Protein-energy wasting and daily nutritional intake in Japanese chronic hemodialysis patients
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- Inoue Keiko
- Department of Nutrition, Faculty of Wellness, Shigakkan University
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- Shimizu Kazue
- Department of Nutrition, Hakuyoukai Hospital
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- Hiraga Keiko
- Department of Clinical Nutrition, Shinseikai Daiichi Hospital
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- Yoshikawa Taeko
- Department of Nutrition, Medical Satellite・Nagoya
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- Umemura Satomi
- Department of Clinical Nutrition, Nagoya Kinen Hospital
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- Otaki Kaori
- Department of Nutrition, Daiyukai Daiichi Hospital
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- Takahashi Erika
- Kaikoukai Central Clinic
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- Tokunaga Chika
- Suzuka Kidney Clinic
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- Furuta Kumiko
- Tajimi Clinic
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- Wakayama Makiko
- Sato Hospital
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- Mizuno Haruyo
- Kasugai Clinic
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- Matsumura Kaori
- Komaki Clinic
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- Takai Chika
- Asuka Clinic Aisai
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- Kato Shizuka
- Itsuki Clinic
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- Uno Chiharu
- Sugiyama Hospital
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- Deguchi Kanako
- Department of Nutrition, Faculty of Wellness, Shigakkan University
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- Sakakibara Tomoyo
- Department of Clinical Nutrition, Shinseikai Daiichi Hospital
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- Takahashi Hiroshi
- Department of Nephrology, Fujita Health University School of Medicine
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- Ito Yasuhiko
- Department of Renal Replacement Therapy and Nephrology, Nagoya University Graduate School of Medicine
Bibliographic Information
- Other Title
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- 維持血液透析患者のprotein-energy wastingの実態と食品群別摂取量の関連
- イジ ケツエキ トウセキ カンジャ ノ protein-energy wasting ノ ジッタイ ト ショクヒングン ベツ セッシュリョウ ノ カンレン
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Abstract
<p>The aim of this study was to clarify the incidence of protein-energy wasting (PEW) and its associations with clinical characteristics and daily nutritional intake in Japanese chronic hemodialysis (HD) patients. A total of 409 patients who had been receiving stable HD therapy for >6 months (mean age : 64±11 years, duration of HD : 8 (3-14) years, frequency of hypertension : 74.6%, body mass index : 21.1±3.4, % arm muscle area : 103±22%, serum albumin : 3.7±0.3 g/dL, energy intake : 30±6 kcal/kg ideal body weight (IBW), protein intake : 1.01±0.22 g/kg IBW) were enrolled. In total, 17.1% of the patients met ≥3 of the four diagnostic criteria for PEW determined by the International Society of Renal Nutritional Metabolism (ISRNM). Multivariate logistic analysis demonstrated that age, HD duration, and hypertension were independently associated with PEW (≥3 ISRNM criteria). Furthermore, after adjusting for these variables, meat intake of <46.7 g/day, fish intake of <41.7 g/day, and sugar intake of <9.0 g/day were determined as cut-off values associated with PEW based on receiver-operating characteristics curves [odds ratio (OR) : 2.74, 95% confidence interval (CI) : 1.55-4.85, p=0.001 ; OR : 2.04, 95%CI : 1.16-3.61, p=0.014 ; OR : 1.88, 95%CI : 1.05-3.37, p=0.033, respectively]. Poor protein or energy intake might be associated with PEW in chronic HD patients.</p>
Journal
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- Nihon Toseki Igakkai Zasshi
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Nihon Toseki Igakkai Zasshi 49 (7), 493-501, 2016
The Japanese Society for Dialysis Therapy
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Keywords
Details 詳細情報について
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- CRID
- 1390001204678708224
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- NII Article ID
- 130006847754
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- NII Book ID
- AN10432053
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- ISSN
- 1883082X
- 13403451
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- NDL BIB ID
- 027588173
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed