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[Nutrition and continuous ambulatory dialysis]

M Aparicio1, C Combe, N Larroumet-Sornay

  • 1Service de néphrologie, Hôpital Pellegrin Tripode, Bordeaux.

Nephrologie
|January 1, 1995
PubMed
Summary

Nearly half of patients undergoing continuous ambulatory peritoneal dialysis (CAPD) experience malnutrition, increasing their risk of illness and death. Addressing reduced nutrient intake and inadequate dialysis is key to preventing and treating this condition.

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Area of Science:

  • Nephrology
  • Clinical Nutrition
  • Biochemistry

Context:

  • Continuous ambulatory peritoneal dialysis (CAPD) is a common treatment for end-stage renal disease.
  • Malnutrition is a significant complication in CAPD patients, linked to adverse outcomes.
  • Effective nutritional assessment in CAPD requires practical and reliable methods.

Purpose:

  • To identify key factors contributing to malnutrition in CAPD patients.
  • To determine sufficient methods for evaluating nutritional status in this population.
  • To outline strategies for preventing and treating CAPD-associated malnutrition.

Summary:

  • Approximately 50% of CAPD patients suffer from malnutrition, correlating with higher morbidity and mortality.
  • Medical history, anthropometric measurements, nitrogen balance, and serum protein levels are adequate for assessing nutritional status.
  • Malnutrition is primarily caused by insufficient protein and energy intake and suboptimal dialysis, especially with declining residual renal function.

Impact:

  • Highlights the prevalence and severity of malnutrition in CAPD patients.
  • Provides practical guidelines for nutritional assessment in clinical settings.
  • Emphasizes the importance of addressing both nutritional intake and dialysis adequacy for patient outcomes.

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