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[How to prevent protein-energy wasting in patients with chronic kidney disease--position statement of the Croatian Society of Nephrology, Dialysis and Transplantation].
Acta Med Croatica 2014; 68(2):191-9AM

Abstract

Protein-energy wasting (PEW) is a frequent problem in patients with end-stage renal disease, which is associated with adverse outcome. Risk factors for development of PEW in dialysis patients include anorexia, limitations in food intake due to problems with mineral metabolism (hyperphosphatemia, hyperkalemia). Prevention of PEW in dialysis population demands different therapeutic measures to correct abnormalities and to prevent loss of energy and proteins. Therapeutic approach should be individualized based on the specific problems of each patient in order to correct metabolic problems and to optimize food intake. In patients with inability to maintain nutritional status with standard oral feeding, other measures which include oral nutrition supplements and intradialytic parenteral feeding should be applied. Anabolic steroids, growth hormone and adequate oral nutritional supplements, together with physical activity may prevent further catabolism and correct abnormalities. Appetite stimulators, antiinflammatory interventions and anabolic drugs seem promising; however, their efficacy should be investigated in future clinical trials.

Authors

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Pub Type(s)

Journal Article
Practice Guideline

Language

hrv

PubMed ID

26012159

Citation

Bašić-Jukić, Nikolina, et al. "[How to Prevent Protein-energy Wasting in Patients With Chronic Kidney Disease--position Statement of the Croatian Society of Nephrology, Dialysis and Transplantation]." Acta Medica Croatica : Casopis Hravatske Akademije Medicinskih Znanosti, vol. 68, no. 2, 2014, pp. 191-9.
Bašić-Jukić N, Rački S, Kes P, et al. [How to prevent protein-energy wasting in patients with chronic kidney disease--position statement of the Croatian Society of Nephrology, Dialysis and Transplantation]. Acta Med Croatica. 2014;68(2):191-9.
Bašić-Jukić, N., Rački, S., Kes, P., Ljutić, D., Vujičić, B., Lovčić, V., ... Gulin, M. (2014). [How to prevent protein-energy wasting in patients with chronic kidney disease--position statement of the Croatian Society of Nephrology, Dialysis and Transplantation]. Acta Medica Croatica : Casopis Hravatske Akademije Medicinskih Znanosti, 68(2), pp. 191-9.
Bašić-Jukić N, et al. [How to Prevent Protein-energy Wasting in Patients With Chronic Kidney Disease--position Statement of the Croatian Society of Nephrology, Dialysis and Transplantation]. Acta Med Croatica. 2014;68(2):191-9. PubMed PMID: 26012159.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [How to prevent protein-energy wasting in patients with chronic kidney disease--position statement of the Croatian Society of Nephrology, Dialysis and Transplantation]. AU - Bašić-Jukić,Nikolina, AU - Rački,Sanjin, AU - Kes,Petar, AU - Ljutić,Dragan, AU - Vujičić,Bozidar, AU - Lovčić,Vesna, AU - Orlić,Lidija, AU - Prkačin,Ingrid, AU - Radić,Josipa, AU - Jakić,Marko, AU - Klarić,Dragan, AU - Gulin,Marijana, AU - ,, PY - 2015/5/28/entrez PY - 2015/5/28/pubmed PY - 2015/6/19/medline SP - 191 EP - 9 JF - Acta medica Croatica : casopis Hravatske akademije medicinskih znanosti JO - Acta Med Croatica VL - 68 IS - 2 N2 - Protein-energy wasting (PEW) is a frequent problem in patients with end-stage renal disease, which is associated with adverse outcome. Risk factors for development of PEW in dialysis patients include anorexia, limitations in food intake due to problems with mineral metabolism (hyperphosphatemia, hyperkalemia). Prevention of PEW in dialysis population demands different therapeutic measures to correct abnormalities and to prevent loss of energy and proteins. Therapeutic approach should be individualized based on the specific problems of each patient in order to correct metabolic problems and to optimize food intake. In patients with inability to maintain nutritional status with standard oral feeding, other measures which include oral nutrition supplements and intradialytic parenteral feeding should be applied. Anabolic steroids, growth hormone and adequate oral nutritional supplements, together with physical activity may prevent further catabolism and correct abnormalities. Appetite stimulators, antiinflammatory interventions and anabolic drugs seem promising; however, their efficacy should be investigated in future clinical trials. SN - 1330-0164 UR - https://www.unboundmedicine.com/medline/citation/26012159/[How_to_prevent_protein_energy_wasting_in_patients_with_chronic_kidney_disease__position_statement_of_the_Croatian_Society_of_Nephrology_Dialysis_and_Transplantation]_ L2 - http://www.diseaseinfosearch.org/result/3996 DB - PRIME DP - Unbound Medicine ER -