ID 110786
著者
コギリマ, ミホ Department of Food Science and Nutrition, Doshisha Women’s College
サカグチ, カツヒコ Kidney Center, Sumitomo Hospital
ニシノ, コウスケ Department of Food Science and Nutrition, Doshisha Women’s College
イチカワ, ヨウコ Department of Internal Public Health Nutrition, Institute of Health Biosciences, The University of Tokushima Graduate School
ヒラマツ, フミエ Department of Internal Public Health Nutrition, Institute of Health Biosciences, The University of Tokushima Graduate School
山本, 茂 Department of Internal Public Health Nutrition, Institute of Health Biosciences, The University of Tokushima Graduate School 徳島大学 教育研究者総覧
キーワード
hemodialysis patient
resting energy expenditure
physical activity level
serum albumin
poor nutritional status
資料タイプ
学術雑誌論文
抄録
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.
掲載誌名
The journal of medical investigation : JMI
ISSN
13431420
cat書誌ID
AA11166929
53
1-2
開始ページ
34
終了ページ
41
並び順
34
発行日
2006-02
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
医学系