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Rethinking the restriction on nutrition during hemodialysis treatment.
J Ren Nutr. 2015 Mar; 25(2):81-7.JR

Abstract

The annual mortality rate for patients undergoing maintenance hemodialysis (MHD) treatment in the United States is 20%, a rate higher than most other countries in the world. Poor nutrition status in MHD patients contributes to this adverse outcome as well as poor quality of life. Providing oral nutrition to MHD patients, especially during hemodialysis (HD) treatment has many potential benefits including improvements in nutrition status and attenuating HD-related muscle wasting. However, this practice is generally restricted in the United States presumably because of concerns that include worsening hemodynamic instability, reductions in treatment efficiency, and increased gastrointestinal symptoms. Despite widespread restrictions, few studies have adequately examined the effect of eating during HD on these outcomes, leaving many questions unanswered. This review outlines the current evidence regarding the effects of feeding during HD and provides potential future directions to outline the best practices in this controversial area.

Authors+Show Affiliations

Department of Kinesiology and Community Health, University of Illinois, Urbana, Illinois.Division of Nutritional Sciences, University of Illinois, Urbana, Illinois.Division of Nephrology, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee.Department of Kinesiology and Community Health, University of Illinois, Urbana, Illinois; Division of Nutritional Sciences, University of Illinois, Urbana, Illinois. Electronic address: kwilund@illinois.edu.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Review

Language

eng

PubMed ID

25443693

Citation

Kistler, Brandon M., et al. "Rethinking the Restriction On Nutrition During Hemodialysis Treatment." Journal of Renal Nutrition : the Official Journal of the Council On Renal Nutrition of the National Kidney Foundation, vol. 25, no. 2, 2015, pp. 81-7.
Kistler BM, Fitschen PJ, Ikizler TA, et al. Rethinking the restriction on nutrition during hemodialysis treatment. J Ren Nutr. 2015;25(2):81-7.
Kistler, B. M., Fitschen, P. J., Ikizler, T. A., & Wilund, K. R. (2015). Rethinking the restriction on nutrition during hemodialysis treatment. Journal of Renal Nutrition : the Official Journal of the Council On Renal Nutrition of the National Kidney Foundation, 25(2), 81-7. https://doi.org/10.1053/j.jrn.2014.08.008
Kistler BM, et al. Rethinking the Restriction On Nutrition During Hemodialysis Treatment. J Ren Nutr. 2015;25(2):81-7. PubMed PMID: 25443693.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Rethinking the restriction on nutrition during hemodialysis treatment. AU - Kistler,Brandon M, AU - Fitschen,Peter J, AU - Ikizler,T Alp, AU - Wilund,Kenneth R, Y1 - 2014/10/18/ PY - 2014/06/04/received PY - 2014/08/02/revised PY - 2014/08/25/accepted PY - 2014/12/3/entrez PY - 2014/12/3/pubmed PY - 2015/12/17/medline SP - 81 EP - 7 JF - Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation JO - J Ren Nutr VL - 25 IS - 2 N2 - The annual mortality rate for patients undergoing maintenance hemodialysis (MHD) treatment in the United States is 20%, a rate higher than most other countries in the world. Poor nutrition status in MHD patients contributes to this adverse outcome as well as poor quality of life. Providing oral nutrition to MHD patients, especially during hemodialysis (HD) treatment has many potential benefits including improvements in nutrition status and attenuating HD-related muscle wasting. However, this practice is generally restricted in the United States presumably because of concerns that include worsening hemodynamic instability, reductions in treatment efficiency, and increased gastrointestinal symptoms. Despite widespread restrictions, few studies have adequately examined the effect of eating during HD on these outcomes, leaving many questions unanswered. This review outlines the current evidence regarding the effects of feeding during HD and provides potential future directions to outline the best practices in this controversial area. SN - 1532-8503 UR - https://www.unboundmedicine.com/medline/citation/25443693/Rethinking_the_restriction_on_nutrition_during_hemodialysis_treatment_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1051-2276(14)00160-5 DB - PRIME DP - Unbound Medicine ER -