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Trace elements and vitamins in maintenance dialysis patients.

Abstract

Although protein-energy malnutrition occurs commonly in patients with end-stage renal disease undergoing maintenance dialysis treatment, it is not the only form of malnutrition that may exist in these individuals. They may also suffer from deficiencies of micronutrients, particularly trace elements and vitamins. More commonly occurring vitamin deficiencies in maintenance dialysis patients include those for vitamin C (ascorbate), folate, vitamin B6 (pyridoxine), and 1,25-dihydroxycholecalciferol (calcitriol). Among trace elements, deficiencies may occur more commonly for iron, zinc, and possibly selenium, whereas toxicities are more common with aluminum and possibly copper. Evidence suggests that there is an abnormally high prevalence of antioxidant deficiency in maintenance dialysis patients, especially because a low intake of protein and energy may be associated with inadequate ingestion of antioxidant vitamins (ie, vitamins E and C and carotenoids). Thus, some micronutrient deficiencies in maintenance dialysis patients may contribute to the development of atherosclerotic cardiovascular disease. Dietary requirements for vitamins and trace elements in maintenance dialysis patients are reviewed and the recommended daily intakes are discussed.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Division of Nephrology and Hypertension, Harbor-UCLA Medical Center, and David Geffen School of Medicine, University of California Los Angeles, Torrance, CA 90509-2910, USA. kamkal@ucla.edu

    Source

    MeSH

    Avitaminosis
    Humans
    Kidney Failure, Chronic
    Renal Dialysis
    Trace Elements
    Vitamins

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't
    Research Support, U.S. Gov't, P.H.S.
    Review

    Language

    eng

    PubMed ID

    14708071

    Citation

    Kalantar-Zadeh, Kamyar, and Joel D. Kopple. "Trace Elements and Vitamins in Maintenance Dialysis Patients." Advances in Renal Replacement Therapy, vol. 10, no. 3, 2003, pp. 170-82.
    Kalantar-Zadeh K, Kopple JD. Trace elements and vitamins in maintenance dialysis patients. Adv Ren Replace Ther. 2003;10(3):170-82.
    Kalantar-Zadeh, K., & Kopple, J. D. (2003). Trace elements and vitamins in maintenance dialysis patients. Advances in Renal Replacement Therapy, 10(3), pp. 170-82.
    Kalantar-Zadeh K, Kopple JD. Trace Elements and Vitamins in Maintenance Dialysis Patients. Adv Ren Replace Ther. 2003;10(3):170-82. PubMed PMID: 14708071.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Trace elements and vitamins in maintenance dialysis patients. AU - Kalantar-Zadeh,Kamyar, AU - Kopple,Joel D, PY - 2004/1/7/pubmed PY - 2004/8/10/medline PY - 2004/1/7/entrez SP - 170 EP - 82 JF - Advances in renal replacement therapy JO - Adv Ren Replace Ther VL - 10 IS - 3 N2 - Although protein-energy malnutrition occurs commonly in patients with end-stage renal disease undergoing maintenance dialysis treatment, it is not the only form of malnutrition that may exist in these individuals. They may also suffer from deficiencies of micronutrients, particularly trace elements and vitamins. More commonly occurring vitamin deficiencies in maintenance dialysis patients include those for vitamin C (ascorbate), folate, vitamin B6 (pyridoxine), and 1,25-dihydroxycholecalciferol (calcitriol). Among trace elements, deficiencies may occur more commonly for iron, zinc, and possibly selenium, whereas toxicities are more common with aluminum and possibly copper. Evidence suggests that there is an abnormally high prevalence of antioxidant deficiency in maintenance dialysis patients, especially because a low intake of protein and energy may be associated with inadequate ingestion of antioxidant vitamins (ie, vitamins E and C and carotenoids). Thus, some micronutrient deficiencies in maintenance dialysis patients may contribute to the development of atherosclerotic cardiovascular disease. Dietary requirements for vitamins and trace elements in maintenance dialysis patients are reviewed and the recommended daily intakes are discussed. SN - 1073-4449 UR - https://www.unboundmedicine.com/medline/citation/14708071/Trace_elements_and_vitamins_in_maintenance_dialysis_patients_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1073444903000591 DB - PRIME DP - Unbound Medicine ER -