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

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dc.citation.issue11
dc.citation.volume32
dc.contributor.authorRodrigues, Juliana
dc.contributor.authorCuppari, Lilian [UNIFESP]
dc.contributor.authorCampbell, Katrina L.
dc.contributor.authorAvesani, Carla Maria
dc.coverageOxford
dc.date.accessioned2020-09-01T13:21:30Z
dc.date.available2020-09-01T13:21:30Z
dc.date.issued2017
dc.description.abstractThe 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.en
dc.description.affiliationNutr Inst, Rio De Janeiro, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Nephrol Div, Sao Paulo, Brazil
dc.description.affiliationBond Univ, Fac Hlth Sci & Med, Gold Coast, Qld, Australia
dc.description.affiliationUnifespUniv Fed Sao Paulo, Nephrol Div, Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipCoordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES)
dc.description.sponsorshipFundacao Carlos Chagas Filho de Amparo a Pesquisa do Estado do Rio de Janeiro (FAPERJ)
dc.format.extent1780-1789
dc.identifierhttp://dx.doi.org/10.1093/ndt/gfw471
dc.identifier.citationNephrology Dialysis Transplantation. Oxford, v. 32, n. 11, p. 1780-1789, 2017.
dc.identifier.doi10.1093/ndt/gfw471
dc.identifier.issn0931-0509
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/58310
dc.identifier.wosWOS:000414407200003
dc.language.isoeng
dc.publisherOxford Univ Press
dc.relation.ispartofNephrology Dialysis Transplantation
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectdialysisen
dc.subjectelderlyen
dc.subjectnutritional assessmenten
dc.subjectobesityen
dc.subjectprotein energy wastingen
dc.titleNutritional assessment of elderly patients on dialysis: pitfalls and potentials for practiceen
dc.typeinfo:eu-repo/semantics/article
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