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Effects of malnutrition on the outcomes in peritoneal dialysis patients and the treatment program.

??Abstract??Protein-energy malnutrition (PEM) is a common complication in peritoneal dialysis patients.The morbidity increases with the extension of the duration of dialysis.PEM seriously affect patients?? quality of life??hospitalization rate and mortality.The main factors leading to PEM are inflammation??diabetes??high peritoneal transporter and elder age of patients.The main countermeasures to prevent PEM in PD patients include nutritional support??use of amino acid peritoneal dialysis solution??improvement of micro-inflammatory state??adequate dialysis??better fluid volume control??correction of metabolic acidosis??and the protection of residual renal function.In addition??automated peritoneal dialysis (APD) has the advantage of delivering higher doses of dialysis??more exchanges??shorter dwelling time??and thus might be more effective in management of PEM in PD patients.