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Dialysis efficacy and nutritional status in elderly hemodialyzed patients

Dialysis efficacy and nutritional status in elderly hemodialyzed patients,10.1007/BF00249631,Geriatric Nephrology and Urology,Kinya Hiroshige I,Naruto

Dialysis efficacy and nutritional status in elderly hemodialyzed patients  
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To examine the effect of dialysis efficacy on nutritional status. Prospective, nonrandomized comparison study over a 24-month period. Sixty-nine chronic hemodialysis patients (36 patients aged over 65 (elderly) and 33 aged under 64 (young). Each group was further divided into three subgroups according to the level of dialysis dose shown by Kt/V urea. The malnutrition index (MI) based on seven nutritional parameters and estimated protein calorie intakes based on urea kinetics were determined. In subgroup 0 (i.e. patients with persistently high Kt/V urea, mean 1.3), the MI improved with time in the young (from 26.8 to 25.2, p p p < 0.01) and young (from 28.5 to 30.7, ns). Increasing the dialysis dose as a treatment for malnutrition does not necessarily improve nutritional status in malnourished elderly patients, but it does in young individuals, possibly because of the additional adverse effect of aging on nutrition.
Journal: Geriatric Nephrology and Urology , vol. 6, no. 3, pp. 149-158, 1997
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