Relationship between protein-energy wasting and mineral metabolism disorders in maintenance hemodialysis patients
- Author:
Zhang-suo LIU
1
Author Information
- Publication Type:Journal Article
- Keywords: chronic kidney disease; protein-energy wasting; mineral and bone disorders; malnutrition; hyperphosphatemia
- From: Chinese Journal of Practical Internal Medicine 2019;39(11):930-932
- CountryChina
- Language:Chinese
- Abstract: Protein-energy wasting(PEW)and chronic kidney disease-mineral and bone disorder(CKD-MBD)are common complications in maintenance hemodialysis(MHD)patients, and they have notable correlation with the mortality of MHD patients. PEW and CKD-MBD have a common pathophysiological basis and are mutually reinforcing factors. At the same time, their therapy strategies also affect each other. Uremia status, hemodialysis treatment, chronic inflammatory, metabolic acidosis, nutrient intake and musculoskeletal pain promote the development of PEW and MBD. Improvement in the hemodialysis quality, keeping balanced diet of protein and phosphorus intake, and scientific rational physical exercise may improve both PEW and MBD, thereby reducing mortality and improving life quality in MHD patients.
