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CROATIAN GUIDELINES FOR SCREENING, PREVENTION AND TREATMENT OF PROTEIN-ENERGY WASTING IN CHRONIC KIDNEY DISEASE PATIENTS

Nikolina Bašić-Jukić
Josipa Radić
Dragan Klarić
Marko Jakić
Božidar Vujičić
Marijana Gulin
Željko Krznarić
Eva Pavić
Petar Kes
Bojan Jelaković
Sanjin Rački

Puni tekst: hrvatski, pdf (307 KB) str. 0-0 preuzimanja: 214* citiraj
APA 6th Edition
Bašić-Jukić, N., Radić, J., Klarić, D., Jakić, M., Vujičić, B., Gulin, M., ... Rački, S. (2015). PREPORUKE ZA PRAĆENJE, PREVENCIJU I LIJEČENJE PROTEINSKO-ENERGIJSKE POTHRANJENOSTI U BOLESNIKA S KRONIČNOM BUBREŽNOM BOLESTI. Liječnički vjesnik, 137 (1-2), 0-0. Preuzeto s https://hrcak.srce.hr/172665
MLA 8th Edition
Bašić-Jukić, Nikolina, et al. "PREPORUKE ZA PRAĆENJE, PREVENCIJU I LIJEČENJE PROTEINSKO-ENERGIJSKE POTHRANJENOSTI U BOLESNIKA S KRONIČNOM BUBREŽNOM BOLESTI." Liječnički vjesnik, vol. 137, br. 1-2, 2015, str. 0-0. https://hrcak.srce.hr/172665. Citirano 21.10.2019.
Chicago 17th Edition
Bašić-Jukić, Nikolina, Josipa Radić, Dragan Klarić, Marko Jakić, Božidar Vujičić, Marijana Gulin, Željko Krznarić, et al. "PREPORUKE ZA PRAĆENJE, PREVENCIJU I LIJEČENJE PROTEINSKO-ENERGIJSKE POTHRANJENOSTI U BOLESNIKA S KRONIČNOM BUBREŽNOM BOLESTI." Liječnički vjesnik 137, br. 1-2 (2015): 0-0. https://hrcak.srce.hr/172665
Harvard
Bašić-Jukić, N., et al. (2015). 'PREPORUKE ZA PRAĆENJE, PREVENCIJU I LIJEČENJE PROTEINSKO-ENERGIJSKE POTHRANJENOSTI U BOLESNIKA S KRONIČNOM BUBREŽNOM BOLESTI', Liječnički vjesnik, 137(1-2), str. 0-0. Preuzeto s: https://hrcak.srce.hr/172665 (Datum pristupa: 21.10.2019.)
Vancouver
Bašić-Jukić N, Radić J, Klarić D, Jakić M, Vujičić B, Gulin M i sur. PREPORUKE ZA PRAĆENJE, PREVENCIJU I LIJEČENJE PROTEINSKO-ENERGIJSKE POTHRANJENOSTI U BOLESNIKA S KRONIČNOM BUBREŽNOM BOLESTI. Liječnički vjesnik [Internet]. 2015 [pristupljeno 21.10.2019.];137(1-2):0-0. Dostupno na: https://hrcak.srce.hr/172665
IEEE
N. Bašić-Jukić, et al., "PREPORUKE ZA PRAĆENJE, PREVENCIJU I LIJEČENJE PROTEINSKO-ENERGIJSKE POTHRANJENOSTI U BOLESNIKA S KRONIČNOM BUBREŽNOM BOLESTI", Liječnički vjesnik, vol.137, br. 1-2, str. 0-0, 2015. [Online]. Dostupno na: https://hrcak.srce.hr/172665. [Citirano: 21.10.2019.]

Sažetak
There is a high incidence of cardiovascular morbidity and mortality among patients with chronic kidney disease (CKD) and malnutrition is a powerful predictor of cardiovascular morbidity and mortality in this population of patients. A multitude of factors related to CKD and renal replacement therapy can affect the nutritional status of CKD patients and lead to the development of malnutrition. In patients with CKD, protein energy wasting (PEW) is a condition that is distinct from undernutrition and is associated with inflammation, increased resting energy expenditure, low serum levels of albumin and prealbumin, sarcopenia, weight loss and poor clinical outcomes. Nutritional and metabolic derangements are implicated for the development of PEW in CKD and leading to the development of chronic catabolic state with muscle and fat loss. Prevention is the best way in treating PEW. Appropriate management of CKD patients at risk for PEW requires a comprehensive combination of strategies to diminish protein and energy depletion, and to institute therapies that will avoid further losses. The mainstay of nutritional treatment in MHD patients is nutritional counselling and provision of an adequate amount of protein and energy, using oral supplementation as needed. Intradialytic parenteral nutrition and total enteral nutrition should be attempted in CKD patients who cannot use the gastrointestinal tract efficiently. Other strategies such as anemia correction, treatment of secondary hyperparathyroidism and acidosis, delivering adequate dialysis dose can be considered as complementary therapies in CKD patients. Multidisciplinary work of nephrologists, gastroenterologist and dietician is needed to achieve best therapeutic goals in treating CKD patients with PEW.

Ključne riječi
Renal insufficiency, chronic – metabolism, complications, therapy; Protein-energy malnutrition – etiology, diagnosis, therapy, prevention and control; Nutritive support – methods; Energy intake; Dietary supplements; Renal dialysis; Kidney transplantation; Practice guidelines as topic; Croatia

Hrčak ID: 172665

URI
https://hrcak.srce.hr/172665

[hrvatski]

Posjeta: 417 *