Malnutrition

40-50% of HD and PD patients are malnourished. Affects morbidity and mortality rates. Very difficult to reverse once evident.

Causes:

Increased hospital admissions
Infections
Inadequate dialysis/ acidosis
High nutritional requirement
Limited fluid intake
Intra-abdominal pressure in CAPD
Social/ lifestyle


Concurrent illness
Uraemia
Drugs
Anaemia
Restrictive diets
Depression
Economic factors