As we grow old: nutritional considerations for older patients on dialysis

European Renal Nutrition (ERN) Working Group of the European Renal Association–European Dialysis Transplant Association (ERA-EDTA)

doi:https://doi.org/10.1093/ndt/gfw201

As we grow old: nutritional considerations for older patients on dialysis

European Renal Nutrition (ERN) Working Group of the European Renal Association–European Dialysis Transplant Association (ERA-EDTA)

Research output: Contribution to journal › Article › Academic › peer-review

14 Citations (Scopus)

Abstract

The number of older people on dialysis is increasing, along with a need to develop specialized health care to manage their needs. Aging-related changes occur in physiological, psychosocial and medical aspects, all of which present nutritional risk factors ranging from a decline in metabolic rate to assistance with feeding-related activities. In dialysis, these are compounded by the metabolic derangements of chronic kidney disease (CKD) and of dialysis treatment per se, leading to possible aggravation of protein-energy wasting syndrome. This review discusses the nutritional derangements of the older patient on dialysis, debates the need for specific renal nutrition guidelines and summarizes potential interventions to meet their nutritional needs. Interdisciplinary collaborations between renal and geriatric clinicians should be encouraged to ensure better quality of life and outcomes for this growing segment of the dialysis population.

Original language	English
Pages (from-to)	1127-1136
Number of pages	10
Journal	Nephrology, dialysis, transplantation
Volume	32
Issue number	7
DOIs	https://doi.org/10.1093/ndt/gfw201
Publication status	Published - 1 Jul 2017

Keywords

Journal Article

Access to Document

https://doi.org/10.1093/ndt/gfw201

Cite this

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title = "As we grow old: nutritional considerations for older patients on dialysis",

abstract = "The number of older people on dialysis is increasing, along with a need to develop specialized health care to manage their needs. Aging-related changes occur in physiological, psychosocial and medical aspects, all of which present nutritional risk factors ranging from a decline in metabolic rate to assistance with feeding-related activities. In dialysis, these are compounded by the metabolic derangements of chronic kidney disease (CKD) and of dialysis treatment per se, leading to possible aggravation of protein-energy wasting syndrome. This review discusses the nutritional derangements of the older patient on dialysis, debates the need for specific renal nutrition guidelines and summarizes potential interventions to meet their nutritional needs. Interdisciplinary collaborations between renal and geriatric clinicians should be encouraged to ensure better quality of life and outcomes for this growing segment of the dialysis population.",

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author = "{European Renal Nutrition (ERN) Working Group of the European Renal Association–European Dialysis Transplant Association (ERA-EDTA)} and Lina Johansson and Denis Fouque and Vincenzo Bellizzi and Philippe Chauveau and Anne Kolko and Pablo Molina and Siren Sezer and {Ter Wee}, {Pieter M} and Daniel Teta and Carrero, {Juan J}",

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As we grow old: nutritional considerations for older patients on dialysis. / European Renal Nutrition (ERN) Working Group of the European Renal Association–European Dialysis Transplant Association (ERA-EDTA).
In: Nephrology, dialysis, transplantation, Vol. 32, No. 7, 01.07.2017, p. 1127-1136.

Research output: Contribution to journal › Article › Academic › peer-review

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