[Impact of the adjunction of boiled-egg during the chronic hemodialysis session on the nutrition state]

Nephrol Ther. 2018 Dec;14(7):531-535. doi: 10.1016/j.nephro.2018.02.022. Epub 2018 Apr 27.
[Article in French]

Abstract

Denutrition for chronic hemodialysed patients is common and severe, often the first step of many complication and comorbidities. This work was aimed to study the impact of the adjunction of hard-boiled egg during six months, at the time of the hemodialysis session, if the classic nutritional support with oral nutritional supplements and intradialytic parenteral nutrition has failed. Required criteria were: Albuminemia, prealbuminemia and Moreau and Gaudry's score. Thirty-six patients have been included. During the six months, the following nutritional parameters have improved: Moreau and Gaudry's score decreased of 0.27, C reactive protein of 9.44 mg/L. Albuminemia improved of 3.53 g/L in average, pre-albuminemia of 0.2 g/L, and normalized Protein catabolic rate of 0.01 g/kg/day. Half of the patients were successful to stop the intradialytic parenteral nutrition. Protein adjunction with hard-boiled egg during chronic hemodialysis session, on top of the classic dietetic support has improved nutritional patient status.

Keywords: Albumine; Albuminemia; Chronic renal failure; Denutrition; Dénutrition; Hemodialysis; Hémodialyse; Insuffisance rénale chronique; Mortality; Mortalité.

Publication types

  • Observational Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Eggs
  • Follow-Up Studies
  • France
  • Humans
  • Kidney Failure, Chronic / complications
  • Kidney Failure, Chronic / therapy
  • Middle Aged
  • Nutritional Status
  • Nutritional Support / methods*
  • Parenteral Nutrition / statistics & numerical data
  • Prospective Studies
  • Protein-Energy Malnutrition / diet therapy*
  • Protein-Energy Malnutrition / etiology
  • Renal Dialysis / adverse effects*
  • Renal Dialysis / statistics & numerical data