Strategies for nutritional intervention in patients with renal failure.
This review article discusses the evidence documenting the interrelationship between nutritional status and clinical outcome of the renal patient population. The limitations of accurately assessing the nutritional status of this patient group with commonly used indices are detailed. An overview of the history of nutrition supplementation as an intervention for the malnourished renal patient reveals that the efficacy of both enteral and parenteral methods has not been adequately explored to draw any firm conclusions. Based on available data, recommendations for providing nutrition care for the malnourished patient are provided. Therapeutics that are currently under investigation as future interventions for malnutrition are identified.
Goldstein
D J
DJ
Program in Human Nutrition, University of Michigan, Ann Arbor, USA. Djordig@aol.com
Callahan
C
C
D004750:Enteral Nutrition; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy*; D015596:Nutrition Assessment; D009748:Nutrition Disorders / Q000209:etiology / Q000628:therapy; D018529:Nutritional Support