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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?

Andrzej Wicek

Department of Nephrology, Endocrinology and Metabolic Diseases, Medical University of Silesia, Katowice Poland

Correspondence and offprint requests to: Prof. Andrzej Wicek 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 protein–energy 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 . . . [Full Text of this Article]


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