As we grow old: nutritional considerations for older patients on dialysis

Lina Johansson, Denis Fouque, Vincenzo Bellizzi, Philippe Chauveau, Anne Kolko, Pablo Molina, Siren Sezer, Pieter M Ter Wee, Daniel Teta, Juan J Carrero, European Renal Nutrition (ERN) Working Group of the European Renal Association–European Dialysis Transplant Association (ERA-EDTA)

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

The number of older people on dialysis is increasing, along with a need to develop specialized health care to manage their needs. Aging-related changes occur in physiological, psychosocial and medical aspects, all of which present nutritional risk factors ranging from a decline in metabolic rate to assistance with feeding-related activities. In dialysis, these are compounded by the metabolic derangements of chronic kidney disease (CKD) and of dialysis treatment per se, leading to possible aggravation of protein-energy wasting syndrome. This review discusses the nutritional derangements of the older patient on dialysis, debates the need for specific renal nutrition guidelines and summarizes potential interventions to meet their nutritional needs. Interdisciplinary collaborations between renal and geriatric clinicians should be encouraged to ensure better quality of life and outcomes for this growing segment of the dialysis population.

Original languageEnglish
Pages (from-to)1127-1136
Number of pages10
JournalNephrology, Dialysis, Transplantation
Volume32
Issue number7
DOIs
Publication statusPublished - 1 Jul 2017

Cite this

Johansson, L., Fouque, D., Bellizzi, V., Chauveau, P., Kolko, A., Molina, P., ... European Renal Nutrition (ERN) Working Group of the European Renal Association–European Dialysis Transplant Association (ERA-EDTA) (2017). As we grow old: nutritional considerations for older patients on dialysis. Nephrology, Dialysis, Transplantation, 32(7), 1127-1136. https://doi.org/10.1093/ndt/gfw201