TY - JOUR
T1 - Eating During Hemodialysis Treatment: A Consensus Statement From the International Society of Renal Nutrition and Metabolism
T2 - A Consensus Statement From the International Society of Renal Nutrition and Metabolism
AU - Kistler, Brandon M.
AU - Benner, Debbie
AU - Burrowes, Jerrilynn D.
AU - Campbell, Katrina L.
AU - Fouque, Denis
AU - Garibotto, Giacomo
AU - Kopple, Joel D.
AU - Kovesdy, Csaba P.
AU - Rhee, Connie M.
AU - Steiber, Alison
AU - Stenvinkel, Peter
AU - ter Wee, Pieter
AU - Teta, Daniel
AU - Wang, Angela Y. M.
AU - Kalantar-Zadeh, Kamyar
PY - 2018/1/1
Y1 - 2018/1/1
N2 - Poor nutritional status and protein-energy wasting are common among maintenance dialysis patients and associated with unfavorable outcomes. Providing foods, meal trays, snack boxes, and/or oral nutritional supplements during hemodialysis can improve nutritional status and might also reduce inflammation, enhance health-related quality of life, boost patient satisfaction, and improve survival. Potential challenges include postprandial hypotension and other hemodynamic instabilities, aspiration risk, gastrointestinal symptoms, hygiene issues, staff burden, reduced solute removal, and increased costs. Differing in-center nutrition policies exist within organizations and countries around the world. Recent studies have demonstrated clinical benefits and highlight the need to work toward clear guidelines. Meals or supplements during hemodialysis may be an effective strategy to improve nutritional status with limited reports of complications in real-world scenarios. Whereas larger multicenter randomized trials are needed, meals and supplements during hemodialysis should be considered as a part of the standard-of-care practice for patients without contraindications.
AB - Poor nutritional status and protein-energy wasting are common among maintenance dialysis patients and associated with unfavorable outcomes. Providing foods, meal trays, snack boxes, and/or oral nutritional supplements during hemodialysis can improve nutritional status and might also reduce inflammation, enhance health-related quality of life, boost patient satisfaction, and improve survival. Potential challenges include postprandial hypotension and other hemodynamic instabilities, aspiration risk, gastrointestinal symptoms, hygiene issues, staff burden, reduced solute removal, and increased costs. Differing in-center nutrition policies exist within organizations and countries around the world. Recent studies have demonstrated clinical benefits and highlight the need to work toward clear guidelines. Meals or supplements during hemodialysis may be an effective strategy to improve nutritional status with limited reports of complications in real-world scenarios. Whereas larger multicenter randomized trials are needed, meals and supplements during hemodialysis should be considered as a part of the standard-of-care practice for patients without contraindications.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85038088295&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/29249295
UR - http://www.scopus.com/inward/record.url?scp=85038088295&partnerID=8YFLogxK
U2 - https://doi.org/10.1053/j.jrn.2017.10.003
DO - https://doi.org/10.1053/j.jrn.2017.10.003
M3 - Review article
C2 - 29249295
SN - 1051-2276
VL - 28
SP - 4
EP - 12
JO - Journal of Renal Nutrition
JF - Journal of Renal Nutrition
IS - 1
ER -