As we grow old: nutritional considerations for older patients on dialysis

The number of older people on dialysis is increasing, along with a need to develop specialized health care to manage their needs. Aging-related changes occur in physiological, psychosocial and medical aspects, all of which present nutritional risk factors ranging from a decline in metabolic rate to...

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Vydáno v:Nephrology, dialysis, transplantation Ročník 32; číslo 7; s. 1127
Hlavní autoři: Johansson, Lina, Fouque, Denis, Bellizzi, Vincenzo, Chauveau, Philippe, Kolko, Anne, Molina, Pablo, Sezer, Siren, Ter Wee, Pieter M, Teta, Daniel, Carrero, Juan J
Médium: Journal Article
Jazyk:angličtina
Vydáno: England 01.07.2017
Témata:
Aged
Humans
Nutritional Status
Protein-Energy Malnutrition - etiology
Protein-Energy Malnutrition - therapy
Quality of Life
Renal Dialysis - adverse effects
Renal Insufficiency, Chronic - complications
Renal Insufficiency, Chronic - therapy
Wasting Syndrome - etiology
Wasting Syndrome - therapy
malnutrition
geriatric
protein–energy wasting
elderly
ISSN:1460-2385, 1460-2385
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Shrnutí:The number of older people on dialysis is increasing, along with a need to develop specialized health care to manage their needs. Aging-related changes occur in physiological, psychosocial and medical aspects, all of which present nutritional risk factors ranging from a decline in metabolic rate to assistance with feeding-related activities. In dialysis, these are compounded by the metabolic derangements of chronic kidney disease (CKD) and of dialysis treatment per se, leading to possible aggravation of protein-energy wasting syndrome. This review discusses the nutritional derangements of the older patient on dialysis, debates the need for specific renal nutrition guidelines and summarizes potential interventions to meet their nutritional needs. Interdisciplinary collaborations between renal and geriatric clinicians should be encouraged to ensure better quality of life and outcomes for this growing segment of the dialysis population.
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SourceType-Scholarly Journals-1
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ObjectType-Review-3
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ISSN:1460-2385
1460-2385
DOI:10.1093/ndt/gfw201