Tina Jafari
1,2*1 Medical Plants Research Center, Shahrekord University of Medical Sciences, Sharhekord, Iran
2 Department of Biochemistry and Nutrition, Faculty of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran
Abstract
Protein-energy malnutrition is considered as a highly prevalent serious problem in patients on maintenance hemodialysis (MHD). Increased oxidative stress, inflammation, and uremic toxins lead to protein catabolism and anorexia. Dietary limitations as a part of therapeutic procedure restrict intake of total energy and nutrients. Dietary assessment of patients on MHD is usually ignored in dialysis units and patients often do not receive sufficient energy and nutrients. Expert dieticians aware of chronic kidney disease (CKD) stage and dialysis can provide acceptable dietary assessment of patients on MHD. Frequent food recalls or records and training the patients before nutritional evaluation on the standard scales are important for nutritional assessments.