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  • A Better Nutritional Marker for CAPD Adequacy

    Move over prealbumin, albumin, and ferritin—normalized protein catabolic rate (nPCR) was the only marker that correlated with CAPD adequacy in a study of 266 patients divided into an adequate (total weekly Kt/V urea >1.70) and an inadequate PD group (<1.70). Male gender, higher weight, and residual GFR <2.43 mL/min/1.73m2 were risk factors for inadequate CAPD.

    Read the abstract » | (added 2021-02-09)

    Tags: Peritoneal Dialysis, Pd

  • PD and Bone Mineral Disorders vs. HD

    Body composition, nutritional status, DEXA, and bone mineral disease (BMD) biomarkers were assessed at baseline and one year in 242 ESRD patients starting either PD (n=138) or HD (n=104). Among HD patients, BMD decreased significantly—but not in PD patients. Preservation of BMD was associated with significantly lower all-cause mortality, with cortical bone preservation more predictive than trabecular bone preservation.

    Read the abstract » | (added 2020-09-11)

    Tags: End stage Renal Disease, Bone Mineral Density, Dialysis

  • Effect of a Nurse-led Program on PD Nutritional Status

    In a controlled trial, 203 PD patients were randomly assigned to a study or control group. The study group received health education, treatments, case management, and nurse-led surveillance based on the Omaha system. The control group received usual care. After intervention, the study group had significantly more well-nourished patients (6.19% to 29.9%), and several other parameters were significantly improved as well. Hemoglobin, albumin, and pre-albumin were also significantly higher in the study group.

    Read the abstract » | (added 2020-04-13)

    Tags: Peritoneal Dialysis, Dialysis, Chronic Kidney Disease, Nursing, Nutritional Status, Omaha System

  • Nocturnal HD Improves Nutritional Status

    A metaanalysis was conducted of 9 studies with 229 patients who switched from standard to nocturnal HD. Those on nocturnal HD had significantly higher levels of serum albumin and protein and energy intake.

    Read the abstract » | (added 2016-07-12)

    Tags: Hemodialysis

  • How much dialysis improves nutritional status?

    Is short daily HD enough dialysis to appetite, food intake, and improve serum albumin levels? Maybe after a long time on dialysis, says a new study. But those who did nocturnal HD needed fewer binders.

    Read the abstract » | (added 2013-05-24)

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  • More HD lowers C-reactive protein and boosts nutritional status

    A study from Iran found that adding one standard HD treatment per week for 6 weeks significantly decreased C-reactive protein (a measure of inflammation), and increased serum albumin and BMI. The authors conclude that getting more HD may reduce the risk of cardiovascular events.

    Read the abstract » | (added 2013-04-29)

    Tags:

  • Switching from standard to nocturnal HD has many benefits

    We bet you won't be surprised to learn that the 13 patients studied had much lower BP (with fewer drugs), higher hemoglobins (with fewer ESAs), better nutritional status, and lower calcium-phosphorus product. (PTH rose in some, though.)

    Read the abstract » | (added 2011-02-24)

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  • Phosphorus in colas linked to CKD progression

    Soda is already worthless nutritionally—and some types can also raise the risk of chronic kidney disease. A recent study found almost 2 1/2 times the risk of CKD in those who drank 2 or more cola's a day (regular or diet). If you must drink the stuff, looks like it's safest to switch to a non-cola flavor.

    Read the abstract » | (added 2011-02-24)

    Tags: Chronic kidney disease