Nutritional Status of Predialytic and Hemodialytic Patients

Wasting and malnutrition occur commonly in patients with renal disease. The causes are multifactorial and include inadequate intake of nutrients, loss of nutrients in dialysate, recurrent illnesses, uremic toxins and endocrine abnormalities, such as insulin resistance, hyperglucagonemia and hyperparathyroidism. Malnutrition and wasting may contribute to many aspects of the uremic syndrome, including increased susceptibility to infection, impaired wound healing, decreased strength and vigor and poor rehabilitation and quality of life.