Juillard Laurent, Guebre-Egziabher Fitsum, Fouque Denis
Département de Néphrologie, Hôpital Edouard Herriot, Lyon, France.
Nephrol Ther. 2010 Feb;6 Suppl 1:S2-6. doi: 10.1016/S1769-7255(10)70004-3.
Nutritional guidelines are scarce for patients receiving maintenance hemodialysis. In this review, we address the recent European guidelines released in 2007. They include diagnosis and follow-up criteria for malnutrition to be performed routinely. They provide new values for protein and energy requirements, based on physical activity. Vitamins and trace elements requirements are proposed. The renutrition therapies are addressed, i.e., oral supplement, enteral and intradialytic parenteral nutrition. Finally, androgens, quotidian dialysis and acidosis treatment are also considered.
