Protein-Energy Wasting

Reference work entry


An expert panel of the International Society of Renal Nutrition and Metabolism (ISRNM) has recommended the term Protein-Energy Wasting for loss of body protein mass and fuel reserves that may occur in patients with chronic kidney disease. Protein-energy wasting is diagnosed if three characteristics are present: (1) low serum levels of albumin, transthyretin, or cholesterol, (2) reduced body mass (low or reduced body or fat mass or weight loss with reduced intake of protein and energy), and (3) reduced muscle mass (muscle wasting or sarcopenia, reduced mid-arm muscle circumference).


Chronic Kidney Disease Kidney Disease Muscle Mass Social Policy International Society 

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© Springer Science+Business Media LLC 2010

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