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Nutritional evaluation of patients receiving dialysis for the management of protein-energy wasting: what is old and what is new?
J Ren Nutr. 2013 May; 23(3):195-8.JR

Abstract

Advances in the nutritional support of hospitalized patients in the early 1970s led to the recognition that tools were needed to evaluate the nutritional status of patients. The observation that malnutrition in patients receiving dialysis was associated with increased morbidity and mortality prompted many expert groups to develop nutritional scoring systems to be applied in these patients. Given the diverse and confusing terminologies that emerged from these publications, the International Society of Renal Nutritional and Metabolism convened an expert panel to recommend a new nomenclature and preferred methods to evaluate the nutritional status of patients with chronic kidney disease (CKD). The new and inclusive term protein-energy wasting (PEW) refers to a systematically defined condition based on certain criteria and reflects malnutrition and wasting caused not only by inadequate nutrient intake but also by depletion resulting from the inflammatory and noninflammatory conditions that prevail in this population. Serial assessment of nutritional status for detection and management of PEW is recommended using old and new scoring tools, including the Subjective Global Assessment (SGA), malnutrition inflammation score (MIS), Geriatric Nutritional Risk Index (GNRI), and PEW definition criteria. These tools, which are reliable methods and predictors of outcomes, are reviewed in this article.

Authors+Show Affiliations

Division of Nephrology, University Hospital, Catholic University of Parana, Curitiba, Brazil. mcriella@gmail.com

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

23611546

Citation

Riella, Miguel C.. "Nutritional Evaluation of Patients Receiving Dialysis for the Management of Protein-energy Wasting: what Is Old and what Is New?" Journal of Renal Nutrition : the Official Journal of the Council On Renal Nutrition of the National Kidney Foundation, vol. 23, no. 3, 2013, pp. 195-8.
Riella MC. Nutritional evaluation of patients receiving dialysis for the management of protein-energy wasting: what is old and what is new? J Ren Nutr. 2013;23(3):195-8.
Riella, M. C. (2013). Nutritional evaluation of patients receiving dialysis for the management of protein-energy wasting: what is old and what is new? Journal of Renal Nutrition : the Official Journal of the Council On Renal Nutrition of the National Kidney Foundation, 23(3), 195-8. https://doi.org/10.1053/j.jrn.2013.01.023
Riella MC. Nutritional Evaluation of Patients Receiving Dialysis for the Management of Protein-energy Wasting: what Is Old and what Is New. J Ren Nutr. 2013;23(3):195-8. PubMed PMID: 23611546.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Nutritional evaluation of patients receiving dialysis for the management of protein-energy wasting: what is old and what is new? A1 - Riella,Miguel C, PY - 2013/01/15/received PY - 2013/01/17/accepted PY - 2013/4/25/entrez PY - 2013/4/25/pubmed PY - 2014/1/5/medline SP - 195 EP - 8 JF - Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation JO - J Ren Nutr VL - 23 IS - 3 N2 - Advances in the nutritional support of hospitalized patients in the early 1970s led to the recognition that tools were needed to evaluate the nutritional status of patients. The observation that malnutrition in patients receiving dialysis was associated with increased morbidity and mortality prompted many expert groups to develop nutritional scoring systems to be applied in these patients. Given the diverse and confusing terminologies that emerged from these publications, the International Society of Renal Nutritional and Metabolism convened an expert panel to recommend a new nomenclature and preferred methods to evaluate the nutritional status of patients with chronic kidney disease (CKD). The new and inclusive term protein-energy wasting (PEW) refers to a systematically defined condition based on certain criteria and reflects malnutrition and wasting caused not only by inadequate nutrient intake but also by depletion resulting from the inflammatory and noninflammatory conditions that prevail in this population. Serial assessment of nutritional status for detection and management of PEW is recommended using old and new scoring tools, including the Subjective Global Assessment (SGA), malnutrition inflammation score (MIS), Geriatric Nutritional Risk Index (GNRI), and PEW definition criteria. These tools, which are reliable methods and predictors of outcomes, are reviewed in this article. SN - 1532-8503 UR - https://www.unboundmedicine.com/medline/citation/23611546/Nutritional_evaluation_of_patients_receiving_dialysis_for_the_management_of_protein_energy_wasting:_what_is_old_and_what_is_new L2 - https://linkinghub.elsevier.com/retrieve/pii/S1051-2276(13)00049-6 DB - PRIME DP - Unbound Medicine ER -