Abstract:

Abstract: Protein - energy malnutrition (PEM) is very prevalent in peritoneal dialysis (PD) patients, and is a strong predictor of mortality. The various factors can lead to the PD patients PEM and related energy consumption (PEM/W), wherein the sustained inflammatory state and diabetes has been identified as leading to two of the main reasons of the PEM/W. It has been reported that part of the method can be used for early detection of PEM/W, and provide appropriate interventions. Although the assessment of the nutritional status in PD patients has been greatly improved, but no single method was used to assess nutritional status. PEM/W in PD patients is more complex, and can be evaluated by a number of different indicators of nutrition. Therefore, the traditional methods such as nutritional support, non-traditional strategies, appetite stimulants, anti-inflammatory drugs preparations combination are provided a better method to improve the PEM/W. This review briefly discusses the reasons of PEM/W and provides a way for the identification and management of different causes of PEM/W.

Key words: protein - energy malnutrition  , peritoneal dialysis  , inflammatory response , diabetes