O benefício da terapia nutrológica parenteral intradialítica

• Autor(a) principal: Machado, Renata Silva
• Data de Publicação: 2022
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: International Journal of Nutrology (Online)
• Texto Completo: https://ijn.zotarellifilhoscientificworks.com/index.php/ijn/article/view/128
• topic: intradialytic parenteral nutrition; chronic kidney disease; protein energy malnutrition

Protein-calorie malnutrition affects 20 to 70% of patients with chronic renal failure (CRF) in hemodialysis treatment (HD), contributing to the high morbidity and mortality rates. The intradialytic parenteral nutrition (IPN) is a therapeutic option for the improvement of nutritional status. Objective: To review the role of intradialytic parenteral nutrition (NPID) as a form of nutritional supplementation for patients with chronic kidney disease on hemodialysis. Conclusion: Malnutrition is common in chronic renal failure patients on hemodialysis and negatively affects prognosis. Most of these patients have low energy and protein in the diet, thus, specific nutritional supplements for kidney disease are needed to meet the energy requirements and protein. The NPID seems to be favorable for long-term improvement of the HD patient’s nutritional status, showing effective in reversing the protein hypercatabolism and increased energy expenditure that occurs during HD. However, it is worth mentioning that NPID presents higher cost to oral nutritional therapy and enteral. Thus, the cost-effectiveness of this access route should be further investigated.