The Nutritional Status of Patients Starting Specialized Predialysis Care

Prevalence and Risk of Protein-Energy Wasting Assessed by Subjective Global Assessment in Older Adults With Advanced Chronic Kidney Disease: Results From the EQUAL Study

“…A few previous studies have examined the prevalence of PEW using 7p-SGA in CKD populations 26,29 . In the largest study to date (n=922) from Brazil 26 the prevalence of PEW was estimated to be 11% (13% in CKD 4-5).…”

“…This apparent discordance in the risk of PEW in nondialysis and dialysis patients may indicate that diabetic patients are especially prone to wasting after dialysis is initiated. However, different methods to assess PEW were used in studies before and after dialysis 26,29,[47][48][49] which may have affected the results.…”

“…Whereas the prevalence of PEW is well described in patients starting or maintaining dialysis 12,23 there are only a limited number of studies in CKD non-dialysis patients [24][25][26][27][28][29] .…”

Precision Medicine for Nutritional Management in End-Stage Kidney Disease and Transition to Dialysis

“…By using subjective global assessment, PEW diagnostic criteria proposed by the International Society of Renal Nutrition and Metabolism, dietary records, anthropometry, or bioelectrical impedance, several small cross-sectional studies have estimated the prevalence of PEW to be approximately 10% to 30%. 15,16 A recent European multicenter observational cohort reported a prevalence of 28% for moderate to severe PEW in elderly advanced CKD patients. Muscle wasting and loss of body fat were the most frequent derangements observed in protein-energy status, especially among advanced CKD patients older than 80 years of age.…”

Protein-controlled versus restricted protein versus low protein diets in managing patients with non-dialysis chronic kidney disease: a single centre experience in Australia

“…On the other hand, consistent with the literature [ 53 , 54 ], many patients wish to include dietary guidance and intervention to prevent disease progression. Most importantly, common goals and a belief in nutrition therapy among the renal team allows timely structured intervention by the dietitians for delaying the need of and a healthier start of dialysis with a better 12 month survival [ 55 , 56 ]. When the data of our centre is analysed, it will be interesting to compare results in different settings.…”