE in chronic renal failure patients is comparable to healthy individuals.
- The hemodialysis procedure does not significantly impact REE, contrary to previous hypotheses.
- Provides crucial data on energy metabolism in HD patients, informing nutritional management and clinical practice.
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