Author/Editor		Boh, Marko
Title		Vpliv nekaterih dejavnikov na stanje prehranjenosti pri kroničnih hemodializnih bolnikih
Type		monografija
Place		Ljubljana
Publisher		Medicinska fakulteta
Publication year		1997
Volume		str. 68
Language		slo
Abstract		Protein-energy malnutrition (PEM) frequently occurs in patients with end-stage renal failure on chronic hemodialysis. The signs of PEM are distinctively associated with increase in morbidity and mortality in the population of these patients. The diagnostic evaluation of PEM and determination of the etiology are of crucial importance in the management of this clinical problem. Etiology as seen in the population concerned, comprises more factors which can be grouped into factors of insufficient dietary intake or those associated with increased catabolism in the body. Their role can only be explained by recognition of PEM by means of evaluation of the nutritional status (NS). This variable refers to different components of the body mass as well as to the relations between them, and consequently its determination is bound to various tests, measurements or calculations. In a cross-sectional clinical study we tried to establish the etiological relation between PEM in patients on chronic hemodialysis and the following factors: the use of bioincompatible dialyser membranes, the stage of metabolic acidosis, the dialysis dose and the daily dietary protein intake. We also tried to find out if there is a difference in malnutrition with regard to sex, age and dialysis treatment period. Our aim was to contribute, with an assessment of important causative factors and risk groups of our patients, to the effectiveness of the therapeutic strategy in malnourished patients on chronic hemodialysis. The study comprised 157 patients with end-stage renal failure on chronic hemodialysis. During the time of the study, our patients represented 71.4% of the population on hemodialysis in the Centre for Dialysis at the Department of Nephrology. NS was determined by composite nutritional index (CNI). The index is composed of eight variables. (Abstract truncated at 2000 characters).
Descriptors		HEMODIALYSIS PROTEIN-ENERGY MALNUTRITION KIDNEY FAILURE, CHRONIC ADULT BODY HEIGHT MEMBRANES, ARTIFICIAL DIETARY PROTEINS AGE FACTORS SEX FACTORS SKINFOLD THICKNESS BODY WEIGHT SERUM ALBUMIN