| Theme | Points of dietary therapy for national registered dietitian to establish clinical guideline for nutrition in dialysis patients | |
|---|---|---|
| Title | Long-term conservation of muscle mass for dialysis patients | |
| Publish Date | 2012/11 | |
| Author | Masashi Suzuki | Kidney Center, Shinraku-En Hospital |
| Author | Yumiko Kajii | Department of Nutrition, Shinraku-En Hospital |
| [ Summary ] | Twenty nine long-term non-diabetic hemodialysis (HD) patients were treated at our institution. Those treated for over twenty five years exhibited notable loss of muscle mass. Lower serum creatinin and BMI levels were observed, in spite of higher protein intakes. A typical male subject who was treated for 20 years did not demonstrate significant loss of muscle mass when there was a relatively high creatinin generation rate or higher protein intake levels. However, lowered protein intake levels and administration of statin drugs were necessary to reduce hyperlipidemia and hyperphosphatemia. A female diabetic HD patient who was treated for twenty three years and was dependant on insulin had an appropriate BMI. However, in the last three years she has required amputation of her left leg and has had inadequate HbA1c levels. These cases suggest that conservation of muscle mass through proper nutrition combined with appropriate dialysis techniques, may be possible for long-term dialysis patients. |
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