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Micronutrition in dialysis

R Wolk

    Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition
    |December 1, 1993
    PubMed
    Summary

    Dialysis can affect nutrient levels in patients with renal failure. This review examines micronutrient changes during dialysis and provides recommendations for nutritional support to manage malnutrition risks.

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    Area of Science:

    • Nephrology
    • Clinical Nutrition
    • Biochemistry

    Background:

    • Renal failure treatment often involves dialysis and nutritional support.
    • Malnutrition is a common complication in patients with renal failure.
    • The impact of dialysis on micronutrient status is not well understood.

    Purpose of the Study:

    • To review published data on micronutrient levels during dialysis.
    • To assess the effects of different dialysis methods on micronutrients.
    • To provide recommendations for micronutrient provision in dialysis patients.

    Main Methods:

    • Literature review of studies on dialysis and micronutrients.
    • Analysis of data concerning carnitine, vitamins (water- and fat-soluble), and trace elements.
    • Synthesis of findings to inform nutritional guidelines.

    Main Results:

    • Dialysis can deplete certain micronutrients, including water-soluble vitamins and trace elements.
    • Carnitine levels may be affected by dialysis, with varying impacts based on method.
    • Fat-soluble vitamin levels are generally less affected but require consideration.

    Conclusions:

    • Micronutrient status must be monitored in patients undergoing dialysis.
    • Personalized nutrition support is crucial for dialysis patients at risk of malnutrition.
    • Further research is needed to fully elucidate the effects of dialysis on all micronutrients.

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