Nutritional Status of Patients Undergoing Continuous Ambulatory Peritoneal Dialysis (CAPD)

1983 ◽  
Vol 3 (3) ◽  
pp. 138-141 ◽  
Author(s):  
Brigitte Heide ◽  
Andreas Pierratos ◽  
Ramesh Khanna ◽  
Jean Pettit ◽  
Raymond Ogilvie ◽  
...  
Keyword(s):  
Body Weight ◽  
Peritoneal Dialysis ◽  
Nutritional Status ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Protein Intake ◽  
Biochemical Parameters ◽  
Total Body Potassium ◽  
Total Body ◽  
Over Time

Nutritional follow-up of 20 CAPD patients for 18–24 months showed a decrease in total body nitrogen, increase in total body potassium and body weight, and a decrease in protein intake over time. There was no correlation between changes in TBN and the biochemical parameters measured. Serial dietetic assessments and measurements of total body nitrogen as well as adherence to an adequate protein intake will assist in the prevention of malnutrition in CAPD patients.

Six-Month Overnight Intraperitoneal Amino-Acid Infusion in Continuous Ambulatory Peritoneal Dialysis (CAPO) Patients-No Effect on Nutritional Status

1990 ◽  
Vol 10 (1) ◽  
pp. 79-84 ◽  
Author(s):  
Nicholas V. Dombros ◽  
Krystyne Prutis ◽  
Mathew Tong ◽  
G. Harvey Anderson ◽  
Joan Harrison ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Nutritional Status ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Protein Intake ◽  
Statistical Significance ◽  
Caloric Intake ◽  
Skinfold Thickness ◽  
Amino Acid Infusion ◽  
Long Term Effect ◽  
Total Body

The long-term effect of an AA solution based on Tra-vasol®, a solution for total parenteral nutrition, given in-traperitoneally over a 6-month period was studied in 5 patients 22 to 75 years old, having been on continuous ambulatory peritoneal dialysis (CAPD) for 3 to 57 months. A low oral protein intake (<0.8 g/kg bw /day) and/or a low serum albumin «35 g/L) were used as inclusion criteria. Two liters of 1% AA solution were infused overnight, while a glucose Dianeal® was used for the other exchanges. During the study, BUN increased from 22.04 mM/L to 28.06 mM/L the first month and remained at these levels, indicating the increased protein intake. However, average oral total energy and protein intake, body weight (bw), serum creatinine, cholesterol, triglycerides, total proteins, albumin, transferrin, skinfold thickness, total body potassium, and plasma AA levels remained basically unchanged. The average total body nitrogen decreased from 1.746 to 1.554 Kg, but this decrease did not reach statistical significance (p > 0.05). We conclude that intraperitoneal overnight administration of 2 L of 1% AA based on Travasol® over 6 months did not improve the nutritional status of CAPD patients. This ineffectiveness might be due to the AA composition of the solution, the timing of administration, or to a low caloric intake and/or that our patients were not severely malnourished.

scholarly journals PERAN EDUKASI GIZI TERHADAP ASUPAN ENERGI-PROTEIN DAN INDEKS MASSA TUBUH PASIEN GAGAL GINJAL KRONIS DENGAN TERAPI CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD)

2021 ◽  
Vol 9 (1) ◽  
pp. 53-58
Author(s):  
Yudhi Adrianto ◽  
Diah Mulyawati Utari ◽  
Fitri Hudayani ◽  
Triyani Kresnawan
Keyword(s):  
Body Mass Index ◽  
Body Weight ◽  
Peritoneal Dialysis ◽  
Food Intake ◽  
Nutritional Status ◽  
Nutrition Education ◽  
Body Mass ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Protein Intake ◽  
Normal Body Mass Index

Background: Nutrition are the essential factor to maintain body weight, body mass index and food intake in CAPD patients. Dialysis could increase nutrients lost and had to be replaced by adequate intake. Nutrition education should be needed to increase patient’s knowledge, food intake and body mass index.Objectives: To determine the role of nutrition education towards energy-protein intake and body mass index in patient with continuous ambulatory peritoneal dialysis (CAPD)Method: A cross-sectional study design with total sampling technique to obtains thirthy CAPD outpatient at RSUPN Dr. Cipto Mangunkusumo. Energy and protein intake were assessed by 3-days-food records (weekday and weekend). Nutritional status were obtained with BMI by dry body weight. Data were analyzed with independent t-test.Results: Most of subject are male outpatients, 25 – 55 years old (76.7%), had hypertension (83.3%) and normal BMI (50%). Most of subject had been undergoing peritoneal dialysis more than a year (67%), and had less than two times education per year. Energy intake were categorized as sufficient (80%) but protein intake were categorized as insufficient. There were no differences between frequency of nutrition education with energy-protein intake and nutritional status (p0.05)Conclusion: There are no differences between energy-protein intake and nutritional status with the frequency of nutrition education. Nutritional education by nutritionist and/or dietitian according to the recommendations help to maintain normal body mass index.

Whole body leucine turnover and nutritional status in continuous ambulatory peritoneal dialysis

1987 ◽  
Vol 73 (5) ◽  
pp. 463-469 ◽  
Author(s):  
T. H. J. Goodship ◽  
S. Lloyd ◽  
M. B. Clague ◽  
K. Bartlett ◽  
M. K. Ward ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Nutritional Status ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Protein Turnover ◽  
Muscle Protein ◽  
Normal Subjects ◽  
Whole Body ◽  
Total Body Potassium ◽  
Somatic Muscle ◽  
Total Body

1. Nutritional status and leucine turnover has been measured in ten patients with chronic renal failure before the onset of continuous ambulatory peritoneal dialysis (CAPD) and after 3 months treatment, and in five normal subjects. 2. Somatic muscle protein reserves, as judged by anthropometry and measurement of total body potassium, showed no significant changes after 3 months treatment and were not significantly different from normal. 3. Visceral protein reserves, as judged by serum albumin and plasma amino acids, showed a significant fall after 3 months CAPD and were also lower than in normal subjects. 4. Protein turnover was lower in uraemic than in normal subjects, but the balance between synthesis and breakdown was significantly higher and was maintained after 3 months on CAPD.

Changes in Nutritional Status on Follow-Up of an Incident Cohort of Continuous Ambulatory Peritoneal Dialysis Patients

2008 ◽  
Vol 18 (2) ◽  
pp. 195-201 ◽  
Author(s):  
Narayan Prasad ◽  
Amit Gupta ◽  
Archana Sinha ◽  
Raj Kumar Sharma ◽  
Alok Kumar ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Nutritional Status ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Dialysis Patients ◽  
Incident Cohort

Nutritional Status of Capd Patients at Three Years

1996 ◽  
Vol 16 (1_suppl) ◽  
pp. 195-204 ◽  
Author(s):  
Leocadia Palop ◽  
Nicanor Vega ◽  
Teresa Rodriguez ◽  
Ana Fernandez ◽  
Jose C. Rodriguez ◽  
...  
Keyword(s):  
Renal Function ◽  
Peritoneal Dialysis ◽  
Steady State ◽  
Nutritional Status ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Nutritional Assessment ◽  
Residual Renal Function ◽  
Control Group ◽  
Protein Calorie Malnutrition

A nutritional assessment was carried out in 63 patients starting treatment from April 1990 up to December 1993. Anthropometric measurements were performed showing a prevalence of protein-calorie malnutrition (PCM) of 21 % in a total of 142 clinical surveys carried out in the above-mentioned sample. A steady state of albumin levels in plasma was verified during a three-year follow-up period at a lower level than that of the control group. The patients’ lymphocytic profile throughout the study was characterized by lymphopenia and decreased B and T 8 lymphocytes. During the first two years of continuous ambulatory peritoneal dialysis (CAPD), a high percentage of patients met the “adequacy” dialysis criteria as residual renal function plays an important role as regards treatment.

Nutritional Status and Growth in Children Less than 12 kg Treated with Continuous Ambulatory Peritoneal Dialysis

1993 ◽  
Vol 13 (2_suppl) ◽  
pp. 251-253 ◽  
Author(s):  
Constantinos Stefanidis ◽  
Helen Michelakaki ◽  
Alexandra Koulieri ◽  
Kyeiakos Michelis
Keyword(s):  
Peritoneal Dialysis ◽  
Growth Factor ◽  
Nutritional Status ◽  
Serum Albumin ◽  
Muscle Mass ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Protein Intake ◽  
Normal Serum ◽  
Height Velocity ◽  
Urea Nitrogen Appearance

Various parameters of nutritional status and growth In 13 children with weight less than 12 kg were estimated at the start of continuous ambulatory peritoneal dialysis (CAPD) and 1 year later. A significant Improvement In weight, triceps skinfold, and serum albumin was noticed. Height and midarm muscle circumference did not change significantly. However, a significant Improvement In height occurred In patients with initial abnormal height «- 2 SDS). There was no significant change In protein Intake and urea nitrogen appearance (UNA) during the study period. A significant correlation between protein Intake and UNA was noticed. All patients had normal serum Insulinlike growth factor. In conclusion, there was no significant changein either height velocity or muscle mass despite the improvement in many nutritional parameters.

Weight Limitations for Weekly Urea Clearances Using Various Exchange Volumes in Continuous Ambulatory Peritoneal Dialysis

1994 ◽  
Vol 14 (3) ◽  
pp. 261-264 ◽  
Author(s):  
Karl D. Nolph ◽  
Richard A. Jensen ◽  
Ramesh Khanna ◽  
Zbylut J. Twardowski
Keyword(s):  
Body Weight ◽  
Peritoneal Dialysis ◽  
Outcome Measures ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Total Body Water ◽  
Theoretical Calculations ◽  
Plasma Urea ◽  
Graphic Form ◽  
Anephric Patients ◽  
Total Body

Objective To calculate the relationships of weekly KT/V urea to standard body weight with different exchange volumes (2, 2.5, or 3 L) for continuous ambulatory peritoneal dialysis (CAPD) in functionally a nephric patients and to display the results in graphic form. Design Theoretical calculations using previously measured 24-hour dialysate/plasma urea values in 77 CAPD patients and other defined components of weekly KT/V urea. Setting Measurements and calculations in theoretical patients doing standard CAPD with four daily exchanges. Patients Theoretical functionally anephric patients on standard CAPD as above. Interventions Theoretical calculations based on instillation of 2-, 2.5-, and 3-L exchange volumes. Main Outcome Measures Weekly urea clearances normalized to total body water (weekly KT/V urea). The values using different exchange volumes were related to standard body weight. Results Although a minimum recommended weekly KT/V urea target is arbitrary, the results illustrate the range of flexibility of CAPD relative to KT/V urea values with variations in exchange volume. The standard weights above which anephric patients on CAPD using four exchanges per day with 2-, 2.5-, and 3-L exchanges cannot reach a weekly KT/V urea target of 1.7, have been identified. The range of weekly KT/V urea levels possible with different exchange-volume programs has been graphically illustrated. Conclusions Weights above which a weekly KT/V urea of 1.7 cannot be reached in functionally anephric patients are 64, 77.6, and 91 kg for CAPD using 2-, 2.5-, and 3- L exchanges, respectively.

Normalization of Protein Equivalent of Nitrogen Appearance and Dialytic Adequacy in Capd

1996 ◽  
Vol 16 (1_suppl) ◽  
pp. 185-190 ◽  
Author(s):  
Giovambattista Virga ◽  
Giusto Viglino ◽  
Carmen Gandolfo ◽  
Elisabetta Aloi ◽  
Pier Luigi Cavalli
Keyword(s):  
Body Weight ◽  
Peritoneal Dialysis ◽  
Linear Regression ◽  
Life Insurance ◽  
Protein Intake ◽  
Actual Body Weight ◽  
Increased Risk ◽  
Total Body ◽  
Metropolitan Life Insurance ◽  
The Relationship

Caloric-proteic malnutrition is frequently encountered in peritoneal dialysis and is associated with an increased risk of morbidity and mortality. Our paper aims to assess any greater reliability of protein equivalent of nitrogen appearance (PNA) normalization to desirable body weight (dBW) compared to actual body weight (aBW) and resulting implications for the relationship between dialytic adequacy and protein intake in continuous ambulatory peritoneal dialysis (CAPD). We studied 36 patients on CAPD, 24 male and 12 female (aged 66.6±10.2 years, 24±29 months on dialysis), collecting dialysate and urine over 24 hours (126 samples) to calculate the PNA according to Randerson and the total weekly KT N. The total body muscle mass (TBMM) was calculated by anthropometry and the dBW according to Metropolitan Life Insurance tables. Finally, PNA was normalized to aBW (aPNA, g/kg/day) and to dBW (dPNA, g/kg/day). Average aBW proved to be higher than dBW (66.0±11.1 vs 59.8±6.9 kg, p < 0.0001) and aPNA lower than dPNA (0.96±0.31 vs 1.08±0.3 g/kg/day, p < 0.005). Compared to aPNA, dPNA correlates better with both blood urea nitrogen (BUN) (R2 = 0.702 vs 0.614) and KT/V (R2 = 0.348 vs 0.306). The TBMM is higher in the group with dPNA ≥ 1.0 vs < 1.0 g/kg/day (25.5±0.6 vs 23. 1±0. 7 kg, p < 0.02) while, paradoxically, it is lower in patients with aPNA≥ 1.0 vs < 1.0 g/kg/day (22.8±0.8 vs 25.4±0.6 kg, p < 0.01). The KT/V of the patients with dPNA < 0.8,0.8–1.2 and > 1.2 g/kg/day proved to be different (1.52±0.06 vs 1.80±0.03 vs 2.04±0.04, p < 0.005). On analysis of the linear regression, dPNA = 1.0 and 1.2 g/kg/day corresponds to KT/V values of 1.7 and 2.05, respectively. We consider dPNA to be more suitable then aPNA for the correct assessment of protein intake, and a weekly KT/V of 1.7 2.05 as being sufficient to guarantee satisfactory dPNA.

scholarly journals Residual renal function and nutritional status in patients on continuous ambulatory peritoneal dialysis

2005 ◽  
Vol 58 (11-12) ◽  
pp. 576-581
Author(s):  
Natasa Jovanovic ◽  
Mirjana Lausevic ◽  
Biljana Stojimirovic
Keyword(s):  
Renal Failure ◽  
Peritoneal Dialysis ◽  
Nutritional Status ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Residual Renal Function ◽  
Dialysis Treatment ◽  
End Stage ◽  
Underlying Diseases ◽  
Anthropometric Markers

Introduction During the last years, an increasing number of patients with end-stage renal failure caused by various underlying diseases, all over the world, is treated by renal replacement therapy. Nutritional status Malnutrition is often found in patients affected by renal failure; it is caused by reduced intake of nutritional substances due to anorexia and dietary restrictions hormonal and metabolic disorders, comorbid conditions and loss of proteins, amino-acids, and vitamins during the dialysis procedure itself. Nutritional status significantly affects the outcome of patients on chronic dialysis treatment. Recent epiodemiological trials have proved that survival on chronic continuous ambulatory peritoneal dialysis program depends more on residual renal function (RRF) than on peritoneal clearances of urea and creatinine. Material and methods The aim of the study was to analyze the influence of RRF on common biochemical and anthropometric markers of nutrition in 32 patients with end-stage renal failure with various underlying diseases during the first 6 months on continuous ambulatory peritoneal dialysis (CAPD). The mean residual creatinine clearance was 8,3 ml/min and the mean RRF was 16,24 week in our patients at the beginning of the chronic peritoneal dialysis treatment. Results and conclusion During the follow-up, the RRF slightly decreased, while the nutritional status of patients significantly improved. Gender and age, as well as the leading disease and peritonitis didn't influence the RRF during the first 6 months of CAPD treatment. We found several positive correlations between RRF and laboratory and anthropometric markers of nutrition during the follow-up, proving the positive influence of RRF on nutritional status of patients on chronic peritoneal dialysis.

Sign in / Sign up

Export Citation Format

Share Document