Malnutrition in hemodialysis patients: what therapy?

作者：Bossola M, Muscaritoli M, Tazza L, Giungi S, Tortorelli A, Rossi Fanelli F, Luciani G · 发表于：American journal of kidney diseases : the official journal of the National Kidney Foundation · 年份：2005 · DOI：10.1053/j.ajkd.2005.05.031 · 研究领域：Acidosis、Anabolic Agents、Appetite Stimulants、Combined Modality Therapy、Counseling、Diet, Protein-Restricted、Dietary Supplements、Human Growth Hormone、Humans、Inflammation、Insulin-Like Growth Factor I、Kidney Failure, Chronic

Malnutrition is common in hemodialysis patients and is a powerful predictor of morbidity and mortality. Although much progress has been made in recent years in identifying the causes and pathogenesis of malnutrition in hemodialysis patients, as well as recognizing the link between malnutrition and morbidity and mortality, no consensus has been reached concerning its management. Along with such conventional interventions as nutritional counseling, oral nutritional supplements, and intradialytic parenteral nutrition, novel preventive and therapeutic strategies have been tested, such as appetite stimulants, growth hormone, androgenic anabolic steroids, and anti-inflammatory drugs, with contradictory and nonconclusive results. Malnutrition still remains a great challenge for nephrologists in the third millennium.