| [ Summary ] |
In dialysis patients protein-energy malnutrition is induced by such various mechanisms as reduced dietary intake, nutrient loss to dialysate, reduced protein synthesis and increased catabolism. These mechanisms are associated with mild inflammation which forms in the bodies of these patients. The long duration of these conditions leads to wasting of muscle and fat, a condition termed as marasmic kwashiorkor. Recently, the term, protein-energy wasting, has been defined instead of protein-energy malnutrition and diagnostic criteria have been determined. Measurements of body composition and body fat percentages as well as muscle mass are included in these diagnostic criteria in addition to blood analysis, BMI, weight loss and the assessment of dietary intake. |