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Defining protein-energy wasting syndrome in chronic kidney disease: prevalence and clinical implications.
Nefrologia. 2014; 34(4):507-19.N

Abstract

The presence of malnutrition in chronic kidney disease (CKD) is well-known. The discovery in the last 15 years of pathophysiological mechanisms that lead to this process, such as anorexia, the increase of protein catabolism and inflammation, has created the need for a new name by the International Society of Renal Nutrition and Metabolism (ISRNM): protein-energy wasting syndrome (PEW). This document’s objectives are to propose the use of the term "desgaste proteico energético" (DPE) as a more accurate translation of the English term and to update the pathogenic mechanisms involved that are inherent to DPE (PEW). We simultaneously review the latest epidemiological evidence that highlight the relevance of malnutrition and its impact both on mortality and morbidity in CKD. Finally, we point out the need to redefine DPE (PEW) diagnostic criteria so that they are applicable to the Spanish population with CKD. We do not think that the criteria established by the ISRNM can be extrapolated to different populations, as is the case, for example, with interracial anthropometric differences.

Authors

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Pub Type(s)

Journal Article
Review

Language

eng spa

PubMed ID

25036065

Citation

Gracia-Iguacel, Carolina, et al. "Defining Protein-energy Wasting Syndrome in Chronic Kidney Disease: Prevalence and Clinical Implications." Nefrologia : Publicacion Oficial De La Sociedad Espanola Nefrologia, vol. 34, no. 4, 2014, pp. 507-19.
Gracia-Iguacel C, González-Parra E, Barril-Cuadrado G, et al. Defining protein-energy wasting syndrome in chronic kidney disease: prevalence and clinical implications. Nefrologia. 2014;34(4):507-19.
Gracia-Iguacel, C., González-Parra, E., Barril-Cuadrado, G., Sánchez, R., Egido, J., Ortiz-Arduán, A., & Carrero, J. J. (2014). Defining protein-energy wasting syndrome in chronic kidney disease: prevalence and clinical implications. Nefrologia : Publicacion Oficial De La Sociedad Espanola Nefrologia, 34(4), 507-19. https://doi.org/10.3265/Nefrologia.pre2014.Apr.12522
Gracia-Iguacel C, et al. Defining Protein-energy Wasting Syndrome in Chronic Kidney Disease: Prevalence and Clinical Implications. Nefrologia. 2014;34(4):507-19. PubMed PMID: 25036065.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Defining protein-energy wasting syndrome in chronic kidney disease: prevalence and clinical implications. AU - Gracia-Iguacel,Carolina, AU - González-Parra,Emilio, AU - Barril-Cuadrado,Guillermina, AU - Sánchez,Rosa, AU - Egido,Jesús, AU - Ortiz-Arduán,Alberto, AU - Carrero,Juan J, PY - 2014/04/14/accepted PY - 2014/7/19/entrez PY - 2014/7/19/pubmed PY - 2016/3/18/medline SP - 507 EP - 19 JF - Nefrologia : publicacion oficial de la Sociedad Espanola Nefrologia JO - Nefrologia VL - 34 IS - 4 N2 - The presence of malnutrition in chronic kidney disease (CKD) is well-known. The discovery in the last 15 years of pathophysiological mechanisms that lead to this process, such as anorexia, the increase of protein catabolism and inflammation, has created the need for a new name by the International Society of Renal Nutrition and Metabolism (ISRNM): protein-energy wasting syndrome (PEW). This document’s objectives are to propose the use of the term "desgaste proteico energético" (DPE) as a more accurate translation of the English term and to update the pathogenic mechanisms involved that are inherent to DPE (PEW). We simultaneously review the latest epidemiological evidence that highlight the relevance of malnutrition and its impact both on mortality and morbidity in CKD. Finally, we point out the need to redefine DPE (PEW) diagnostic criteria so that they are applicable to the Spanish population with CKD. We do not think that the criteria established by the ISRNM can be extrapolated to different populations, as is the case, for example, with interracial anthropometric differences. SN - 1989-2284 UR - https://www.unboundmedicine.com/medline/citation/25036065/Defining_protein_energy_wasting_syndrome_in_chronic_kidney_disease:_prevalence_and_clinical_implications_ DB - PRIME DP - Unbound Medicine ER -