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Hemodialysis Renal Nutrition

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https://www.readbyqxmd.com/read/27897415/sarcopenia-among-patients-receiving-hemodialysis-weighing-the-evidence
#1
Piyawan Kittiskulnam, Juan J Carrero, Glenn M Chertow, George A Kaysen, Cynthia Delgado, Kirsten L Johansen
BACKGROUND: There is no consensus on how best to define low muscle mass in patients with end-stage renal disease. Use of muscle mass normalized to height-squared has been suggested by geriatric societies but may underestimate sarcopenia, particularly in the setting of excess adiposity. We compared four definitions of low muscle mass in a prevalent hemodialysis cohort. METHODS: ACTIVE/ADIPOSE enrolled prevalent patients receiving hemodialysis from the San Francisco and Atlanta areas from June 2009 to August 2011...
August 11, 2016: Journal of Cachexia, Sarcopenia and Muscle
https://www.readbyqxmd.com/read/27843345/the-danish-nephrology-registry
#2
REVIEW
James Heaf
AIM OF DATABASE: The Danish Nephrology Registry's (DNR) primary function is to support the Danish public health authorities' quality control program for patients with end-stage renal disease in order to improve patient care. DNR also supplies epidemiological data to several international organizations and supports epidemiological and clinical research. STUDY POPULATION: The study population included patients treated with dialysis or transplantation in Denmark from January 1, 1990 to January 1, 2016, with retrospective data since 1964...
2016: Clinical Epidemiology
https://www.readbyqxmd.com/read/27774887/lipoprotein-subfractions-uric-acid-and-cardiovascular-risk-in-end-stage-renal-disease-esrd-patients
#3
Anna Gluba-Brzózka, Beata Franczyk, Piotr Bartnicki, Magdalena Rysz-Górzyńska, Jacek Rysz
BACKGROUND: Chronic kidney disease (CKD) poses a worldwide public health problem. CKD is an independent risk factor for cardiovascular disease (CVD). OBJECTIVE: The aim of this study was to assess the cardiovascular risk in ESRD patients and to evaluate the relationship between serum uric acid and lipoprotein subfractions. METHODS: The study group consisted of 66 patients on dialysis and control group of 25 healthy volunteers. Concentration of HDL and LDL subfractions were analysed with Lipoprint™...
October 21, 2016: Current Vascular Pharmacology
https://www.readbyqxmd.com/read/27751628/replacing-phosphorus-containing-food-additives-with-foods-without-additives-reduces-phosphatemia-in-end-stage-renal-disease-patients-a-randomized-clinical-trial
#4
Margareth Lage Leite de Fornasari, Yvoty Alves Dos Santos Sens
OBJECTIVE: The purpose of the study was to verify the effects of replacing phosphorus-containing food additives with foods without additives on phosphatemia in end-stage renal disease (ESRD) patients. DESIGN: Randomized clinical trial. SETTING: Adult patients on hemodialysis for ≥6 months at a single center. SUBJECTS: A total of 134 patients with phosphorus levels of >5.5 mg/dL were included and were randomized into an intervention group (n = 67) and a control group (n = 67)...
October 14, 2016: Journal of Renal Nutrition
https://www.readbyqxmd.com/read/27667092/reappraisal-of-effects-of-serum-chemerin-and-adiponectin-levels-and-nutritional-status-on-cardiovascular-outcomes-in-prevalent-hemodialysis-patients
#5
Hung-Yuan Chen, Yen-Lin Chiu, Shih-Ping Hsu, Mei-Fen Pai, Ju-Yeh Yang, Hon-Yen Wu, Yu-Sen Peng
Although chemerin, an adipokine, increases the cardiovascular (CV) risk in obese people, it is associated with a survival advantage in incident hemodialysis (HD) patients. We explored the potential effects of chemerin on CV outcomes in prevalent HD patients. This prospective study included 343 prevalent HD patients. The composite outcome was the occurrence of CV events and death during follow-up. We used multivariate Cox regression analysis to test the predictive power of different chemerin and adiponectin levels and geriatric nutritional risk index (GNRI) for the outcomes...
September 26, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27638461/associations-of-adiponectin-and-leptin-levels-with-protein-energy-wasting-in-end-stage-renal-disease-patients
#6
Anastasia Markaki, Maria G Grammatikopoulou, Maria Venihaki, John Kyriazis, Kostas Perakis, Kostas Stylianou
OBJECTIVE: The aim of the study was to examine the prevalence of protein-energy wasting (PEW) in hemodialysis (HD) and peritoneal dialysis (PD) patients in our center and determine whether adiponectin and leptin are involved in the development of PEW. DESIGN: Prospective (18 months). SETTING: University Hospital of Heraklion, Crete, Greece. SUBJECTS: Seventy-four end-stage-renal-disease patients, 47 on HD and 27 on PD...
November 2016: Endocrinología y Nutrición: órgano de la Sociedad Española de Endocrinología y Nutrición
https://www.readbyqxmd.com/read/27523574/effects-of-intradialytic-resistance-exercise-on-protein-energy-wasting-physical-performance-and-physical-activity-in-ambulatory-patients-on-dialysis-a-single-center-preliminary-study-in-a-japanese-dialysis-facility
#7
Masakazu Saitoh, Masumi Ogawa, Marcelo Rodrigues Dos Santos, Hisae Kondo, Kiichi Suga, Haruki Itoh, Yoichiro Tabata
Patients under hemodialysis present protein-energy wasting (PEW), which is related with higher mortality rates. The study aimed to determine whether intradialytic resistance exercise training could improve physical performance, physical activity, and PEW in hemodialysis patients. In single center study, 75 hemodialysis patients were enrolled in an intradialytic resistance exercise training consisting of 20 min of adapted leg press, with a gymnastic ball, 3 days/week, during 9 months on the same day of hemodialysis therapy...
August 15, 2016: Therapeutic Apheresis and Dialysis
https://www.readbyqxmd.com/read/27510532/the-effects-of-resistance-exercise-and-oral-nutritional-supplementation-during-hemodialysis-on-indicators-of-nutritional-status-and-quality-of-life
#8
Geovana Martin-Alemañy, Rafael Valdez-Ortiz, Guadalupe Olvera-Soto, Irma Gomez-Guerrero, Guillermo Aguire-Esquivel, Guillermo Cantu-Quintanilla, Juan Carlos Lopez-Alvarenga, Paola Miranda-Alatriste, Angeles Espinosa-Cuevas
BACKGROUND: Protein-energy wasting (PEW) is common in patients undergoing hemodialysis (HD). Studies have assessed the positive effect of oral nutritional supplementation (ONS) or resistance exercise (RE) on nutritional status (NS) markers in patients undergoing HD. METHODS: The aim of this study was to assess the effect of ONS and RE on NS and the quality of life (QOL) of 36 patients undergoing HD. In a randomized clinical trial, patients were divided into the following two groups: a control group (ONS) that received a can of ONS during their HD sessions and an intervention group (ONS + RE) that received a can of ONS and underwent a 40-min session of RE during their HD sessions...
October 2016: Nephrology, Dialysis, Transplantation
https://www.readbyqxmd.com/read/27471172/modified-nutritional-recommendations-to-improve-dietary-patterns-and-outcomes-in-hemodialysis-patients
#9
Annabel Biruete, Jin Hee Jeong, Jennifer L Barnes, Kenneth R Wilund
The renal diet has traditionally been regarded as one of the most complex medical nutrition therapies to teach, understand, and implement. Specifically, patients are instructed to limit fruits, vegetables, nuts, legumes, dairy, and whole grains because of both phosphorus and potassium concerns. Furthermore, hemodialysis patients are often encouraged to decrease fluid intake to control interdialytic weight gain. These restrictions can result in frustration, lack of autonomy, and the perception that there is nothing left to eat...
July 25, 2016: Journal of Renal Nutrition
https://www.readbyqxmd.com/read/27452672/adropin-and-irisin-levels-in-relation-to-nutrition-body-composition-and-insulin-resistance-in-patients-with-end-stage-renal-disease-on-chronic-hemodialysis-and-peritoneal-dialysis
#10
Małgorzata Kałużna, Krzysztof Hoppe, Krzysztof Schwermer, Aisha Y Ibrahim, Krzysztof Pawlaczyk, Katarzyna Ziemnicka
INTRODUCTION    Newly discovered myokines, adropin, and irisin, are regulators of energy homeostasis and metabolism in humans. In end-stage renal disease (ESRD), the significance and role of irisin and adropin as metabolism regulators are still unclear. OBJECTIVES    The aim of this study was to evaluate serum adropin and irisin levels and establish their relation to insulin resistance, nutritional status, and hydration status in patients on chronic hemodialysis (HD) and on peritoneal dialysis (PD). PATIENTS AND METHODS    The study consisted of 71 subjects, including 48 patients (18 women, 30 men; median age, 56...
July 25, 2016: Polskie Archiwum Medycyny Wewnętrznej
https://www.readbyqxmd.com/read/27399127/intradialytic-aerobic-cycling-exercise-alleviates-inflammation-and-improves-endothelial-progenitor-cell-count-and-bone-density-in-hemodialysis-patients
#11
Min-Tser Liao, Wen-Chih Liu, Fu-Huang Lin, Ching-Feng Huang, Shao-Yuan Chen, Chuan-Chieh Liu, Shih-Hua Lin, Kuo-Cheng Lu, Chia-Chao Wu
Inflammation, endothelial dysfunction, and mineral bone disease are critical factors contributing to morbidity and mortality in hemodialysis (HD) patients. Physical exercise alleviates inflammation and increases bone density. Here, we investigated the effects of intradialytic aerobic cycling exercise on HD patients. Forty end-stage renal disease patients undergoing HD were randomly assigned to either an exercise or control group. The patients in the exercise group performed a cycling program consisting of a 5-minute warm-up, 20 minutes of cycling at the desired workload, and a 5-minute cool down during 3 HD sessions per week for 3 months...
July 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27371993/protein-energy-wasting-and-nutritional-supplementation-in-patients-with-end-stage-renal-disease-on-hemodialysis
#12
A Sabatino, G Regolisti, T Karupaiah, S Sahathevan, B K Sadu Singh, B H Khor, N Salhab, M Karavetian, A Cupisti, E Fiaccadori
BACKGROUND & AIMS: Protein-Energy Wasting (PEW) is the depletion of protein/energy stores observed in the most advanced stages of Chronic Kidney Disease (CKD). PEW is highly prevalent among patients on chronic dialysis, and is associated with adverse clinical outcomes, high morbidity/mortality rates and increased healthcare costs. This narrative review was aimed at exploring the pathophysiology of PEW in end-stage renal disease (ESRD) on hemodialysis. The main aspects of nutritional status evaluation, intervention and monitoring in this clinical setting were described, as well as the current approaches for the prevention and treatment of ESRD-related PEW...
June 18, 2016: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/27368039/association-of-a-high-normalized-protein-catabolic-rate-and-low-serum-albumin-level-with-carpal-tunnel-syndrome-in-hemodialysis-patients
#13
Wen-Hung Huang, Ching-Wei Hsu, Cheng-Hao Weng, Tzung-Hai Yen, Jui-Hsiang Lin, Meng Lee
Carpal tunnel syndrome (CTS) is the most common mononeuropathy in patients with end-stage renal disease (ESRD). The association between chronic inflammation and CTS in hemodialysis (HD) patients has rarely been investigated. HD patients with a high normalized protein catabolic rate (nPCR) and low serum albumin level likely have adequate nutrition and inflammation. In this study, we assume that a low serum albumin level and high nPCR is associated with CTS in HD patients. We recruited 866 maintenance hemodialysis (MHD) patients and divided them into 4 groups according to their nPCR and serum albumin levels: (1) nPCR <1...
June 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27352200/a-societal-cost-of-illness-study-of-hemodialysis-in-lebanon
#14
Rana Rizk, Mickaël Hiligsmann, Mirey Karavetian, Pascale Salameh, Silvia M A A Evers
AIM: Renal failure is a growing public health problem, and is mainly treated by hemodialysis. This study aims to estimate the societal costs of hemodialysis in Lebanon. METHODS: This was a quantitative, cross-sectional cost-of-illness study conducted alongside the Nutrition Education for Management of Osteodystrophy trial. Costs were assessed with a prevalence-based, bottom-up approach, for the period of June-December 2011. The data of 114 patients recruited from six hospital-based units were collected through a questionnaire measuring healthcare costs, costs to patients and family, and costs in other sectors...
July 14, 2016: Journal of Medical Economics
https://www.readbyqxmd.com/read/27333956/association-between-plasma-endocannabinoids-and-appetite-in-hemodialysis-patients-a-pilot-study
#15
Allon N Friedman, Jeffrey Kim, Shaun Kaiser, Theresa L Pedersen, John W Newman, Bruce A Watkins
Uremia-associated anorexia may be related to altered levels of long chain n-6 and n-3 polyunsaturated fatty acid (PUFA) derived circulating endocannabinoids (EC) and EC-like compounds that are known to mediate appetite. Our study's hypothesis was that such molecules are associated with appetite in patients with end-stage renal disease. A cross-sectional observational study was performed in 20 chronic hemodialysis patients (9 females, 11 males) and 10 healthy female controls in whom appetite was assessed using the Simplified Nutritional Appetite Questionnaire (SNAQ) and blood drawn in the fasting (and when applicable) pre-dialysis state...
July 2016: Nutrition Research
https://www.readbyqxmd.com/read/27222412/prevalence-of-protein-energy-wasting-pew-and-evaluation-of-diagnostic-criteria-in-japanese-maintenance-hemodialysis-patients
#16
Sonoko Yasui, Yumiko Shirai, Mayu Tanimura, Sayaka Matsuura, Yu Saito, Kazuaki Miyata, Eiji Ishikawa, Chikao Miki, Yasuhiro Hamada
BACKGROUND AND OBJECTIVES: The International Society of Renal Nutrition and Metabolism (ISRNM) has recently recommended the use of the term "protein-energy wasting" (PEW). PEW is a state of malnutrition with decreased body stores of protein and energy fuel in hemodialysis patients and is known as a risk factor for morbidity and mortality. We examined the prevalence of PEW and the characteristics of PEW patients in a hemodialysis center in Japan. METHODS AND STUDY DESIGN: Fifty-nine outpatients undergoing maintenance hemodialysis at Iga City General Hospital were evaluated...
2016: Asia Pacific Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/27215235/is-there-an-association-between-vitamin-d-level-and-inflammatory-markers-in-hemodialysis-patients-a-cross-sectional-study
#17
Syed Atif Mohiuddin, Mohamed Marie, Mohammad Ashraf, Magdi Hussein, Najlaa Almalki
Vitamin D deficiency is very prevalent among the patients with end-stage renal disease. The etiology of this is multifactorial, including nutritional deficiency, insufficient exposure to sunlight, race, obesity and not the least, impaired Vitamin D synthesis and metabolism in chronic kidney disease patients. We hypothesized that lower Vitamin D level will be associated with higher inflammatory burden and low immunological response to hepatitis B vaccination in hemodialysis (HD) population. The study was carried out in March 2013 among 100 HD patients who were identified to be eligible for the study...
May 2016: Saudi Journal of Kidney Diseases and Transplantation
https://www.readbyqxmd.com/read/27164172/serum-thiamine-values-in-end-stage-renal-disease-patients-under-maintenance-hemodialysis
#18
Masamitsu Ubukata, Nobuyuki Amemiya, Kosaku Nitta, Takashi Takei
OBJECTIVE: Hemodialysis patients are prone to malnutrition because of diet or many uremic complications. The objective of this study is to determine whether thiamine deficiency is associated with regular dialysis patients. METHODS: To determine whether thiamine deficiency is associated with regular dialysis patients, we measured thiamine in 100 patients undergoing consecutive dialysis. RESULTS: Average thiamine levels were not low in both pre-hemodialysis (50...
May 10, 2016: International Journal for Vitamin and Nutrition Research. Journal International de Vitaminologie et de Nutrition
https://www.readbyqxmd.com/read/27071984/the-impact-of-malnutritional-status-on-survival-in-elderly-hemodialysis-patients
#19
Ming-Tsun Tsai, Hsiang-Chung Liu, Tung-Po Huang
BACKGROUND: The number of geriatric patients with end-stage renal disease undergoing maintenance hemodialysis has increased in Taiwan. However, protein-energy wasting is prevalent and associated with poor outcome in this patient population. It is generally well-known that geriatric nutritional risk index (GNRI) is a good survival predictor in general elderly patients. However, the association of GNRI with mortality in geriatric end-stage renal disease patients remains unclear. The present study aimed to assess the predictive ability of GNRI for overall mortality in elderly hemodialysis patients...
June 2016: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/26997377/influence-of-nutritional-education-on-hemodialysis-patients-knowledge-and-quality-of-life
#20
RANDOMIZED CONTROLLED TRIAL
Hossein Ebrahimi, Mahdi Sadeghi, Farzaneh Amanpour, Ali Dadgari
To determine the effects of educational instructions on hemodialysis patients' knowledge and quality of life (QOL), we studied 99 patients randomly assigned to control and experimental groups after participation in a pretest exam. The two groups were not significantly different in terms of demographic composition. The instrument used in this study was a questionnaire regarding patients' knowledge and the standard questionnaire to assess QOL for end-stage renal disease (ESRD) patients. Then, intervention (nutritional education) was conducted in the experimental group lasting for 12 weeks...
March 2016: Saudi Journal of Kidney Diseases and Transplantation
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