Effect of intensive nutritional counseling and support on clinical outcomes of hemodialysis patients

Nutrition
Alessio MolfinoMaurizio Muscaritoli

Abstract

Protein-energy wasting is frequently found in patients on hemodialysis (HD). Anorexia and hypophagia contribute to malnutrition and increased morbidity and mortality, but the clinical impact of correcting hypophagia remains uncertain. We evaluated whether the correction of hypophagia influences morbidity and mortality in anorexic patients on HD. Thirty-four patients on HD were enrolled in a 2-y follow-up program including regular nutritional assessments. Patients not meeting the nutritional requirements during the follow-up received nutritional counseling, consisting of advice, individually tailored diets, and, for a failed dietary intervention, artificial nutrition. Biochemical, anthropometric, and body composition parameters, morbidity, and mortality were recorded in all patients at 12 and 24 mo. At baseline, 14 patients (41%) were anorexic, and 20 patients (59%) were non-anorexic. Anorexic patients were hypophagic and presented with a decreased fat-free mass. After 12 and 24 mo, cholesterol, albumin, lymphocyte count, and body mass index did not differ between the groups, whereas fat-free mass (percentage) in supplemented anorexic patients significantly improved in no longer differing from non-anorexic patients (65.8 ± 4.4 v...Continue Reading

References

May 7, 1999·Kidney International·W D KloppenburgR M Huisman
Aug 28, 2001·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·K HiroshigeA Ohtani
Mar 28, 2002·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Francesco LocatelliEberhard Ritz
Jul 23, 2003·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Jerrilynn D BurrowesUNKNOWN Hemodialysis (HEMO) Study Group
Aug 26, 2003·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Vincenzo BellizziGiuseppe Conte
Aug 5, 2004·Nephron. Clinical Practice·Maurizio BossolaGiovanna Luciani
Mar 29, 2006·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Magdalena JankowskaBolesław Rutkowski
Dec 1, 1996·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·T Le Bricon
May 18, 2007·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Denis FouqueRaymond Vanholder
Jun 9, 2007·American Journal of Nephrology·Maurizio MuscaritoliFilippo Rossi Fanelli
Jan 6, 2009·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Maurizio BossolaGiovanna Luciani
May 29, 2009·Current Opinion in Clinical Nutrition and Metabolic Care·Maurizio MuscaritoliFilippo Rossi Fanelli
Jan 12, 2010·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·M MuscaritoliC C Sieber

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Citations

Nov 13, 2013·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Juan José Hernández MoranteMari Carmen Conesa Fuentes
Jan 7, 2015·Hemodialysis International·Cristina Antunes GaragarzaCristina Guerreiro Caetano
Nov 11, 2017·Clinical Nutrition Research·In-Young JoSong Mi Lee
Sep 3, 2020·Journal of Nephrology·Alice SabatinoCarla Maria Avesani
Apr 19, 2017·Journal of Renal Care·Telma Sobral OliveiraCristina Antunes Garagarza
Nov 30, 2019·Frontiers in Nutrition·Ilaria GandolfiniAlice Sabatino
Dec 11, 2020·Journal of Clinical Medicine·Silvia Lai The Study Group On Geriatric Nephrology Of The Italian Society Of Nephrology Sin
Jan 8, 2021·Nutrients·Annalisa NoceNicola Di Daniele
Jun 21, 2021·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Ana ValenteCristina Garagarza
Nov 14, 2020·Current Opinion in Nephrology and Hypertension·Ekamol TantisattamoKlemens Budde

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