Nutritional evaluation in patients on CAPD.
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概要
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Nutritional assessment was conducted in CAPD patients, comparing age-and sex-matched patients on CAPD and hemodialysis (HD). Significant decreases in serum albumin, dialysis volume (Kt/V) delivered and protein catabolic rate, according to urea kinetic modeling, were observed in CAPD patients as compared to HD patients. Mild to moderate hypoalbuminemia was noticed in approximately 35% of the CAPD population. Significant decreases in Kt/V and PCR and an increase in the incidence of hyponutrition was noticed in hypoalbuminemic patients on CAPD as compared to normoalbuminemic patients. Days of hospitalization per year and the incidence of peritonitis were increased in the former. Low dietary protein intake seems to be responsible for the hyoalbuminemia. Lack of dialysis volume may be partly attributable to this low protein intake. Hyponutrition should be ameliorated because it carries the risk of increasing morbidity and mortality in CAPD patients.
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