title: Nutritional requirements in maintenance hemodialysis.
abstract: There is a high prevalence of nutritional disorders in maintenance hemodialysis patients. This fact has been recently confirmed because larger routine assessments of MHD patients body composition are now performed. Food records and dietary interviews show spontaneous low intakes of protein and energy in many patients. An increasing dialysis dose above a Kt/V (single pool) of 1.5 may not improve patients nutritional intakes. Inflammation may further impair the balance between protein synthesis and catabolism and cause anorexia. In response to these abnormalities, the management of energy, protein, vitamins, and trace elements intake will be discussed with special emphasis on calcium, phosphorus, enteral support, and parenteral nutrition.
authors.affiliation: Nephrology Department, Human Nutrition Research Center, Lyon Cedex, France. denis.fouque@chu-lyon.fr
authors.forename: Denis
authors.initials: D
authors.lastname: Fouque
mesh_terms: D002136:Calcium, Dietary; D019587:Dietary Supplements; D004734:Energy Metabolism; D006801:Humans; D009751:Nutritional Requirements; D009752:Nutritional Status; D010288:Parenteral Nutrition; D016226:Phosphorus, Dietary; D006435:Renal Dialysis; D014131:Trace Elements / Q000627:therapeutic use; D014815:Vitamins / Q000627:therapeutic use
chemical_list: D002136:Calcium, Dietary; D016226:Phosphorus, Dietary; D014131:Trace Elements; D014815:Vitamins