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. 2025 Aug 1;13(8):e70714.
doi: 10.1002/ccr3.70714. eCollection 2025 Aug.

Nutritional Challenges in Hemodialysis: Managing Protein Energy Wasting While Controlling Phosphorus

Jiaxiu Deng  1 , Weixiang Luo  2 , Xiumei Hu  1 , Chao Yang  1
Affiliations

Nutritional Challenges in Hemodialysis: Managing Protein Energy Wasting While Controlling Phosphorus

Jiaxiu Deng et al. Clin Case Rep. .

Abstract

We present a case of a 72-year-old male on maintenance Hemodialysis, with protein energy wasting and mild phosphoremia managed through targeted nutritional intervention that focused on high-biological value protein intake while maintaining phosphorus control. A multimodality approach including dietary modification and supplementation led to improvement in overall nutritional status.

Keywords: constipation; maintenance hemodialysis; nutritional management; protein energy wasting.

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Conflict of interest statement

The authors have nothing to report.

References

    1. Mehrotra R. and Kopple J., “Causes of Protein‐Energy Malnutrition in Chronic Renal Failure,” in Nutritional Management of Renal Disease, 2nd ed., ed. Kopple J. and Massry S. (Lippincott Williams & Wilkins, 2003).
    1. Fouque D., Kalantar‐Zadeh K., Kopple J., et al., “A Proposed Nomenclature and Diagnostic Criteria for Protein‐Energy Wasting in Acute and Chronic Kidney Disease,” Kidney International 73 (2008): 391–398. - PubMed
    1. Kovesdy C. P., Kopple J. D., and Kalantar‐Zadeh K., “Management of Protein‐Energy Wasting in Non‐Dialysis‐Dependent Chronic Kidney Disease: Reconciling Low Protein Intake With Nutritional Therapy,” American Journal of Clinical Nutrition 97 (2013): 1163–1177. - PMC - PubMed
    1. Nitta K. and Tsuchiya K., “Recent Advances in the Pathophysiology and Management of Protein‐Energy Wasting in Chronic Kidney Disease,” Renal Replacement Therapy 2 (2016): 1–12.
    1. Carrero J. J., Thomas F., Nagy K., et al., “Global Prevalence of Protein‐Energy Wasting in Kidney Disease: A Meta‐Analysis of Contemporary Observational Studies From the International Society of Renal Nutrition and Metabolism,” Journal of Renal Nutrition 28 (2018): 380–392. - PubMed

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