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Table 4 Trends in nutrition management and physical and mental functions

From: Rehabilitation nutrition support for a hemodialysis patient with protein-energy wasting and sarcopenic dysphagia: a case report

Hospital day Admission On day 7 On day 15 On day 29 On day 42 On day 64 On day 78 On day 92 Discharge
On day 108
Nutrition management Nutrition route NG NG and oral nutrition Oral nutrition
Nutrition menu Nutrient for renal failure Nutrient for renal failure + Pureed Nutrient for renal failure + Pureed Pureed + ONS Rice porridge and soft food + ONS Diet for dialysis (soft and bite-sized) Diet for dialysis (soft and bite-sized) Diet for dialysis Diet for dialysis
Energy (kcal) 1200 1500 + 300 1500 + 300 1400 + 300 1400 + 300 1800 1800 2000 2000
Protein (g) 42.0 53.2 53.2 66.7 66.7 60.0 60.0 65.0 65.0
Nutrition index GNRI 63 70 75 77 79
MNA-SF (point) 1 10
nPCR (g/kg/day) 0.5 0.69 0.8 0.86 0.89
%CGR 71 76 87 95 95
Biochemical examination Albumin (g/dL) 2.1 2.3 2.6 2.9 2.9 2.9 3.0 3.1
CRP (mg/dL) 0.22 0.30 0.24 0.20 0.26
Potassium (mg/dL) 3.5 3.8 4.1 4.2 4.5 4.8 4.7 5.0
Phosphorus (mg/dL) 3.3 3.6 4.2 4.0 4.5 4.9 4.8 5.1
Sodium (mEq/L) 140 141 140 140 139 140 142 140
Blood urea nitrogen (mg/dL) 41.6 42.8 43.9 49.8 57.5 62.5 62.2 70.5
Creatinine (mg/dL) 7.38 7.41 7.51 8.30 8.45 8.55 9.22 9.50
Cardiothoracic ratio (%) 56.8 51.5 50.5 51.5
Physical assessment FIM (point) 58 82 115
Grip strength; right (kg) 15 15 16 18
Grip strength; left (kg) 18 17 18 20
FILS 3 4 7 9 10
Dry weight (kg) 46.5 46.0 45.8 46.0 46.5 47.0 47.5
CC (cm) 28.0 28.2 28.4 28.8 29.1
  1. Abbreviations: CC calf circumference, CRP C-reactive protein, FIM Functional Independence Measure, FILS Food Intake Level Scale, GNRI Geriatric Nutritional Risk Index, MNA-SF Mini Nutritional Assessment Short-Form, NG nasogastric tube, nPCR normalized protein catabolic rate, ONS oral nutritional supplements, %CGR % creatinine generation rate