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[Efficacy of oral supplementation during dialysis in patients with chronic renal failure].
Endocrinol Nutr. 2011 May; 58(5):236-42.EN

Abstract

Protein-calorie malnutrition is common in hemodialysis patients and is a powerful predictor of morbidity and mortality. Nutritional supplementation, administered orally or parenterally, especially during dialysis, may compensate for the relatively inadequate protein and energy intake and improves net protein anabolism in chronic hemodialysis patients. Intradialytic oral nutrition seems preferable to intradialytic parenteral nutrition (IDPN) due to its lower cost and persistence of its anabolic effects after infusion is stopped, and because IDPN induces a higher increase in serum glucose and insulin levels and a greater reduction in serum ghrelin concentrations. Further larger scale randomized, controlled trials of nutritional interventions should be performed in maintenance dialysis patients to assess their efficacy regarding quality of life, morbidity, and mortality.

Authors+Show Affiliations

Jefe Asociado del Servicio de Endocrinología y Nutrición, Fundación Jiménez Díaz, Madrid, España. priobo@telefonica.netNo affiliation info available

Pub Type(s)

English Abstract
Journal Article
Review

Language

spa

PubMed ID

21530424

Citation

Riobó Serván, Pilar, and Alberto Ortiz Arduan. "[Efficacy of Oral Supplementation During Dialysis in Patients With Chronic Renal Failure]." Endocrinologia Y Nutricion : Organo De La Sociedad Espanola De Endocrinologia Y Nutricion, vol. 58, no. 5, 2011, pp. 236-42.
Riobó Serván P, Ortiz Arduan A. [Efficacy of oral supplementation during dialysis in patients with chronic renal failure]. Endocrinol Nutr. 2011;58(5):236-42.
Riobó Serván, P., & Ortiz Arduan, A. (2011). [Efficacy of oral supplementation during dialysis in patients with chronic renal failure]. Endocrinologia Y Nutricion : Organo De La Sociedad Espanola De Endocrinologia Y Nutricion, 58(5), 236-42. https://doi.org/10.1016/j.endonu.2011.02.003
Riobó Serván P, Ortiz Arduan A. [Efficacy of Oral Supplementation During Dialysis in Patients With Chronic Renal Failure]. Endocrinol Nutr. 2011;58(5):236-42. PubMed PMID: 21530424.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Efficacy of oral supplementation during dialysis in patients with chronic renal failure]. AU - Riobó Serván,Pilar, AU - Ortiz Arduan,Alberto, Y1 - 2011/05/06/ PY - 2010/11/30/received PY - 2011/02/13/revised PY - 2011/02/14/accepted PY - 2011/5/3/entrez PY - 2011/5/3/pubmed PY - 2011/11/4/medline SP - 236 EP - 42 JF - Endocrinologia y nutricion : organo de la Sociedad Espanola de Endocrinologia y Nutricion JO - Endocrinol Nutr VL - 58 IS - 5 N2 - Protein-calorie malnutrition is common in hemodialysis patients and is a powerful predictor of morbidity and mortality. Nutritional supplementation, administered orally or parenterally, especially during dialysis, may compensate for the relatively inadequate protein and energy intake and improves net protein anabolism in chronic hemodialysis patients. Intradialytic oral nutrition seems preferable to intradialytic parenteral nutrition (IDPN) due to its lower cost and persistence of its anabolic effects after infusion is stopped, and because IDPN induces a higher increase in serum glucose and insulin levels and a greater reduction in serum ghrelin concentrations. Further larger scale randomized, controlled trials of nutritional interventions should be performed in maintenance dialysis patients to assess their efficacy regarding quality of life, morbidity, and mortality. SN - 1579-2021 UR - https://www.unboundmedicine.com/medline/citation/21530424/[Efficacy_of_oral_supplementation_during_dialysis_in_patients_with_chronic_renal_failure]_ L2 - http://linkinghub.elsevier.com/retrieve/pii/S1575-0922(11)00088-X DB - PRIME DP - Unbound Medicine ER -