Clinical practice guideline on undernutrition in chronic kidney disease

Prevalence and Predictors of Malnutrition among patients on Maintenance Haemodialysis in a Tertiary Care Centre, Sri Lanka

“…Patients were also relying on a low energy diet (mean+-SD=27.99+-4.077), below the recommended 30-40kCal/kgIBW/day although it didn't reveal a significant association with DMS. Similar findings were reported in some studies looking in to dietary intake in haemodialysis [14,20]. Continuing on recommended low protein diet for CKD in to haemodialysis, non-availability of renal dietitians, low socioeconomic status might have potentially resulted in these findings.…”

“…Mid-arm muscle circumference (MAMC) is a bedside anthropometric measurement derived from MAC and TSF that estimates somatic protein reserve, an early indicator of nutritional depletion. Many studies show this consistent negative association between MAC, TSF, MAMC and malnutrition grading [5,10,14,18,19].…”

“…Further, dietary protein intake (mean+-SD = 0.68+-0.207 g/kg BW/day) was well below the recommend protein intake of 1.1-1.4 g/kg BW/day for patients on HD [14,15]. In fact, 81.5% of population were taking proteins less than1.1g/kg/day.…”

<p>Erythropoietin Resistance in Patients with Chronic Kidney Disease: Current Perspectives</p>

“…Therefore, it is essential that such individuals receive tailored nutrition assessment and counseling to prevent and treat protein-energy wasting, mineral and electrolyte disorders, and other metabolic co-morbidities associated with CKD. 35 It is important to consider that malnutrition or protein energy waste is just one of the aspects related to CKD that can influence ESA resistance. However, further studies are needed to evaluate if the modulation of nutritional processes can improve the response to these drugs.…”

Association between Circulation Indole-3-Acetic Acid Levels and Stem Cell Factor in Maintenance Hemodialysis Patients: A Cross-Sectional Study

“…All participants received regular HD with high-flux dialyzers three times per week at 250 to 300 mL/min blood flow rate, 500 mL/min on dialysate flow, lasting 3.5-4 h per session and received adequate HD therapy (Kt/V > 1.2). HD participants were educated and followed the renal nutrition guideline recommendation (energy intake of 30 kcal/kg ideal body weight/day and dietary protein 1.2 g/kg/day) [23,24]. All subjects gave written informed consent form and the protocol was approved by the Institutional Review Board of Kaohsiung Medical University (KMUHIRB-E(I)-20160095 and KMUHIRB-E(I)-20180139).…”