High protein/energy vs. standard protein/energy nutritional regimen in the treatment of malnourished hemodialysis XXXX .

@entity1 @entity1017 @entity3147 @entity165 @entity22
Although @entity3147 is frequently encountered in @entity22 ( @entity22 ) @entity1 , a clear method of treating this complication is still lacking. Failure of nutritional support regimens may be due to inadequate support of dietary needs. Therefore, a high vs. standard or low protein/energy dietary regimen was studied in malnourished @entity22 @entity1 . A total of 18 malnourished @entity22 @entity1 selected according to subjective global assessment (SGA)-scores and biochemical indicators of @entity3147 (serum albumin <40 g/l, @entity165 <200 mg/dl, prealbumin <30 mg/dl; two out of three) were assigned to three treatment groups: (A: 45 kcal/kg/d and 1.5 g protein/kg/d; B: 35 kcal/kg/d and 1.2 g protein/kg/d; C: spontaneous intake supplemented with 10% of mean protein and energy intake). A and B received food supplements at appropriate dosing to reach the targeted nutritional intake. During 3-month follow-up nutrient intake was assessed by repeated 4-day dietary diaries. Compliance and tolerance was good in each group. Weight gain (1.2+/-0.4 kg) was observed in group A, but not in B and C. Serum albumin levels increased by 1.0+/-0.5 g/l in group A, but not in B and C. Prealbumin and @entity165 levels were unaffected. Weight change correlated with mean dietary energy intake, but not with mean dietary protein intake. We conclude that prescription of 45 kcal/kg/d and 1.5 g protein/kg/d may be necessary to achieve @entity1017 and improvement of nutritional indices in malnourished @entity22 pts. Oral food supplements can be used safely and effectively to increase nutrient intake to high levels in these @entity1 .
