| Theme | Strategies of Parenteral and Enteral Nutrition in Patients with Chronic Kidney Disease Especially at Stages 4 and 5 | |
|---|---|---|
| Title | Nutrient intake in patients with chronic renal failure while receiving conservative therapy and dialysis | |
| Publish Date | 2009/12 | |
| Author | Yoshie Kanazawa | Department of Life Science, Tokyo Kaseigakuin College / Department of Nephrology, Tokyo Medical University |
| Author | Toshiyuki Nakao | Department of Nephrology, Tokyo Medical University |
| [ Summary ] | In patients receiving conservative therapy in pre-dialysis stages, restriction of salt and protein intake, concomitant with sufficient energy intake, can postpone the initiation of dialysis therapy. However, the actual intake of salt, protein and energy varies over a wide range in relation to differences in patient adherence to prescribed diet therapy. In patients receiving dialysis, individual differences in actual protein intake and energy consumption are great even though diet similar therapies have been prescribed. Protein-energy wasting (PEW) may possibly occur in cases where there is insufficient energy intake. Phosphate intake is closely correlated with protein intake. Unintentionally low nutrient intake contributing to PEW is primarily caused by anorexia in patients with chronic renal failure. | |