Protein-energy malnutrition in chronic kidney disease
- Authors: Zueva T.V1, Urazlina S.E1, Zhdanova T.V1
-
Affiliations:
- Ural State Medical University
- Issue: Vol 32, No 1 (2021)
- Pages: 29-36
- Section: Articles
- URL: https://journals.eco-vector.com/0236-3054/article/view/114358
- DOI: https://doi.org/10.29296/25877305-2021-01-06
- ID: 114358
Cite item
Abstract
Chronic kidney disease (CKD) creates a pathological environment with metabolic disorders that affect nutrient intake, metabolism, and energy expenditure, leading to malnutrition and increasing the risk of morbidity and mortality. Successful management of protein-energy malnutrition (PEM) in patients with CKD requires a comprehensive approach to assessment and therapeutic intervention. This needs a deep understanding of the complex mechanisms involved in the development of protein energy depletion and malnutrition in CKD. This literature review deals with the topical issues of malnutrition in CKD: epidemiology, pathophysiology, diagnostic methods, outcomes, and treatment principles.
Full Text
About the authors
T. V Zueva
Ural State Medical UniversityCandidate of Medical Sciences
S. E Urazlina
Ural State Medical University
T. V Zhdanova
Ural State Medical University
Email: zt_2008@mail.ru
Professor
References
- Амреева З.К. Нарушение нутриционного статуса у пациентов с хронической болезнью почек. Вестник Казахского Национального медицинского университета. 2018; 1: 208-11 [Amreyeva Z.K. Nutritional status disorders in patients with chronic kidney disease. Vestnik KazNMU. 2018; 1: 208-11 (in Russ.)].
- Stenvinkel P., Heimburger O., Lindholm B. et al. Are there two types of malnutrition in chronic renal failure? Evidence for relationships between malnutrition, inflammation and atherosclerosis (MIA syndrome). Nephrol Dial Transplant. 2000; 15 (7): 953-60. doi: 10.1093/ndt/15.7.953
- Михайлова Л.В., Горенштейн Т.А., Вильмс А.Л. и др. Показатели качества жизни у больных с терминальной стадией хронической болезни почек на гемодиализе. Вестник Балтийского федерального университета им. И. Канта. Серия: Естественные и медицинские науки. 2019; 2: 88-97 [Mikhailova L.V., Gorenshteyn T.A. Vilms A.L. et al. The indicators of the quality of life in patients with a terminal stage of chronic kidney disease on hemodialysis. Vestnik Baltijskogo federal'nogo universiteta im. I. Kanta. Serija: Estestvennye i medicinskie nauki. 2019; 2: 88-97 (in Russ)].
- Sabatino A., Regolisti G., Karupaiah T. et al. Protein-energy Wasting and Nutritional Supplementation in Patients With End-Stage Renal Disease on Hemodialysis. Clin Nutr. 2017; 36 (3): 663-71. doi: 10.1016/j.clnu.2016.06.007
- Carrero J.J., Stenvinkel P., Cuppari L. et al. Etiology of the protein-energy wasting syndrome in chronic kidney disease: a consensus statement from the International Society of Renal Nutrition and Metabolism (ISRNM). J Ren Nutr. 2013; 23 (2): 77-90. doi: 10.1053/j.jrn.2013.01.001
- Aggarwal H.K., Jain D., Chauda R. et al. Assessment of Malnutrition Inflammation Score in Different Stages of Chronic Kidney Disease. Pril (Makedon Akad Nauk Umet Odd Med Nauki). 2018; 39 (2-3): 51-61. DOI: 10.2478/ prilozi-2018-0042
- Iorember F.M. Malnutrition in Chronic Kidney Disease. Front Pediatr. 2018; 6: 161. doi: 10.3389/fped.2018.00161
- Oluseyi A., Enajite O. Malnutrition in pre-dialysis chronic kidney disease patients in a teaching hospital in Southern Nigeria. Afr Health Sci. 2016; 16 (1): 234-41. doi: 10.4314/ahs.v16i1.31
- Агафонова О.В., Гриценко Т.А., Богданова Ю.В. и др. Поликлиническая терапия: Учебник. Под ред. Д.И. Давыдкина, Ю.В. Щукина. 2-е изд., перераб. и доп. М.: ГЭОТАР-Медиа, 2020; 840 с. [Agafonova O.V., Gritsenko T.A., Bogdanova Yu.V. et al. Poliklinicheskaya terapiya: Uchebnik. Pod red. D.I. Davydkina, Yu.V. Shchukina. 2-e izd., pererab. i dop. M.: GEOTAR-Media, 2020; 840 s. (in Russ.)] doi: 10.33029/9704-5545-6-PLT-2020-1-840
- Hill J.O. Can a Small-Changes Approach Help Address the Obesity Epidemic? A Report of the Joint Task Force of the American Society for Nutrition, Institute of Food Technologists, and International Food Information Council. Am J Clin Nutr. 2009; 89 (2): 477-84. doi: 10.3945/ajcn.2008.26566
- Windahl K., Faxen Irving G., Almquist T. et al. Prevalence and Risk of Protein-Energy Wasting Assessed by Subjective Global Assessment in Older Adults With Advanced Chronic Kidney Disease: Results From the EQUAL Study. J Ren Nutr. 2018; 28 (3): 165-74. doi: 10.1053/j.jrn.2017.11.002
- Dai L., Mukai H., Lindholm B. et al. Clinical global assessment of nutritional status as predictor of mortality in chronic kidney disease patients. PLoS One. 2017; 12: e0186659. doi: 10.1371/journal.pone.0186659
- Ветчинникова О.Н., Пичугина И.С. Белково-энергетическая недостаточность у пациентов с хронической болезнью почек на диализной терапии. Учебное пособие. М., 2015; 55 [Vetchinnikova O.N., Pichugina I.S. Belkovo-energeticheskaya nedostatochnost' u patsientov s khronicheskoi bolezn'yu pochek na dializnoi terapii. Uchebnoe posobie. M., 2015; 55 (in Russ.)].
- Кузярова А.С., Гасанов М.З., Батюшин М.М. и др. Молекулярные основы мышечного истощения: роль миостатина и протеинкиназы в p-прогрессировании белковоэнергетической недостаточности у пациентов на гемодиализе. Архивъ внутренней медицины. 2019; 9 (2): 126-32 [Kuzyarova A.S., Gasanov M.Z., Batyushin M.M. et al. Molecular bases of muscular definition: the role of myostatin and proteinkinase p in progression of protein-energy waste in patients on hemodialysis. The Russian Archives of Internal Medicine. 2019; 9 (2): 126-32 (in Russ.)]. doi: 10.20514/2226-67042019-9-2-126-132
- Kistler B.M., Benner D., Burrowes J.D. et al. Eating During Hemodialysis Treatment: A Consensus Statement From the International Society of Renal Nutrition and Metabolism. J Ren Nutr. 2018; 28 (1): 4-12. DOI: 10.1053/j. jrn.2017.10.003
- Zha Y., Qian Q. Protein Nutrition and Malnutrition in CKD and ESRD. Nutrients. 2017; 9 (3): 208. doi: 10.3390/nu9030208
- Jagadeswaran D., Indhumathi E., Hemamalini A.J. et al. Inflammation and nutritional status assessment by malnutrition inflammation score and its outcome in pre-dialysis chronic kidney disease patients. Clin Nutr. 2019; 38 (1): 341-7. doi: 10.1016/j.clnu.2018.01.001
- Monzani A., Perrone M., Prodam F. et al. Unacylated ghrelin and obestatin: promising biomarkers of protein energy wasting in children with chronic kidney disease. Pediatr Nephrol. 2018; 33 (4): 661-72. DOI: 10.1007/ s00467-017-3840-z
- Kovesdy C.P., Kopple J.D., Kalantar-Zadeh K. Management of protein-energy wasting in non-dialysis-dependent chronic kidney disease: reconciling low protein intake with nutritional therapy. Am J Clin Nutr. 2013; 97 (6): 1163-77. DOI: org/10.3945/ajcn.112.036418
- Терещенко И.В., Каюшев П.Е. Система грелин - обестатин в норме и при патологии. Тер арх. 2014; 86 (12): 116-20 [Tereshchenko I.V., Kayushev P.E. The ghrelin-obestatin system in health and disease. Ter arkh. 2014; 86 (12): 11620 (in Russ.)]. doi: 10.17116/terarkh20148612116-120
- Mak R.H., Cheung W., Cone R.D. et al. Leptin and inflammation-associated cachexia in chronic kidney disease. Kidney Int. 2006; 69 (5): 794-7. DOI: 10.1038/ sj.ki.5000182
- Kaynar K., Kural B.V., Ulusoy S. et al. Is there any interaction of resistin and adiponectin levels with protein-energy wasting among patients with chronic kidney disease. Hemodial Int. 2014; 18(1): 153-62. DOI: 10.1111/ hdi.12072
- Maraj M., Kusnierz-Cabala B., Dumnicka P. et al. Malnutrition, Inflammation, Atherosclerosis Syndrome (MIA) and Diet Recommendations among End-Stage Renal Disease Patients Treated with Maintenance Hemodialysis. Nutrients. 2018; 10 (1): 69. doi: 10.3390/nu10010069
- Siew E.D., Ikizler T.A. Insulin resistance and protein energy metabolism in patients with advanced chronic kidney disease. Semin Dial. 2010; 23 (4): 378-82. doi: 10.1111/j.1525-139X.2010.00763.x
- Spoto B., Pisano A., Zoccali C. Insulin resistance in chronic kidney disease: a systematic review. Am J Physiol Renal Physiol. 2016; 311 (6): F1087-F1108. doi: 10.1152/ajprenal.00340.2016
- Cigarran S., Pousa M., Castro M.J. et al. Endogenous testosterone, muscle strength, and fat-free mass in men with chronic kidney disease. J Ren Nutr. 2013; 23 (5): e89-95. doi: 10.1053/j.jrn.2012.08.007
- Campbell G.A., Patrie J.T., Gaylinn B.D. et al. Oral ghrelin receptor agonist MK-0677 increases serum insulin-like growth factor 1 in hemodialysis patients: a randomized blinded study. Nephrol Dial Transplant. 2018; 33 (3): 523-30. doi: 10.1093/ndt/gfw474
- Zha Y., Qian Q. Protein Nutrition and Malnutrition in CKD and ESRD. Nutrients. 2017; 9 (3): 208. doi: 10.3390/nu9030208
- Жданова Т.В., Назаров А.В., Шалаев В.А. и др. Синдром воспаления у больных хронической почечной недостаточностью (ХПН) Всероссийская научно-практическая конференция «Болезни почек: эпидемиология, диагностика и лечение» 27-28 сентября 2004г. г. Кызыл. Нефрология (Прил. 2). 2004: 190-1 [Zhdanova T.V., Nazarov A.V., Shalaev V.A. i dr. Sindrom vospaleniya u bol'nykh khronicheskoi pochechnoi nedostatochnost'yu (KhPN) Vserossiiskaya nauchno-prakticheskaya konferentsiya «Bolezni pochek: epidemiologiya, diagnostika i lechenie» 27-28 sentyabrya 2004g. g. Kyzyl. Nefrologiya (Pril. 2). 2004: 190-1 (in Russ)].
- Зуева Т.В., Шалаев В.А., Назаров А.В. и др. Диагностика синдрома эндогенной интоксикации при хронической почечной недостаточности. Нижегородский медицинский журнал. 2005; 3: 104-9 [Zueva T.V., Shalaev V.A., Nazarov A.V. et al. Diagnostika sindroma endogennoi intoksikatsii pri khronicheskoi pochechnoi nedostatochnosti. Nizhegorodskiimeditsinskiizhurnal. 2005; 3: 104-9 (in Russ.)].
- Зуева Т.В., Жданова Т.В., Уразлина С.Е. и др. Хроническая болезнь почек как провоспалительный синдром. Врач. 2020; 31 (6): 27-34 [Zueva T.V., Zhdanova T.V., Uraslina S.E. et al. Chronic kidney disease as a proinflammatory syndrome. Vrach. 2020; 31 (6): 27-34 (in Russ)]. doi: 10.29296/25877305-2020-06-05
- Zhang K., Gao J., Chen J. et al. MICS, an easily ignored contributor to arterial calcification in CKD patients. Am J Physiol Renal Physiol. 2016; 311 (4): F663-F670. doi: 10.1152/ajprenal.00189.2016
- Zyga S., Christopoulou G., Malliarou M. Malnutrition-inflammation-atherosclerosis syndrome in patients with end-stage renal disease. J Ren Care. 2011; 37 (1): 12-5. doi: 10.1111/j.1755-6686.2011.00201.x
- Mutluay R., Konca Degertekin C., Isiktas Sayilar E. et al. Serum fetuin-A is associated with the components of MIAC (malnutrition, inflammation, atherosclerosis, calcification) syndrome in different stages of chronic kidney disease. Turk J Med Sci. 2019; 49 (1): 327-35. doi: 10.3906/sag-1809-43
- Ramezani A., Massy Z.A., Meijers B. et al. Role of the Gut Microbiome in Uremia: A Potential Therapeutic Target. Am J Kidney Dis. 2016; 67 (3): 483-98. doi: 10.1053/j.ajkd.2015.09.027
- Guenzani D., Buoli M., Caldiroli L. et al. Malnutrition and inflammation are associated with severity of depressive and cognitive symptoms of old patients affected by chronic kidney disease. J Psychosom Res. 2019; 124: 109783. doi: 10.1016/j.jpsychores.2019.109783
- Jhee J.H., Kim H., Park S. et al. Vitamin D deficiency is significantly associated with depression in patients with chronic kidney disease. PLoS One. 2017; 12 (2): e0171009. doi: 10.1371/journal.pone.0171009
- Lee P.S., Bhan I., Thadhani R. The potential role of plasma gelsolin in dialysis-related protein-energy wasting. Blood Purif. 2010; 29 (2): 99-101. doi: 10.1159/000245632
- Zhang H., Tao Y., Wang Z., et al. Evaluation of nutritional status and prognostic impact assessed by the prognostic nutritional index in children with chronic kidney disease. Medicine (Baltimore). 2019; 98 (34): e16713. doi: 10.1097/MD.0000000000016713
- Olivares-Gandy H.J., Dominguez-Isidro S., Lopez-Dominguez E. et al. A telemonitoring system for nutritional intake in patients with chronic kidney disease receiving peritoneal dialysis therapy. Comput Biol Med. 2019; 109: 1-13. doi: 10.1016/j.compbiomed.2019.04.012
- Lu L., Huang Y.F., Wang M.Q. et al. Dietary fiber intake is associated with chronic kidney disease (CKD) progression and cardiovascular risk, but not protein nutritional status, in adults with CKD. Asia Pac J Clin Nutr. 2017; 26 (4): 598-605. doi: 10.6133/apjcn.072016.08