| [ Summary ] |
This study presents the basic idea of rehabilitation nutrition : a combination of rehabilitation and nutritional care management. This concept in accordance with the International Classification of Functioning, Disability, and Health guidelines evaluates the nutritional status and maximizes functionality in the elderly and people with disability. Rehabilitation nutrition may improve physical and mental function, activities of daily living, and the quality of life. Rehabilitation nutrition is similar to sports nutrition and its key aims are to assess the following : the presence and cause of malnutrition, the presence and cause of sarcopenia, the presence and cause of dysphagia, the adequacy of nutritional care management with prediction of future nutritional status, and whether rehabilitation such as resistance training and endurance training can be conducted for functional improvements. However, elderly patients with chronic kidney disease (CKD) and dialysis are at higher risk of morbidity and mortality, and sarcopenia. In addition, sarcopenia is strongly associated with an increased mortality risk in patients with CKD. Therapeutic strategies including exercise training and essential amino acid and vitamin D supplementation may improve sarcopenia and physical inactivity in these patients and may improve the disease prognosis for these patients. |