Resting energy expenditures in chronic kidney disease patients before, during, and after hemodialysis

A study in the Journal of Medical Technology and Physical Therapy investigates the variability of Resting Energy Expenditure in hemodialysis patients.

Hemodialysis procedures of a long duration of 3–4 h may possibly affect resting energy expenditure (REE), leading to post-dialysis symptoms in chronic kidney disease (CKD). The purpose of this study was to continuously investigate (with indirect calorimetry) REE before, during, and after hemodialysis in CKD patients.

The findings show that "there were significantly changes in REE before, during, and after hemodialysis, and REE during hemodialysis was highest. VO2 immediately increased after hemodialysis, and RER during hemodialysis was higher than that after hemodialysis, which indicated patients changed the sources of energy utilization from fat and carbohydrate to only carbohydrate. Therefore, ingredients of food intake should be considered before hemodialysis".

The study can be downloaded for free at the following link: click here