Causes of Poor Appetite in Patients on Peritoneal Dialysis
Anorexia is common in patients with chronic kidney disease and is a main contributor to the high prevalence of protein-energy wasting in them. The peritoneal dialysis (PD) procedure may further impair appetite by causing abdominal discomfort and also through the absorption of the osmotic agent and o...
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| Veröffentlicht in: | Journal of renal nutrition 2011, Vol.21 (1), p.12-15 |
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| creator | Chung, Sung Hee, RN, PhD Carrero, Juan Jesús, Pharm, PhD Lindholm, Bengt, MD, PhD |
| description | Anorexia is common in patients with chronic kidney disease and is a main contributor to the high prevalence of protein-energy wasting in them. The peritoneal dialysis (PD) procedure may further impair appetite by causing abdominal discomfort and also through the absorption of the osmotic agent and other factors. An increased peritoneal solute transport rate has been linked to protein-energy wasting and also to the malnutrition, inflammation, and atherosclerosis syndrome, which has been associated to poor appetite and plays a role in most premature deaths in these patients. The pathogenesis of these associations is unclear. In this review, we discuss the effect of PD, in particular, PD solutions, inflammation, and increased peritoneal solute transport rate, on appetite. We also describe strategies to increase appetite in PD patients. |
| doi_str_mv | 10.1053/j.jrn.2010.10.010 |
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The peritoneal dialysis (PD) procedure may further impair appetite by causing abdominal discomfort and also through the absorption of the osmotic agent and other factors. An increased peritoneal solute transport rate has been linked to protein-energy wasting and also to the malnutrition, inflammation, and atherosclerosis syndrome, which has been associated to poor appetite and plays a role in most premature deaths in these patients. The pathogenesis of these associations is unclear. In this review, we discuss the effect of PD, in particular, PD solutions, inflammation, and increased peritoneal solute transport rate, on appetite. We also describe strategies to increase appetite in PD patients.</description><identifier>ISSN: 1051-2276</identifier><identifier>EISSN: 1532-8503</identifier><identifier>DOI: 10.1053/j.jrn.2010.10.010</identifier><identifier>PMID: 21195910</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Anorexia - etiology ; Appetite ; Humans ; Kidney Failure, Chronic - complications ; Kidney Failure, Chronic - therapy ; Malnutrition - complications ; Nephrology ; Peritoneal Dialysis - adverse effects</subject><ispartof>Journal of renal nutrition, 2011, Vol.21 (1), p.12-15</ispartof><rights>National Kidney Foundation, Inc.</rights><rights>2011 National Kidney Foundation, Inc.</rights><rights>Copyright © 2011 National Kidney Foundation, Inc. Published by Elsevier Inc. 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The peritoneal dialysis (PD) procedure may further impair appetite by causing abdominal discomfort and also through the absorption of the osmotic agent and other factors. An increased peritoneal solute transport rate has been linked to protein-energy wasting and also to the malnutrition, inflammation, and atherosclerosis syndrome, which has been associated to poor appetite and plays a role in most premature deaths in these patients. The pathogenesis of these associations is unclear. In this review, we discuss the effect of PD, in particular, PD solutions, inflammation, and increased peritoneal solute transport rate, on appetite. We also describe strategies to increase appetite in PD patients.</description><subject>Anorexia - etiology</subject><subject>Appetite</subject><subject>Humans</subject><subject>Kidney Failure, Chronic - complications</subject><subject>Kidney Failure, Chronic - therapy</subject><subject>Malnutrition - complications</subject><subject>Nephrology</subject><subject>Peritoneal Dialysis - adverse effects</subject><issn>1051-2276</issn><issn>1532-8503</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUtr3DAUhUVpaJ4_oJviXVeeXEmWx26hECZPGMhA2rXQ4xrkeCxXslvm30fOTLPoIqt7dHXOWXyXkM8UFhQEv2wXbegXDF7fizQ-kBMqOMsrAfxj0iBoztiyPCanMbYAlIqKfSLHjNJa1BROyLeVmiLGzDfZxvuQXQ0Djm7EzPXZRo0O-zF9Jo3Bjb5H1WXXTnW76OI5OWpUF_HiMM_Ir9ubn6v7fP1497C6WuemKMSYU-TamKUumqUuhaptaRFq0JpqME2tsGQVAwuKFVBzZbnV1orKcF4gAuP8jOT73vgXh0nLIbitCjvplZOH1XNSKEVR1qJI_q97_xD87wnjKLcuGuw61aOfoqwY4yXUS5qcdO80wccYsHnrpiBnwrKVibCcCc-rNFLmy6F90lu0b4l_SJPh-96Aickfh0FGkzAatC6gGaX17t36H_-lTed6Z1T3jDuMrZ9Cn2BLKiOTIJ_mE88XpgDAKsH4C4Q5oGo</recordid><startdate>2011</startdate><enddate>2011</enddate><creator>Chung, Sung Hee, RN, PhD</creator><creator>Carrero, Juan Jesús, Pharm, PhD</creator><creator>Lindholm, Bengt, MD, PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ADTPV</scope><scope>BNKNJ</scope></search><sort><creationdate>2011</creationdate><title>Causes of Poor Appetite in Patients on Peritoneal Dialysis</title><author>Chung, Sung Hee, RN, PhD ; Carrero, Juan Jesús, Pharm, PhD ; Lindholm, Bengt, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c445t-1e3bcc7b4f7b65a9d6de090bb1b0cf9ae62820d0a24093ad3dbdd58c334ee0233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Anorexia - etiology</topic><topic>Appetite</topic><topic>Humans</topic><topic>Kidney Failure, Chronic - complications</topic><topic>Kidney Failure, Chronic - therapy</topic><topic>Malnutrition - complications</topic><topic>Nephrology</topic><topic>Peritoneal Dialysis - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chung, Sung Hee, RN, PhD</creatorcontrib><creatorcontrib>Carrero, Juan Jesús, Pharm, PhD</creatorcontrib><creatorcontrib>Lindholm, Bengt, MD, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Conference</collection><jtitle>Journal of renal nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chung, Sung Hee, RN, PhD</au><au>Carrero, Juan Jesús, Pharm, PhD</au><au>Lindholm, Bengt, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Causes of Poor Appetite in Patients on Peritoneal Dialysis</atitle><jtitle>Journal of renal nutrition</jtitle><addtitle>J Ren Nutr</addtitle><date>2011</date><risdate>2011</risdate><volume>21</volume><issue>1</issue><spage>12</spage><epage>15</epage><pages>12-15</pages><issn>1051-2276</issn><eissn>1532-8503</eissn><abstract>Anorexia is common in patients with chronic kidney disease and is a main contributor to the high prevalence of protein-energy wasting in them. The peritoneal dialysis (PD) procedure may further impair appetite by causing abdominal discomfort and also through the absorption of the osmotic agent and other factors. An increased peritoneal solute transport rate has been linked to protein-energy wasting and also to the malnutrition, inflammation, and atherosclerosis syndrome, which has been associated to poor appetite and plays a role in most premature deaths in these patients. The pathogenesis of these associations is unclear. In this review, we discuss the effect of PD, in particular, PD solutions, inflammation, and increased peritoneal solute transport rate, on appetite. We also describe strategies to increase appetite in PD patients.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>21195910</pmid><doi>10.1053/j.jrn.2010.10.010</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Journal of renal nutrition, 2011, Vol.21 (1), p.12-15 |
| issn | 1051-2276 1532-8503 |
| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Anorexia - etiology Appetite Humans Kidney Failure, Chronic - complications Kidney Failure, Chronic - therapy Malnutrition - complications Nephrology Peritoneal Dialysis - adverse effects |
| title | Causes of Poor Appetite in Patients on Peritoneal Dialysis |
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