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Protein-energy malnutrition in chronic kidney disease

DOI: https://doi.org/10.29296/25877305-2021-01-06
Issue: 
1
Year: 
2021

T. Zueva, Candidate of Medical Sciences; S. Urazlina; Professor T. Zhdanova, MD Ural State
Medical University, Yekaterinburg

Chronic kidney disease (CKD) creates a pathological environment with metabolic disorders that affect nutrient intake, metabolism, and energy expenditure, leading to malnutrition and increasing the risk of morbidity and mortality. Successful management of protein-energy malnutrition (PEM) in patients with CKD requires a comprehensive approach to assessment and therapeutic intervention. This needs a deep understanding of the complex mechanisms involved in the development of protein energy depletion and malnutrition in CKD. This literature review deals with the topical issues of malnutrition in CKD: epidemiology, pathophysiology, diagnostic methods, outcomes, and treatment principles.

Keywords: 
nephrology
protein-energy malnutrition
chronic kidney disease
malnutrition
dialysis



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