Poor Nutritional Status in CKD
- Protein-energy wasting (PEW) is a state of metabolic and nutritional derangements which is common in
patients with CKD and ESRD
- The prevalence of PEW has been reported to be 20–25% in early to moderate CKD and increases as
- Cumulative evidence suggests that PEW, muscle wasting, and cachexia are common and strongly
associated with mortality in CKD
Complications include :-
Bone and mineral disorder
Infection and decreased quality of life
Adequate energy supplementation combined with low-protein diet (LPD) for the management of CKD may prevent the development of Protein PEW and can improve adherence to LPD.
The dietary protein requirement may increase with aging and is higher under dialysis therapy.
The advantages of oral nutritional supplements include proven efficacy, safety, compliance and is effective in replenishing protein and energy stores.