These changes were effectively inhibited by telmisartan or oxacalcitriol, but the combination treatment most effectively reduced these effects. Conclusion: These data demonstrate that application of a renin-angiotensin system blocker plus a vitamin D analog effectively prevents renal injury in adriamycin-induced nephropathy. The observed anti-apoptotic effects in podocytes may be partly attributable to the amelioration of renal injury. WU PEI-YU1, WONG TE-CHIH1, CHIU YI-FANG1, CHEN HSI-HSIEN2, CHIU YI-FANG1, LU YU-JU1, YANG SHWU-HUEY1 1School of Nutrition and Health sciences, Taipei Medical University; 2Division of Nephrology, Taipei Medical University Hospital Introduction: Inadequate
dietary energy intake is a major risk factors of malnutrition. In the previous studies, Taiwan hemodialysis (HD) patients have lower energy intake find more than recommendation of National Kidney Foundation Kidney Disease Outcomes, Quality Initiative (K/DOQI), or the value from some energy predicted equations, but these HD patients always do not have presented as malnutrition. Different body compositions and total energy requirement among Asian, Caucasian and African American. However, seldom paper focuses on the energy requirement of Asian HD patients. Therefore, we try to comparing the energy requirement with indirect measurement, energy prediction equations, and K/DOQI recommendation. Methods: A
cross-sectional study was conducted from September 2013 to December 2013. Forty-three chronic HD patients PF-562271 manufacturer were recruited from hemodailysis center of Taipei Medical University Hospital, Taiwan. Resting energy expenditure (REE) was measured by indirect calorimeter (MedGem, Microlife USA). Using Harris and Benedict equation and Schofield equation to predicted REE. Total energy expenditure (TEE) was calculated as REE multiplied by the mean
value of the physical activity level factor for sedentary adults (1.55) and stress factor (1). All TEE values were compared with the energy intake recommendation from K/DOQI. Besides, the body composition was evaluated by Bioelectrlcal Impedance Analysis method. Results: The mean value of REE measurement was 1049.8 ± 229.8 kcal/day, Dichloromethane dehalogenase Harris and Benedict equation REE value was1307.8 ± 151.7 kcal/day and Schofield equation was1362.3 ± 137.3 kcal/day. Energy of REE measurement were significantly lower than REE predicted equation (P < 0.0001). In female or at least 60 years old subjects, REE value predicted by Schofield equation was also higher than value predicted by Harris and Benedict equation (P < 0.05). Muscle mass was positively associated with REE measurement. REE measurement multiplied by the physical activity level factor and calculated the TEE(measurement). The TEE(measurement) was significantly lower than the K/DOQI recommendation. Conclusion: In this study, REE in Taiwan HD patients may lower than predicted value from Harris and Benedict equation and Schofield equation.