| [ Summary ] |
Protein-energy malnutrition is one of critical risk factors for morbidity and mortality in patients with chronic renal failure. Several reports have shown a high prevalence of malnutrition in CAPD patients. The daily energy and protein intake is less than that recommended for CAPD patients, in spite of an additional supply of energy provided through peritoneal glucose absorption. In order to prevent these problems and improve the condition of malnourished CAPD patients, dialysis dose should be adjusted to the adequacy of dialysis. It is important to monitor the nutritional status and recommend increased protein intake. On the other hand, if there are signs that nutritional status is deteriorating despite these efforts, other supportive care and transfer to hemodialysis should be considered. |