J Korean Med Assoc.  2013 Jul;56(7):592-599. 10.5124/jkma.2013.56.7.592.

Anemia and nutrition in end stage renal disease patient

  • 1Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea. nhk111@chonnam.ac.kr


Anemia and malnutrition are common complications of end-stage renal disease. They increase the morbidity and mortality of end-stage renal disease patients and affect their quality of life. However, the mechanisms of anemia and malnutrition are already known, and their therapeutic guidelines are being established. Appropriate iron supplementation and the development of erythropoiesis-stimulating agents have made anemia easier to manage than in the past. In addition, adequate protein and calorie intake have allowed end-stage renal disease patients to maintain a neutral or positive nitrogen balance. These therapeutic approaches have decreased the morbidity and mortality of these end-stage renal disease patients. This review is a summary of the treatment of anemia and nutrition in end-stage renal disease, based on the Kidney Disease Outcomes Quality Initiative (KDOQI) guideline on anemia and other anemia guidelines, and also on the KDOQI guideline on nutrition and European Best Practice Guideline (EBPG) on nutrition.


Anemia; Nutrition; Hematinics; Protein-energy malnutrition
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