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Malnutrition in Chronic Kidney Disease and Relationship to Quality of Life

  • B. Kalender
Reference work entry

Abstract:

Protein-energy  malnutrition and impaired quality of life are the most important complications of chronic kidney disease. Several factors such as inadequate nutrient intake due to anorexia, metabolic acidosis and chronic inflammation can contribute to malnutrition of patients with chronic kidney disease. Risk of hospitalization and mortality is inversely correlated to nutritional markers. Quality of life of patients with chronic kidney disease is worse than that of the healthy controls. Besides chronic kidney disease itself, the impairment in quality of life can be related to its complications such as anemia, malnutrition, as well as comorbid conditions, such as diabetes and cardiovascular disease. While much of the data about the relationship between the patient’s nutritional state and quality of life have been obtained in dialysis patients, there is convincing evidence that malnutrition begins earlier in chronic kidney disease and affects the self-perceived quality of life of the patients. It has been shown that quality of life is an important factor that predicts morbidity and mortality. To improve the quality of life, patients with chronic kidney disease should be referred to nephrology units without delay, so that complications and comorbid conditions could be managed appropriately.

Keywords

Chronic Kidney Disease Glomerular Filtration Rate Peritoneal Dialysis Dialysis Patient Chronic Kidney Disease Patient 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

List of Abbreviations:

BDI

Beck depression inventory

CKD

chronic kidney disease

CRP

C-reactive protein

GFR

glomerular filtration rate

KDQOL

kidney disease quality of life

KDQOL-SF

kidney disease quality of life short form

MIA

malnutrition, inflammation, atherosclerosis

PEM

protein-energy malnutrition

QOL

quality of life

SF-36

medical outcomes study short form 36

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Copyright information

© Springer Science+Business Media LLC 2010

Authors and Affiliations

  • B. Kalender
    • 1
  1. 1.Faculty of Medicine, Departments of NephrologyUniversity of KocaeliTurkeyTurkey

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