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Assessment of nutritional status in dialysis patients

Authors
Shweta Bansal, MD, FASN
Monique E Cho, MD
Srinivasan Beddhu, MD
Section Editor
Steve J Schwab, MD
Deputy Editor
Alice M Sheridan, MD

INTRODUCTION

Dialysis patients are commonly depleted of protein and energy stores [1-5]. The degree to which protein and energy depletion is the result of deficient nutrition or, alternatively, protein and energy wasting is unclear. In 2009, the International Society of Renal Nutrition and Metabolism (ISRNM) recommended the terminology protein-energy wasting (PEW) syndrome to describe the loss of body protein mass and fuel reserves in patients with end-stage renal disease (ESRD) [6].

The assessment of nutritional status is a routine part of the care of maintenance dialysis patients in order to allow early recognition and treatment of PEW syndrome. Markers of PEW are among the strongest predictors of morbidity and mortality in ESRD patients [3,7].

This topic reviews our approach to the assessment of nutritional status among ESRD patients. The pathogenesis and treatment of PEW are discussed elsewhere. (See "Pathogenesis and treatment of malnutrition in maintenance dialysis".)

OUR APPROACH TO THE CLINICAL ASSESSMENT OF NUTRITIONAL STATUS

We perform monthly nutritional assessments of all dialysis patients. Our approach includes a dietary assessment, physical examination, and laboratory examination.

Our approach is detailed here.

             

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Literature review current through: Nov 2016. | This topic last updated: Thu Nov 17 00:00:00 GMT 2016.
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