Nutritional and metabolic response to catabolic stress in uremia
| Autor: | Joel D. Kopple, Michael J. Blumenkrantz, G P Grodstein |
|---|---|
| Rok vydání: | 1980 |
| Předmět: |
Adult
Male medicine.medical_specialty Nitrogen balance Nitrogen medicine.medical_treatment Medicine (miscellaneous) Peritonitis Peritoneal dialysis Renal Dialysis Stress Physiological Internal medicine medicine Humans Nutritional Physiological Phenomena Nitrogen cycle Uremia Nutrition and Dietetics business.industry Albumin Blood Proteins Middle Aged medicine.disease Blood proteins Endocrinology Chronic Disease Kidney Failure Chronic Female Hemodialysis business Peritoneal Dialysis |
| Zdroj: | The American Journal of Clinical Nutrition. 33:1411-1416 |
| ISSN: | 0002-9165 |
| DOI: | 10.1093/ajcn/33.7.1411 |
| Popis: | Metabolic balance studies were conducted in five nondialyzed chronically uremic patients and four patients undergoing maintenance hemodialysis or peritoneal dialysis who had sustained an acute intercurrent illness. Nitrogen balance became negative in all patients. In eight patients who did not have marked fluid removal, serum total protein, albumin and transferrin fell significantly. Negative nitrogen balance was caused by three factors: 1) decreased nitrogen intake, which wasn't always readily apparent 2) increased urea nitrogen appearance, and 3) in peritoneal dialysis patients with peritonitis, protein losses into dialysate. In the chronically uremic patients, urea nitrogen appearance correlated closely with total nitrogen output and appears to be a good predictor of total nitrogen losses. |
| Databáze: | OpenAIRE |
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