[Assessment of nutrition in dialysis patients and chronic uremic patients].
Multiple methods were used to assess the nutritional status of 40 uremic non-dialysis or dialysis patients in order to improve their living quality as well as to provide scientific basis for nutritional treatment. The investigation of diet diaries revealed that the ratio of animal protein over total protein in food was greater in uremic dialysis patients treated with either hemodialysis or peritoneal dialysis than in the uremic non-dialysis patients (P < 0.01, P < 0.05); the daily intake of total protein in each of three groups was lower than the recommended amount. The anthropometric measurement showed: decreased muscle protein store occurred in 35% of the dialysis patients and 80% of the uremic non-dialysis patients. Serum albumin measurement revealed that hemodialysis patients had much higher level than that of peritoneal dialysis patients (P < 0.01). 50% of the hemodialysis patients, 80% of the peritoneal dialysis patients and 60% of the uremic non-dialysis patients had lower level of serum albumin than normal. Evaluation of nutritional status of hemodialysis patients and peritoneal dialysis patients by means of urea production found that 65% of the hemodialysis patients and 37.5% of the peritoneal dialysis patients were in a status of negative nitrogen balance. According to the results of all the measurements, 58% of the dialysis patients had malnutrition of various degrees.
Liu
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H
Department of Nephrology, Fuxing Hospital, Capital University of Medical Sciences, Beijing.
Duan
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X
Li
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G
D000328:Adult; D000368:Aged; D001806:Blood Urea Nitrogen; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000378:metabolism* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D015596:Nutrition Assessment; D010531:Peritoneal Dialysis, Continuous Ambulatory; D006435:Renal Dialysis; D012709:Serum Albumin / Q000378:metabolism; D014168:Transferrin / Q000378:metabolism; D014511:Uremia / Q000378:metabolism* / Q000628:therapy
D012709:Serum Albumin; D014168:Transferrin