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Year : 2019  |  Volume : 5  |  Issue : 4  |  Page : 83-87

Assessment and management of nutrition in hemodialysis patients

Department of Nephrology, Institute of Renal Science, Sir Gangaram Hospital, New Delhi, India

Correspondence Address:
Dr. Anil Kumar Bhalla
Institute of Renal Science, Sir Gangaram Hospital, New Delhi
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jrnm.jrnm_3_20

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Malnutrition is prevalent in patients on hemodialysis. About 18%–75% of patients with chronic kidney disease, undergoing maintenance dialysis, show evidence of wasting. The genesis of malnutrition in hemodialysis patients is multifactorial and comprises reduced dietary nutrient intake, metabolic derangements associated with uremia, and the adverse effects of hemodialysis and other concurrent morbid conditions. In spite of much progress done in recent years in recognizing the pathomechanistic link between malnutrition and mortality, consensus regarding the therapeutic strategies to deal with nutrition-related clinical problems is lacking. Protein–energy wasting (PEW) is the most influential risk factor for adverse outcomes and death. Nutritional supplementation (orally or parenterally) is useful in the management of PEW.

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