ID 110786
Author
Kogirima, Miho Department of Food Science and Nutrition, Doshisha Women’s College
Sakaguchi, Katsuhiko Kidney Center, Sumitomo Hospital
Nishino, Kohsuke Department of Food Science and Nutrition, Doshisha Women’s College
Ichikawa, Yoko Department of Internal Public Health Nutrition, Institute of Health Biosciences, The University of Tokushima Graduate School
Hiramatsu, Fumie Department of Internal Public Health Nutrition, Institute of Health Biosciences, The University of Tokushima Graduate School
Yamamoto, Shigeru Department of Internal Public Health Nutrition, Institute of Health Biosciences, The University of Tokushima Graduate School Tokushima University Educator and Researcher Directory
Keywords
hemodialysis patient
resting energy expenditure
physical activity level
serum albumin
poor nutritional status
Content Type
Journal Article
Description
Due to high resting energy expenditure (REE) in maintenance hemodialysis patients, an increase in energy intake is usually recommended to improve their nutritional status. However, some patients appear to have poor appetite and low energy intake. In such patients low energy metabolism is expected. We hypothesized that inmaintenance hemodialysis patients there are two types of the energy metabolism, high and low. This study was aimed at finding the energy metabolism in maintenance hemodialysis patients, especially in those with poor nutritional status. Subjects were hemodialysis out-patients (34 males and20 females, meanage 59.1±10.7y). REE was measured by an indirect calorimeter. Protein intake was obtained from normalized protein catabolic rate (nPCR), and physical activity level (PAL) was obtained by time study. Nutritional status assessed by serum albumin concentration was poor (3.7±0.2g/dL) in spite of the adequate protein intake (1.1±0.3g/kg per day). Only11%ofthesubjectshadappropriate serum albumin concentration. Mean REE was 24.6 kcal/kg per day which was lower than that of healthy Japanese (26.5kcal/kg per day). REE and PAL positively correlated with serum albumin concentration (plt0.01). The results suggest that maintenance hemodialysis patients with poor nutritional status may have low REE.
Journal Title
The journal of medical investigation : JMI
ISSN
13431420
NCID
AA11166929
Volume
53
Issue
1-2
Start Page
34
End Page
41
Sort Key
34
Published Date
2006-02
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
Publisher
departments
Medical Sciences