[Nutritional problems in patients treated with chronic dialysis].
A food with a protein content of 100-110 g a day determined for dialysis patients was analysed for total weight, water content, protein content, energy content, potassium content and phosphate content during 13 days. During this time 152 individual nutritive substances were offered, which were classified into the group of meats and sausages, egg, milk, milk-products, bakery-goods, potatoes and vegetables. It is to be stated that highly significant positive correlations between the weight of the daily taken food and its content of water, protein, energy, potassium and phosphate are existing, whereby a quantity of 1 kg a day is preferred. For the daily protein intake of 1.0-1.5 g/body weight-1.-d1 required in patients with chronic dialysis treatment, dependent upon dialysis technique and nutritional state, this simultaneously means a dependence of the total quantity of food to be taken in upon body weight, which again has effects on the dialysis regime and the ultrafiltration, since a more or less intensive intake of water, potassium and phosphate is connected with this. The removal of catabolic conditions is a scarcely soluble problem above all in dialysis patients with high optimum weight, by which the often existing inappetence inhibits the necessary increased food intake. The is furthermore rendered difficult in the peritoneal dialysis with peritonitis, since the ultrafiltration is reduced by the inflammation so that the water taken in with food cannot be excreted in a necessary degree.(ABSTRACT TRUNCATED AT 250 WORDS)
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Abteilung für Nephrologie, Wilhelm-Pieck-Universität Rostock.
D004044:Dietary Proteins / Q000008:administration & dosage*; D002149:Energy Intake; D006801:Humans; D007676:Kidney Failure, Chronic / Q000178:diet therapy*; D009751:Nutritional Requirements; D010530:Peritoneal Dialysis; D006435:Renal Dialysis
D004044:Dietary Proteins
Zur Ernährungsproblematik bei Patienten mit chronischer Dialysebehandlung.