The incidence of protein-energy malnutrition in patients in chronic renal failure being maintained on hemodialysis
Master of Science (MS)
Dietetics and Nutrition
First Advisor's Name
Penelope S. Easton
First Advisor's Committee Title
Second Advisor's Name
Abdur Rasheed Khan
Third Advisor's Name
Margaret E. Waid
Acute renal failure, Nutritional aspects, Hemodialysis, Diet in disease
Date of Defense
Increased emphasis is being given to nutritional assessment and the related protein-energy malnutrition findings in hospital populations. A nutritional survey conducted in the general medical ward of an urban teaching hospital showed forty-four percent of the patients assessed in a state of protein-energy malnutrition. A similar survey among patients in the surgical wards of the same hospital found fifty-nine percent of the patients assessed in a state of protein-energy malnutrition.
Patients in chronic renal failure maintained on hemodialysis have been suspected of having protein-energy malnutrition due to their restricted dietary regimens. Blumekrantz and Kopple have found anthropometric and biochemical wasting or malnutrition in patients undergoing maintenance peritoneal or hemodialysis. This however, may have been due to inadequate protein and/or energy intake. Advances in the technique and frequency of hemodialysis treatments have allowed patients in chronic renal failure to be maintained on diets with a more liberal intake of protein than had been allowed in the past.
The purpose of this study was to determine the incidence of protein-energy malnutrition in fifty adult subjects with chronic renal failure who were being maintained on hemodialysis, and who were on prescribed protein intakes of a least one ram of protein per kilogram of ideal body eight per ay. The subjects of the study had varying types of renal lesions and the frequency of their dialysis treatments was determine by the degree of deterioration of renal function. The subjects were eighteen years of age or older, male and female, representing various ethnic backgrounds, and were sedentary in terms of activity level.
Evely, Nina Louise, "The incidence of protein-energy malnutrition in patients in chronic renal failure being maintained on hemodialysis" (1978). FIU Electronic Theses and Dissertations. 3158.
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