Anemia and nutrition in end stage renal disease patient.
10.5124/jkma.2013.56.7.592
- Author:
Chan Young OAK
1
;
Nam Ho KIM
Author Information
1. Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea. nhk111@chonnam.ac.kr
- Publication Type:Original Article
- Keywords:
Anemia;
Nutrition;
Hematinics;
Protein-energy malnutrition
- MeSH:
Anemia;
Hematinics;
Humans;
Iron;
Kidney Diseases;
Kidney Failure, Chronic;
Malnutrition;
Nitrogen;
Practice Guidelines as Topic;
Protein-Energy Malnutrition;
Quality of Life
- From:Journal of the Korean Medical Association
2013;56(7):592-599
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Anemia and malnutrition are common complications of end-stage renal disease. They increase the morbidity and mortality of end-stage renal disease patients and affect their quality of life. However, the mechanisms of anemia and malnutrition are already known, and their therapeutic guidelines are being established. Appropriate iron supplementation and the development of erythropoiesis-stimulating agents have made anemia easier to manage than in the past. In addition, adequate protein and calorie intake have allowed end-stage renal disease patients to maintain a neutral or positive nitrogen balance. These therapeutic approaches have decreased the morbidity and mortality of these end-stage renal disease patients. This review is a summary of the treatment of anemia and nutrition in end-stage renal disease, based on the Kidney Disease Outcomes Quality Initiative (KDOQI) guideline on anemia and other anemia guidelines, and also on the KDOQI guideline on nutrition and European Best Practice Guideline (EBPG) on nutrition.