Introduction: The slowed down progression of chronic kidney disease (CKD) is related to the application of restrictive diets and insufficient protein and energy intake. That is why the authors’ goal is to research the prerequisites for the appearance of protein deficiency in those patients.
Aim: The aim of this article is to research the prerequisites for the appearance of protein-energy malnutrition (PEM) in patients with CKD undergoing replacement therapy.
Materials and Methods: The received data about the intake of fruit and vegetables is collected with the help of a questionnaire survey of 140 patients divided into two groups: the first group is comprised of patients with a concomitant kidney disease on chroniohemodialisys with a different prescription, and the second - a healthy control group.
Results: The results show that almost half of the patients with CKD (47.10%) have a reduced protein intake. A significant statistical dependence was established between the affiliation of the group and the frequency of protein food consumption (P<0.01).
Conclusion: As a result of the study establishes a tendency for a reduced intake of protein foods in patients with CKD has been established.
Schaeffer G, Heinze V, Jontofsohn R, et al. Amino acid and protein intake in RDT patients. A nutritional and biochemical analysis. Clin Nephrol. 1975;3(6):228-233.
Mattern WD, Hak LJ, Lamanna RW, Teasley KM, Laffell MS. Malnutrition, altered immune function, and the risk of infection in maintenance hemodialysis patients. Am J Kidney Dis. 1982;1(4):206-218. doi:10.1016/s0272-6386(82)80055-3
Schoenfeld PY, Henry RR, Laird NM, Roxe DM. Assessment of nutritional status of the National Cooperative Dialysis Study population. Kidney Int Suppl. 1983;(13):80-88.
Garibotto G, Valli A, Anderstam B, Eriksson M, Suliman ME, Balbi M, et al. The kidney is the major site of S-adenosylhomocysteine disposal in humans. Kidney Int. 2009 ;76(3):293–296.
Marcenes W, Steele JG, Sheiham A, Walls AW. The relationship between dental status, food selection, nutrient intake, nutritional status, and body mass index in older people. Cad Saude Publica. 2003;19(3):809-816. doi:10.1590/s0102-311x2003000300013
Lamy M, Mojon P, Kalykakis G, Legrand R, Butz-Jorgensen E. Oral status and nutrition in the institutionalized elderly. J Dent. 1999;27(6):443-448. doi:10.1016/s0300-5712(99)00002-0
N'gom PI, Woda A. Influence of impaired mastication on nutrition. J Prosthet Dent. 2002;87(6):667-673. doi:10.1067/mpr.2002.123229
Dion N, Cotart JL, Rabilloud M. Correction of nutrition test errors for more accurate quantification of the link between dental health and malnutrition. Nutrition. 2007;23(4):301-307. doi:10.1016/j.nut.2007.01.009
De Marchi RJ, Hugo FN, Hilgert JB, Padilha DM. Association between oral health status and nutritional status in south Brazilian independent-living older people. Nutrition. 2008;24(6):546-553. doi:10.1016/j.nut.2008.01.054
Shay K, Ship JA. The importance of oral health in the older patient. J Am Geriatr Soc. 1995;43(12):1414-1422. doi:10.1111/j.1532-5415.1995.tb06624.x
Ritchie CS, Joshipura K, Hung HC, Douglass CW. Nutrition as a mediator in the relation between oral and systemic disease: associations between specific measures of adult oral health and nutrition outcomes. Crit Rev Oral Biol Med. 2002;13(3):291-300. doi:10.1177/154411130201300306
Savoca MR, Arcury TA, Leng X et al. Severe tooth loss in older adults as a key indicator of compromised dietary quality. Public Health Nutr 2010;13:466–474.
Samnieng P, Ueno M, Shinada K, Zaitsu T, Wright FA, Kawaguchi Y. Oral health status and chewing ability is related to mini-nutritional assessment results in an older adult population in Thailand. J Nutr Gerontol Geriatr. 2011;30(3):291-304. doi:10.1080/21551197.2011.591271
Adiatman M, Ueno M, Ohnuki M, Hakuta C, Shinada K, Kawaguchi Y. Functional tooth units and nutritional status of older people in care homes in Indonesia. Gerodontology. 2013;30(4):262-269. doi:10.1111/j.1741-2358.2012.00673.x
Bonanni, A.; Mannucci, I.; Verzola, D.; Sofia, A.; Saffioti, S.; Gianetta, E.; Garibotto, G. Protein-Energy Wasting and Mortality in Chronic Kidney Disease. Int. J. Environ. Res. Public Health 2011, 8, 1631-1654.
Sato M, Ido Y, Yoshimura Y, Mutai H. Relationship of Malnutrition During Hospitalization With Functional Recovery and Postdischarge Destination in Elderly Stroke Patients. J Stroke Cerebrovasc Dis. 2019;28(7):1866-1872. doi:10.1016/j.jstrokecerebrovasdis.2019.04.012
Miller SL, Wolfe RR. The danger of weight loss in the elderly. J Nutr Health Aging. 2008;12(7):487-491. doi:10.1007/BF02982710
