ID 109728
Title Transcription
ジンシッカン カンジャ ノ エイヨウ ショウガイ : Protein Energy Wasting PEW ニ タイスル エイヨウ カンリ
Title Alternative
Nutritional Management for Protein Energy Wasting (PEW)
Author
Hamada, Yasuhiro Department of Therapeutic Nutrition, Institute of Health Bioscience, the University of Tokushima Graduate School|Department of Nutrition, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Keywords
nutritional management
chronic kidney disease (CKD)
acute kidney injury (AKI)
protein energy wasting (PEW)
Content Type
Journal Article
Description
Nutritional management is related to all kinds of diseases and one of the bases of medical treatment. Chronic kidney disease (CKD) is no exception. Prevalence of chronic kidney disease (CKD) in Japan is estimated to be 13.3million. In addition, the number of dialysis patients in Japan is over 300,000. Recently, because malnutrition in CKD have been paid attention, the International Society of Renal Nutrition and Metabolism (ISRNM) have proposed a new term protein energy wasting (PEW) (Kidney Int. 2008 ; 73(4) : 391‐8). PEW refers to the multiple nutritional and catabolic alterations that occur in patients with CKD and associated with morbidity and mortality. It has been reported that PEW, which is characterized by a decline in body protein mass, muscle and fat wasting and visceral protein pool contraction, is common in patients with dialysis. Various factors such as insufficient food intake due to poor appetite, dietary restriction, increased energy expenditure, acidosis, and persistent inflammation can cause PEW. Because PEW is a factor of bad prognosis, management of PEW should be also paid attention in treatment of patients with CKD.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
69
Issue
5-6
Start Page
211
End Page
214
Sort Key
211
Published Date
2013-12-25
EDB ID
FullText File
language
jpn
TextVersion
Publisher
departments
Medical Sciences