ID 109728
タイトルヨミ
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
タイトル別表記
Nutritional Management for Protein Energy Wasting (PEW)
著者
濵田, 康弘 徳島大学大学院ヘルスバイオサイエンス研究部疾患治療栄養学分野|徳島大学病院栄養部 徳島大学 教育研究者総覧 KAKEN研究者をさがす
キーワード
nutritional management
chronic kidney disease (CKD)
acute kidney injury (AKI)
protein energy wasting (PEW)
資料タイプ
学術雑誌論文
抄録
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.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
69
5-6
開始ページ
211
終了ページ
214
並び順
211
発行日
2013-12-25
EDB ID
281117
フルテキストファイル
言語
jpn
著者版フラグ
出版社版
部局
医学系