#nutritional intervention

A study was conducted to assess the nutritional status of CKD patients visiting Dr. B. R. A. Memorial hospital & Pt. J. N. M. medical College Raipur (c.g.) .A total of 50 subject from both sexes having means age 49.61+_15.28 years undergoing hem dialysis were enrolled for the study. Information regarding disease history and associates co morbidities were collected from patients files. nutritional status was assessed by anthropometric measurements using body mass index (BMI).the biochemical results including kidney profile , serum electrolytes and hemoglobin were recorded from the patient's file. Dietary data was obtained by using 24- hour dietary recall and food frequency questionnaire. the results indicated that age, familial predisposition, hypertension, diabetes and heart disease increased the risk for renal failure. Protein-energy wasting (PEW) is common in patients with chronic kidney disease (CKD). PEW is one of the strongest predictors of mortality in patients with CKD. The International Society of Renal Nutrition and Metabolism (ISRNM) expert panel has defined PEW as a, 'œstate of decreased body stores of protein and energy fuels (body protein and fat masses)'. The ISRNM panel has also proposed diagnostic criteria of PEW with four categories. Cachexia is a severe form of PEW. The proposed causes of PEW are multi-factorial and include nutritional and non-nutritional mechanisms. The literature indicates that PEW can be mitigated or corrected with an appropriate diet and enteral nutritional support that targets dietary protein intake. Dietary requirements and enteral nutritional support must also be considered in patients with CKD and diabetes mellitus and in children with CKD, in addition to dialysis patients. Features of ideal dietary supplement have also been discussed. Dietary interventions such as enteral feeding with high-protein meals or supplements might improve the nutritional status and outcomes in dialysis patients.