Volume 22, Issue 3 (3-2025)
sjsph 2025, 22(3): 249-264 |
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Mahmoudi M, Hajimohammadi M. A Review of Medical Nutrition Therapy in Dialysis Patients and Prevention of Malnutrition. sjsph 2025; 22 (3) :249-264
URL: http://sjsph.tums.ac.ir/article-1-6339-en.html
URL: http://sjsph.tums.ac.ir/article-1-6339-en.html
1- Ph.D. Associate Professor, Department of Cellular and Molecular Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran
2- 2- MSc. School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran ,Mina_hajimohammadi@yahoo.com
2- 2- MSc. School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran ,
Abstract: (359 Views)
Background and Aim: Assessing dietary intake and nutritional status of dialysis patients can be challenging. Accurate and regular assessment of patients ensures adequate macronutrient and micronutrient intake, thereby reducing morbidity and mortality and improving patients' quality of life.
Materials and Methods: A scientific search was conducted in scientific databases and search engines such as PubMed, Google scholar, Science Direct, and Scopus with the keywords dialysis, peritoneal dialysis, end-stage renal disease, renal failure, chronic kidney disease, nutritional needs, and nutritional assessment in English to find studies published between 2014 and 2024. A total of 18 articles were found and reviewed based on the inclusion criteria.
Results: The goals of medical nutrition therapy for the management of end-stage renal disease (ESRD) include the following: preventing nutritional deficiency and maintaining appropriate nutritional status (in children, growth support) through adequate intake of protein, energy, vitamins, and minerals; controlling edema and electrolyte imbalance by controlling sodium, potassium, and fluid intake; preventing or delaying the progression of renal osteodystrophy by controlling calcium, phosphorus, vitamin D, and parathyroid hormone; enabling the patient to consume a balanced diet that is appropriate to the patient's lifestyle to the extent possible; coordinating patient care with family, dietitians, nurses, and physicians; providing initial nutrition education, periodic counseling, and long-term monitoring of patients with the aim of receiving adequate education to be able to control their diet.
Conclusion: Dialysis is a treatment for the survival of patients with end-stage renal disease (ESRD), and nutritional care is an integral part of the patient's treatment process.
Materials and Methods: A scientific search was conducted in scientific databases and search engines such as PubMed, Google scholar, Science Direct, and Scopus with the keywords dialysis, peritoneal dialysis, end-stage renal disease, renal failure, chronic kidney disease, nutritional needs, and nutritional assessment in English to find studies published between 2014 and 2024. A total of 18 articles were found and reviewed based on the inclusion criteria.
Results: The goals of medical nutrition therapy for the management of end-stage renal disease (ESRD) include the following: preventing nutritional deficiency and maintaining appropriate nutritional status (in children, growth support) through adequate intake of protein, energy, vitamins, and minerals; controlling edema and electrolyte imbalance by controlling sodium, potassium, and fluid intake; preventing or delaying the progression of renal osteodystrophy by controlling calcium, phosphorus, vitamin D, and parathyroid hormone; enabling the patient to consume a balanced diet that is appropriate to the patient's lifestyle to the extent possible; coordinating patient care with family, dietitians, nurses, and physicians; providing initial nutrition education, periodic counseling, and long-term monitoring of patients with the aim of receiving adequate education to be able to control their diet.
Conclusion: Dialysis is a treatment for the survival of patients with end-stage renal disease (ESRD), and nutritional care is an integral part of the patient's treatment process.
Type of Study: Research |
Subject:
Public Health
Received: 2025/04/9 | Accepted: 2025/03/30 | Published: 2025/03/30
Received: 2025/04/9 | Accepted: 2025/03/30 | Published: 2025/03/30
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