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CAPD환자의 식사요법

Dietary Management for the Patients on CAPD

대한의학협회지 1961년 4권 1호 p.31 ~ 33
엄영람,
소속 상세정보
엄영람 (  ) - 연세의료원 영양과

Abstract

The dietary management of the patients on CAPD is important for the maintenance of the optimal nutritional state.
The nutritional requirements for the patients on CAPD may be greater than the normal because proteins, amino acids and other water-soluble nutrients are lost into the dialysate.
The intake of 1.2 to 1.3 흐 of high biological value protein per kilogram of ideal body weight per day is recommended. Higher amounts are prescribed in case of protein malnutrition or peritonitis.
The energy intake of 35 to 42 kcal per kilo-gram of ideal body weight per day is recommen? ded, but there is a substantial energy intake from the glucose absorbed from dialysate. So dietary caloric intake should be modified, taking into account calories absorbed from dialysate.
The hypertriglyceridemia often seen in the patients on CAPD is reduced when the dietary intake of carbohydrate is reduced to 50% of total calories or less and the intake of polyunsaturated :fats is increased.
Sodium, potassium and fluid intake are moderately restricted according to water balance, serum sodium and serum potassium.
Daily recommended dietery phosphorus intake is 800 to 1, 200 mg. High phosphorus foods such as whole grains, nuts and legumes should be limited(one serving per week).
Deficiency of certain water-solube vitamins can result from CAPD. Daily supplements of water-soluble vitamins and the recommended allowances for the other vitamins should be prescribed.

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