Nutritional assessment of elderly patients on dialysis: pitfalls and potentials for practice

Nutritional assessment of elderly patients on dialysis: pitfalls and potentials for practice

Author Rodrigues, Juliana Google Scholar
Cuppari, Lilian Autor UNIFESP Google Scholar
Campbell, Katrina L. Google Scholar
Avesani, Carla Maria Google Scholar
Abstract The chronic kidney disease (CKD) population is aging. Currently a high percentage of patients treated on dialysis are older than 65 years. As patients get older, several conditions contribute to the development of malnutrition, namely protein energy wasting (PEW), which may be compounded by nutritional disturbances associated with CKD and from the dialysis procedure. Therefore, elderly patients on dialysis are vulnerable to the development of PEW and awareness of the identification and subsequent management of nutritional status is of importance. In clinical practice, the nutritional assessment of patients on dialysis usually includes methods to assess PEW, such as the subjective global assessment, themalnutrition inflammation score, and anthropometric and laboratory parameters. Studies investigatingmeasures of nutritional status specifically tailored to the elderly on dialysis are scarce. Therefore, the same methods and cutoffs used for the general adult population on dialysis are applied to the elderly. Considering this scenario, the aim of this review is to discuss specific considerations for nutritional assessment of elderly patients on dialysis addressing specific shortcomings on the interpretation of markers, in addition to providing clinical practice guidance to assess the nutritional status of elderly patients on dialysis.
Keywords dialysis
elderly
nutritional assessment
obesity
protein energy wasting
xmlui.dri2xhtml.METS-1.0.item-coverage Oxford
Language English
Sponsor Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES)
Fundacao Carlos Chagas Filho de Amparo a Pesquisa do Estado do Rio de Janeiro (FAPERJ)
Date 2017
Published in Nephrology Dialysis Transplantation. Oxford, v. 32, n. 11, p. 1780-1789, 2017.
ISSN 0931-0509 (Sherpa/Romeo, impact factor)
Publisher Oxford Univ Press
Extent 1780-1789
Origin http://dx.doi.org/10.1093/ndt/gfw471
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000414407200003
URI https://repositorio.unifesp.br/handle/11600/58310

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