Protein-energy malnutrition in peritoneal dialysis patients: risk factors and diagnosis


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Abstract

Resume. The lecture presents current information on the prevalence and classification of protein-energy malnutrition (РЕМ) in patients with chronic kidney disease (CKD) on replacement therapy with peritoneal dialysis. More highlights the causes and potential risk factors for malnutrition, as typical for all patients with CKD, and especially for this method of treatment. Ways of assessing nutritional status, draws attention to the appropriateness of the use of complex techniques and dynamic monitoring of nutritional status.

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  1. Бикбов Б. Т., Томилина Н.А. Заместительная терапия больных хронической почечной недостаточностью в Российской Федерации в 1998-2011 гг. (Отчет по данным Российского регистра заместительной почечной терапии) // Нефрология и диализ. - 2014. - № 2. - С. 193-208.
  2. Avram M.M., Mittman N., Fein P.A. Dialysis vintage, body composition, and survival in peritoneal dialysis patients // Adv Perit Dial. - 2012. - Vol. 28. - P. 144-147.
  3. Chen J.B., Lam K.K., Su Y.J. Relationship between Kt/Vurea-based dialysis adequacy and nutritional status and their effect on the components of the quality of life in incident peritoneal dialysis patients // Nephrol. - 2012. - Vol. 13. - P. 39-45.
  4. Основы клинического питания. Материалы лекций для курсов Европейской ассоциации парентерального и энтерального питания. - Петрозаводск: Интел Тек. - 2003. - C. 34-45.
  5. Барановский А.Ю., Шостка Г.Д., Райхельсон К.Л. Белково-энергетическая недостаточность у больных с терминальной стадией хронической почечной недостаточности, корригируемой различными видами заместительной терапии // Нефрология и диализ. - 1999. - № 1. - С. 21-26.
  6. Ветчинникова О.Н., Пичугина И.С., Верещагина В.М. Белково-энергетическая недостаточность у больных на постоянном амбулаторном перитонеальном диализе // Нефрология и диализ. - 2009. - № 3. - С. 242-250.
  7. Kawaguchi Y., Sugino N., Arai J. Nutritional Assessment of patients on continuous ambulatory peritoneal dialysis // (Japanese) Nippon Jinzo Gakki Shi. - 1993. - Vol. 35(7). - P. 843-851.
  8. Tapiawala S., Vora H., Patel Z. Subjective global assessment of nutritional status of patients with chronic renal insufficiency and end stage renal disease on dialysis // J Assoc Physicians India. - 2006. - Vol. 54. - P. 923-926.
  9. Prasad N., Gupta A., Sharma R.K. Impact of nutritional status on peritonitis in CAPD patients//Perit Dial Int. - 2007. - Vol. 27(1). - P. 42-47.
  10. Dong J., Wang T., Wang H. Y. The impact of new co-morbidities on nutritional status in continuous ambulatory peritoneal dialysis patients // Blood Purif. - 2006. - Vol. 24(5-6). - P. 517-523.
  11. Edofonti A., Paglialonga F., Picca M. A prospective multicentre study of the nutritional status in children on chronic peritoneal dialysis // Nephrol Dial Transplant. - 2006. -Vol. 21. - P. 1946-1951.
  12. Рокко М.В., Блюменкранц М.Дж. Проблемы питания. Руководство по диализу / Ред. Д. Даугирдас, П. Блейк, Т. Инг / Пер. с англ. под ред. А.Ю. Денисова и В.Ю. Шило. - Тверь: Триада. - 2003. - C. 466-493.
  13. Ветчинникова О.Н., Верещагина В.М., Пичугина И.С. Особенности белкового статуса у больных на диализе//Альманах клин мед. - 2011. - № 24. - С. 33-40.
  14. Wang A.Y., Sanderson J., Sea M.M. Important factors other than dialysis adequacy associated with inadequate dietary protein and energy intakes in patients receiving maintenance peritoneal dialysis // Am J Clin Nutr. - 2003. - Vol. 77(4). - P. 834-841.
  15. Cano N., Fiaccadori E., Tesinsky P. ESPEN guidelines on enteral nutrition: adult renal failure // Clin Nutr. - 2006. - Vol. 25. - P. 295-310.
  16. National Kidney Foundation (NKF) K/DOQI. Clinical practice guidelines for nutrition in chronic renal failure // Am J Kidney Dis. - 2000. - Vol. 35. - P. S1-S140.
  17. Fouque D., Vennegoor M., ter Wee P. EBPG guideline on nutrition //Nephrol Dial Transplant. - 2007. - Vol. 22 (Suppl. 2). - P. ii45-ii87.
  18. Dombros N., Dratwa M., Feriani M. European best practice guidelines for peritoneal dialysis. Nutrition in peritoneal dialysis // Nephrol Dial Transplant. -2005. - Vol. 20 (Suppl. 9). - P. ix28-ix33.
  19. Sutton D., Higgins B., Stevens J.M. Continuous ambulatory peritoneal dialysis patients are unable to increase dietary intake to recommended levels// J Ren Nutr. - 2007. - Vol. 17(5). - P. 329-335.
  20. Cilan H., Sipahioglu M.H., Oguzhan N. Association between depression, nutritional status, and inflammatory markers in peritoneal dialysis patients // Ren Fail. - 2013. -Vol. 35(1). - P. 17-22.
  21. Kaynar K., Kural B. V., Ulusoy S. Is there any interaction of resistin and adiponectin levels with protein-energy wasting among patients with chronic kidney disease // Hemodial Int. - 2014. - Vol. 18(1). - P. 153-162.
  22. Perez-Fontan M., Cordido F., Rodriguez-Carmona A. Short-term regulation of peptide YY secretion by a mixed meal or peritoneal glucose-based dialysate in patients with chronic renal failure // Nephrol Dial Transplant. - 2008. - Vol. 23(11). - P. 3696-3703.
  23. Pichugina I., Vetchinnikova O. Profile of serum amino acids in patients on peritoneal dialysis // Kidney Res Clin Pract. - 2012. - Vol. 31. - P. A66-198.
  24. Hiroshiga K., Sonta T., Suda T. Oral supplementation of branched-chain amino acid improves nutritional status in elderly patients on chronic hemodialysis // Nephrol Dial Transplant. - 2001. - Vol. 16. - P. 1856-1862.
  25. Kumar M.A., Bitla A.R., Raju K. V. Branched chain amino acid profile in early chronic kidney disease // Saudi J Kidney Dis Transpl. - 2012. - Vol. 23(6). - P. 1202-1207.
  26. Zakar G. Nutritional Effects of KetoAmino Acids in Malnourished Dialysis and Predialysis Patients // J Renal Nutr. - 2012. - Vol. 22 (Suppl. 1). - P. 10-11.
  27. Chazot C. Nutrition and dialysis: how to keep adequate nutrition in dialysis?//Rev Med Suisse Romande. - 2004. - Vol. 124(11). - P. 681-688.
  28. Dong J., Tian X.K., Wang T., Wang H.Y. A longitudinal study of nutritional status in peritoneal dialysis patients // Zhonghua Nei Ke Za Zhi. - 2007. - Vol. 46(1). -P. 16-19.
  29. Nakao T., Matsumoto H., Okada T. Nutritional management of dialysis patients: balancing among nutrient intake, dialysis dose, and nutritional status // Am J Kidney Dis. - 2003. - Vol. 41(3). - P. 133-136.
  30. Paniagua R., Amato D., Vonesh E. Mexican Nephrology Collaborative Study Group. Effects of increased peritoneal deareances on mortality rates in peritoneal dialysis: ADEMEX, a prospective, randomized, controlled trial // J Am Soc Nephrol. - 2002. -Vol. 13. - P. 1307-1320.
  31. Wang A.Y., Sea M.M., Ip R. Independent effects on residual renal function and dialysis adequacy on actual dietary protein, calorie and other nutrient intake inpatients’ continuous ambulatory peritoneal dialysis // J Am Soc Nephrol. - 2001. - Vol. 12. -P. 2450-2457.
  32. Pickering W., Price S., Bircher G. Nutrition in CAPD: serum bicarbonate and the ubiquitin-proteasome system in muscle // Kidney Int. - 2002. - Vol. 61. - P. 12861292.
  33. Wang A.Y., Woo J., Wang M. Important differentiation of factors that predict outcome in peritoneal dialysis patients with different degrees of residual renal function // Nephrol Dial Transplant. - 2005. - Vol. 20. - P. 396-403.
  34. Perez-Flores I., Coronel F., Ciggaran S. Relation between residual renal function, inflammation and anemia in peritoneal dialysis // Adv Perit Dial. - 2007. - Vol. 23. -P. 140-143.
  35. Cheng L. T., Chen W., Tang W., Wang T. Does loss of residual renal function lead to malnutrition in peritoneal dialysis patients? // Clin Nephrol. - 2006. - Vol. 66(3). -P. 192-201.
  36. Woodrow G. Volume status in peritoneal dialysis // Perit Dial Int. - 2011. - Vol. 31(Suppl. 2). - P. 77-82.
  37. Carrero J.J., Qureshi A.R., Axelsson J. Comparison of nutritional and inflammatory markers in dialysis patients with reduced appetite // Am J Clin Nutr. - 2007. -Vol. 85(3). - P. 695-701.
  38. Zhang R., Ren Y.P. Protein-energy wasting and peritoneal functions in elderly peritoneal dialysis patients // Clin Exp Nephrol. - 2012. - Vol. 16(5). -P. 792-798.
  39. Mou S., Wang Q., Fang W. Change in cardiovascular disease status in peritoneal dialysis patients: 5-year single-center experience//Ren Fail. - 2012. - Vol. 34(1). - P. 28-34.
  40. De Mutsert R., Grootendorst G.C., Indemans F. Association between serum albumin and mortality in dialysis patients is party explained by inflammation and not by malnutrition // J Ren Nutr. - 2009. - Vol. 19. -P. 127-135.
  41. Chiu Y.W., Kopple J.D., Mehrotra R. Correction of metabolic acidosis to ameliorate wasting in chronic kidney disease: goals and strategies // Semin Nephrol. - 2009. - Vol. 29(1). - P. 67-74.
  42. Drakopoulos A., Goumenos D.S., Vlachojannis J.G. Acid-base profile and predictors of metabolic acidosis in patients undergoing peritoneal dialysis with lactate- and bicarbonate-buffered peritoneal dialysis solutions //Adv Perit Dial. - 2006. - Vol. 22. - P. 187-191.
  43. Feriani M., Passlick-Deetjen J., Jaeckle-Meyer I. Study Group. Individualized bicarbonate concentrations in the peritoneal dialysis fluid to optimize acid-base status in CAPD patients // Nephrol Dial Transplant. - 2004. - Vol. 19(1). - P. 195-202.
  44. Kopple J.D., Kalantar-Zadeh K., Mehrotra R. Risks of chronic metabolic acidosis in patients with chronic kidney disease // Kidney Int. - 2005. - Vol. 95(Suppl.). -P. 21-27.
  45. Szeto C., Wong T., Chow K. Oral sodium bicarbonate for the treatment of metabolic acidosis in peritoneal dialysis patients: a randomized, placebo-controlled trial // J Am Soc Nephrol. - 2003. - Vol. 14. - P. 2119-2126.
  46. Кузина Н.Ю., Орлова Г.М. Некоторые эффекты вторичного гиперпаратиреоза у больных с хронической болезнью почек //Нефрология и диализ. - 2008. - № 2. -С. 140-143.
  47. Westra W.M., Kopple J.D., Krediet R.T. Dietary protein requirements and dialysate protein losses in chronic peritoneal dialysis patients // Perit Dial Int. - 2007. - Vol. 27(2). - P. 192-195.
  48. Пичугина И.С., Гаппаров М.М., Чукарина Е.В. Аминокислотный состав сыворотки крови и диализирующего раствора у больных хронической почечной недостаточностью, находящихся на перитонеальном диализе//Вопросы питания. - 2008. - № 77(3). - С. 45-48.
  49. Tokunaga K., Matsuzawa Y., Kotani K. Ideal body weight estimated from body mass index with the lowest morbidity // Int J Obes Relat Metab Disord. - 1991. -Vol. 15. - P. 1-5.
  50. Combe C., McCullough K.P., Asano Y. Kidney Diseases Outcomes Quality Initiative (K/DOQI) and the Dialysis Outcomes and Practice Patterns Study (DOPPS): Nutrition Guidelines, Indicators, and Practices // Am J Kidney disease. - 2004. - Vol. 44. -P. S39-S46.
  51. Markaki A., Gkouskou K., Ganotakis E. A longitudinal study of nutritional and inflammatory status in patients on dialysis // J Ren Care. - 2014. - Vol. 40(1). -P. 14-22.
  52. Guest S. Hypoalbuminemia in peritoneal dialysis patients // Adv Perit Dial. - 2013. -Vol. 29. - P. 55-60.
  53. Kovesdy C.P., Kalantar-Zadeh K. Accuracy and limitations of the diagnosis of malnutrition in dialysis patients // Semin Dial. - 2012. - Vol. 25(4). -P. 423-427.
  54. Detsky A.S., McLaughlin J.R., Baker J.P. What is Subjective Global Assessment of nutritional status?// J Parenter Enteral Nutr. - 1987. - Vol. 11. - P. 8-11.
  55. Enia G., Sicuso C., Alati G., Zoccali C. Subjective Global Assessment of nutrition in dialysis patients // Nephrol Dial Transplant. - 1993. - Vol. 8. -P. 1094-1098.
  56. Kalantar-Zadeh K., Kleiner M., Dunne E. A modified quantitative subjective global assessment of nutrition for dialysis patients // Nephrol Dial Transplant. -1999. - Vol. 14. - P. 1732-1738.
  57. Bilbrey G.L., Cohen T.L. Identification and treatment of protein-caloric malnutrition in chronic hemodialysis patients // Dial Transplant. - 1989. - Vol. 18. - P. 669-677.
  58. Хорошилов И.Е., Луфт В.М., Хватов В.Б., Костюченко Л.Н. Об организации в стационарах службы нутриционной поддержки больных // Врач. - 1998. - № 8. -С. 39-40.
  59. Bouillanne O., Morineau G., Dupont C. Geriatric Nutritional Risk Index: a new index for evaluating at-risk elderly medical patients // Am J Clin Nutr. - 2005. - Vol. 82. -P. 777-783.
  60. Ветчинникова О.Н., Пичугина И.С. Возрастной индекс нутритивного риска и питательный статус у перитонеальных больных // Врач. - 2012. -№ 6. - С. 81-85.
  61. Baxter Healthcare Corporation, Educational Services, Renal Division. Assessing the Nutritional Status of Dialysis Patients Using Subjective Global Assessment. - 1993.
  62. CANADA-USA Peritoneal Dialysis Study Group (CANUSA)/ Adequacy of dialysis and nutrition in continuous peritoneal dialysis: Association with clinical outcomes // J Am Soc Nephrol. - 1996. - Vol. 7. - P. 198-207.
  63. Yamada K., Furuya R., Takita T. Simplified nutritional screening tool for patients on maintenance hemodialysis // Am J Clin Nutr. - 2008. - Vol. 87. - P. 106-113.
  64. Kobayashi I., Ishimura E., Okuno S. Geriatric Nutritional Risk Index, a simplified nutritional screening index, is a significant predictor of mortality in chronic dialysis patients // Nephrol Dial Transplant. - 2010. - Vol. 25. - P. 3361-3365.
  65. Hyun S.H., Choi J.Y., Cho J.H. Assessment of fluid and nutritional status using multifrequency bioelectrical impedance analysis in peritoneal dialysis patients // Blood Purif. - 2014. - Vol. 37(2). - P. 152-162.
  66. Davenport A. Does peritoneal dialysate affect body composition assessments using multifrequency bioimpedance in peritoneal dialysispatients?// Eur J Clin Nutr. - 2013. - Vol. 67(2). - P. 223-225.
  67. Kwan B.C., Szeto C.C., Chow K.M. Bioimpedance spectroscopy for the detection of fluid overload in chinese peritoneal dialysis patients // Perit Dial Int. - 2014. - Vol. 34(4). -P. 409-416.
  68. Fürstenberg A., Davenport A. Assessment of body composition in peritoneal dialysis patients using bioelectrical impedance and dual-energy x-ray absorptiometry // Am J Nephrol. - 2011. - Vol. 33(2). - P. 150-156.

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