Nutrition in Dialysis Patients

  • Theodore I. Steinman
  • William E. Mitch
Chapter

Abstract

Contemporary concerns about nutrition in renal failure derive from the development of artificial organs. When dialysis was used initially, nutritional management was limited to a daily intravenous infusion of 100g glucose. This amount maximally suppressed protein catabolism in fasting normal subjects. As solute and fluid loads can be more effectively removed with the newly developed, highly porous filtration membranes (e. g. solutes with mass of 10,000 daltons), there is increasing concern for maintaining adequate nutrition since protein and energy malnutrition and wasting have been noted in every nutritional survey of maintenance dialysis patients, affecting at least one-third of this population. The nutritional state generally deteriorates with time and home dialysis patients seem to do better than in-center patients (1). Fortunately, the use of short time, high flux hemodialysis does not appear to cause any additional adverse nutritional consequences over a 6-month period (2).

Keywords

Peritoneal Dialysis Acute Renal Failure Dialysis Patient Hemodialysis Patient Nitrogen Balance 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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Copyright information

© Kluwer Academic Publishers 1989

Authors and Affiliations

  • Theodore I. Steinman
  • William E. Mitch

There are no affiliations available

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