Study on the relationship between sarcopenia and its components and anorexia in elderly maintenance haemodialysis patients

Li, Chao; Chen, Lin; He, Ling; Zhang, Yingjun; Chen, Hui; Liu, Yuan; Tang, Sikai; Zheng, Hongbo

doi:10.1002/nop2.1149

Cited by 4 publications

(2 citation statements)

References 57 publications

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“…In this study, habitual physical activity was assessed using the Physical Activity Scale for the Elderly (PASE), which included leisure-time activities as well as home and work-related activities. A study of elderly maintenance hemodialysis patients reported that the frequency of exercise per week was independently associated with anorexia, and in addition to low muscle mass, slow walking speed was strongly associated with anorexia [45]. Although specific types of exercise and exercise duration were not specified, maintaining physical activity in daily life may be closely related to appetite.…”

Section: Physical Activitymentioning

confidence: 99%

How Can We Improve the Appetite of Older Patients on Dialysis in Japan?

Kitajima

2024

Kidney and Dialysis

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It is necessary to ensure adequate energy and protein intake in dialysis patients. However, in addition to the decline in dietary intake in older dialysis patients due to aging, the rate of anorexia is high in dialysis patients, which increases the risk of protein–energy wasting (PEW), sarcopenia, and frailty. There are many causes of anorexia in dialysis patients, including older dialysis patients, and approaches to improve the appetite of such patients have been reported; however, there has been no established approach to improve appetite adequately. Therefore, a key practical goal is to identify anorexia early and implement timely interventions before weight loss occurs. Appetite assessment tools and weight loss assessments are helpful for the screening and early identification of anorectic signs. Nutritional interventions include reducing dietary restrictions, using oral nutritional supplements, and intradialytic parenteral nutrition, as well as replenishing energy, protein, and zinc to prevent the development of nutritional disorders among older dialysis patients. Appetite assessments, early intervention, and dietary and nutritional counseling are key to improving appetite in these patients. The aging rate of dialysis patients in Japan is unprecedented globally, and I believe that this is a situation that will eventually occur in other countries as well. I discuss the factors that contribute to anorexia, especially in older dialysis patients, and Japan’s efforts to address this problem, such as the relaxation of dietary restrictions and the use of oral nutritional supplements.

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Section: Physical Activitymentioning

confidence: 99%

How Can We Improve the Appetite of Older Patients on Dialysis in Japan?

Kitajima

2024

Kidney and Dialysis

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“…Anorexia nervosa and dietary restrictions are the main reasons for experience of reduced nutrient intake among dialysis patients [ 58 , 59 ]. Anorexia nervosa is common in dialysis patients, with a prevalence of 29.5–50% [ 60–62 ]. According to many previous studies, it has been found that the causes of anorexia may be related to central loss of appetite caused by toxins of uremic substances, chronic inflammation, changes in hormones affecting appetite, accumulation of metabolic wastes in the body, and abnormalities in taste buds or taste sensation due to long-term application of oral medications [ 10 , 59 , 63 ], which leads to a reduced intake of active nutrients in dialysis patients with ESRD.…”

Section: Risk Factors Of Malnutrition In Dialysis Patientsmentioning

confidence: 99%

Progress in the study of nutritional status and selenium in dialysis patients

et al. 2023

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Malnutrition is very common in patients with chronic kidney disease, especially in those on maintenance dialysis. Malnutrition is one of the major factors affecting survival and death of dialysis patients, and reducing their activity tolerance and immunity. There are numerous and interacting risk factors for malnutrition, such as reduced nutritional intake, increased energy expenditure, hormonal disorders, and inflammation. Selenium, in the form of selenoproteins, is involved in many physiological processes in the body and plays an important role in maintaining redox homeostasis. Oxidative stress and infection are very common in dialysis patients, and selenium levels in dialysis patients are significantly lower than those in the healthy population. It has been shown that there is a correlation between selenium levels in hemodialysis patients and their nutrition-related indicators, and that selenium supplementation may improve malnutrition in patients. However, further studies are needed to support this conclusion and there is a lack of basic research to further characterize the potential mechanisms by which selenium may improve malnutrition in dialysis patients. The purpose of this review is to provide a comprehensive overview of factors associated with malnutrition in dialysis patients and to describe the progress of research on nutritional status and selenium levels in dialysis patients.

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Study on the relationship between sarcopenia and its components and anorexia in elderly maintenance haemodialysis patients

Chen

et al. 2021

Nursing Open

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The global population is ageing, and the average age of patients with kidney disease is increasing. Surveys in Western countries showed that people over the age of 75 years have the highest incidence of end-stage kidney disease (Evans et al., 2018;Saran et al., 2019).After chronic kidney disease progresses to end-stage kidney disease, most patients choose to be treated with haemodialysis. The prevalence of sarcopenia in elderly patients on maintenance haemodialysis (MHD) is elevated due to the reduced muscle mass and physical activity caused by age and factors related to treatment (Lou et al., 2019). Previous studies have shown that the prevalence of sarcopenia in elderly MHD patients is 33.7%~37% (Giglio et al., 2018;Kim et al., 2014). | BackgroundSarcopenia, which is characterized by a reduction in skeletal muscle, is a progressive and widespread condition that mainly

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Study on the relationship between sarcopenia and its components and anorexia in elderly maintenance haemodialysis patients

Cited by 4 publications

References 57 publications

How Can We Improve the Appetite of Older Patients on Dialysis in Japan?

How Can We Improve the Appetite of Older Patients on Dialysis in Japan?

Progress in the study of nutritional status and selenium in dialysis patients

Study on the relationship between sarcopenia and its components and anorexia in elderly maintenance haemodialysis patients

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