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Energy requirements in patients with chronic kidney disease.

Abstract

Knowledge concerning energy requirements of patients with chronic kidney disease (CKD) is important to providing a sufficient amount of energy to maintain adequate nutritional status for these patients. Data regarding energy expenditures of CKD patients are still scarce, and the results obtained are conflicting, with studies showing energy expenditures to be similar, higher, or lower than those of healthy individuals. More recently, studies focusing the role of the comorbidities and of the dialysis procedure on energy expenditure have been carried out, opening a new field of discussion that may help to clarify the profile of the energy expenditure of CKD patients. Another point of interest is related to the evaluation of energy intake. It has been shown that energy intake of CKD patients is lower than the 30 to 35 kcal/kg/day usually recommended. Although anorexia and consequently reduction of food intake is often present in these patients, a degree of underreporting in energy intake cannot be excluded. This review provides an overview of the studies that evaluated energy expenditures as well as those that studied the energy intakes and energy requirements of patients with CKD.

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  • Authors+Show Affiliations

    ,

    Division of Nephrology, Federal University of São Paulo, São Paulo, Brazil. lilian@dis.epm.br

    Source

    MeSH

    Calorimetry
    Energy Intake
    Energy Metabolism
    Humans
    Kidney Failure, Chronic
    Nutritional Requirements
    Protein-Energy Malnutrition
    Renal Dialysis

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    15232789

    Citation

    Cuppari, Lilian, and Carla Maria Avesani. "Energy Requirements in Patients With Chronic Kidney Disease." Journal of Renal Nutrition : the Official Journal of the Council On Renal Nutrition of the National Kidney Foundation, vol. 14, no. 3, 2004, pp. 121-6.
    Cuppari L, Avesani CM. Energy requirements in patients with chronic kidney disease. J Ren Nutr. 2004;14(3):121-6.
    Cuppari, L., & Avesani, C. M. (2004). Energy requirements in patients with chronic kidney disease. Journal of Renal Nutrition : the Official Journal of the Council On Renal Nutrition of the National Kidney Foundation, 14(3), pp. 121-6.
    Cuppari L, Avesani CM. Energy Requirements in Patients With Chronic Kidney Disease. J Ren Nutr. 2004;14(3):121-6. PubMed PMID: 15232789.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Energy requirements in patients with chronic kidney disease. AU - Cuppari,Lilian, AU - Avesani,Carla Maria, PY - 2004/7/3/pubmed PY - 2005/8/18/medline PY - 2004/7/3/entrez SP - 121 EP - 6 JF - Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation JO - J Ren Nutr VL - 14 IS - 3 N2 - Knowledge concerning energy requirements of patients with chronic kidney disease (CKD) is important to providing a sufficient amount of energy to maintain adequate nutritional status for these patients. Data regarding energy expenditures of CKD patients are still scarce, and the results obtained are conflicting, with studies showing energy expenditures to be similar, higher, or lower than those of healthy individuals. More recently, studies focusing the role of the comorbidities and of the dialysis procedure on energy expenditure have been carried out, opening a new field of discussion that may help to clarify the profile of the energy expenditure of CKD patients. Another point of interest is related to the evaluation of energy intake. It has been shown that energy intake of CKD patients is lower than the 30 to 35 kcal/kg/day usually recommended. Although anorexia and consequently reduction of food intake is often present in these patients, a degree of underreporting in energy intake cannot be excluded. This review provides an overview of the studies that evaluated energy expenditures as well as those that studied the energy intakes and energy requirements of patients with CKD. SN - 1532-8503 UR - https://www.unboundmedicine.com/medline/citation/15232789/full_citation L2 - https://linkinghub.elsevier.com/retrieve/pii/S1051227604000615 DB - PRIME DP - Unbound Medicine ER -