NDT Advance Access originally published online on October 14, 2005
Nephrology Dialysis Transplantation 2005 20(12):2620-2622; doi:10.1093/ndt/gfi192
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© The Author [2005]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
Translational Nephrology
How does leptin contribute to uraemic cachexia?
cekDepartment of Nephrology, Endocrinology and Metabolic Diseases, Medical University of Silesia, Katowice Poland
Correspondence and offprint requests to: Prof. Andrzej Wi
cek FRCP (Edin.), Department of Nephrology, Endocrinology and Metabolic Diseases, Medical University of Silesia, Francuska 20/24 Str. 40-027 Katowice/Poland. Email: awiecek@spskm.katowice.pl
Keywords: leptin; malnutrition
| The first 150 words of the full text of this article appear below. |
Malnutrition (wasting or cachexia) is frequently observed in uraemic patients, both in the predialysis phase and during renal replacement therapy [1,2]. According to the DOPPS, every 4th to 5th dialysis patient suffers from moderate or severe malnutrition [3]. It was also found that dietary energy and protein intakes are inadequate in the majority of haemodialysis patients [4]. For many years, it has been known that wasting or cachexia is an important predictor of morbidity and mortality due to cardiovascular and infectious diseases among uraemic patients [5]. However, the pathophysiology of wasting in these patients is very complex and not entirely known [6]. Several factors contribute to proteinenergy malnutrition in patients with end-stage renal disease (ESRD) including: metabolic acidosis, chronic inflammation, low protein diet, resistance to anabolic hormones and anorexia [7]. The discovery of leptin immediately stimulated
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