Nutrition in Acute Renal Failure

  • Eben I. Feinstein
Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 212)


Malnutrition and loss of lean body mass are common occurrences in patients with acute renal failure. The degree of wasting is variable: it is likely that those patients who have the highest catabolic stress tend to be the sickest patients, the ones with the most number of co-morbid events, and those with the highest mortality rate. Indeed, a recent review of a large number of patients with acute renal failure listed hypercatabolism as one of the significant risk factors for poor outcome (1). Inadequate nutrition may affect outcome by impairing immune responses to infection and by slowing wound healing. This review will deal with several aspects of the nutritional therapy of patients with acute renal failure: the causes and mediators of the catabolic process in these patients, the role of amino acid infusions and caloric intake in nutritional therapy and finally the newer techniques for maintaining fluid balance during nutritional therapy in the oliguric patient.


Acute Renal Failure Essential Amino Acid Nitrogen Balance Acute Tubular Necrosis Nutritional Therapy 
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Copyright information

© Plenum Press, New York 1987

Authors and Affiliations

  • Eben I. Feinstein
    • 1
  1. 1.University of Southern California School of MedicineLos AngelesUSA

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