Summary of the best evidence for nutrition management of sarcopenia in maintenance hemodialysis patients
10.3760/cma.j.cn115682-20250218-00745
- VernacularTitle:维持性血液透析患者肌少症营养管理的最佳证据总结
- Author:
Luchen CHEN
1
;
Huajuan SHEN
;
Yongze DONG
;
Meiling ZHOU
;
Xiujun XU
;
Yan JIANG
;
Mengjiao ZHAO
;
Shiyan YAO
;
Guannan MA
;
Haixin SONG
Author Information
1. 浙江中医药大学护理学院，杭州 310053
- Publication Type:Journal Article
- Keywords:
Hemodialysis;
Sarcopenia;
Nutrition management;
Evidence summary
- From:
Chinese Journal of Modern Nursing
2025;31(34):4665-4674
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the best evidence for nutrition management of sarcopenia in patients undergoing maintenance hemodialysis (MHD), to guide the development of nutrition management programs.Methods:Using the 6S evidence model, literature on nutrition management of sarcopenia in MHD patients was electronically retrieved from databases and websites including UpToDate, Guidelines International Network, Joanna Briggs Institute Evidence-Based Health Care Center Database, European Society for Clinical Nutrition and Metabolism, UK Kidney Association, PubMed, Web of Science, China Biology Medicine disc, China National Knowledge Infrastructure, and Wanfang Data. The search period was from database establishment to July 30, 2024. After screening and quality assessment of the literature, evidence was extracted and summarized.Results:A total of 19 articles were included, comprising one clinical decision, six guidelines, five systematic reviews, five expert consensus, and two randomized controlled trials. Twenty-six pieces of evidence were summarized from six aspects of nutrition team establishment and counseling, nutritional screening and assessment, nutritional support, nutrient intake, nutritional monitoring, and health education.Conclusions:The evidence summary on nutrition management of sarcopenia in MHD patients provides a basis for implementing nutritional interventions. Evidence transformation and application should be conducted in accordance with patient preferences and the actual clinical context.
