Long intermittent hemodialysis and salt control

Abstract

Long intermittent hemodialysis can be expected to maintain a good nutritional status by providing a high degree of freedom in dietary habits, stabilizing appetite and securing food intake. Dietary guidelines are intended for standard dialysis patients and not for long intermittent hemodialysis. Also, there is no report on its proper nutrient intake. Energy and other nutritional requirements, including salt management, must be considered through an individual nutritional assessment. On the other hand, a high degree of freedom in dietary habits means that people can eat without worrying about the intake of potassium and phosphorus, which are generally restricted, but this is not a complete free diet. Even in long intermittent hemodialysis, salt management is important for body fluid volume (body weight) management. In order to make the most of the benefits of long intermittent hemodialysis, the basic dietary guidance is to "eat well and reduce salt intake". To that end, it is necessary to practice not only the expression "eat well," but also specific salt management guidance according to diversifying lifestyles.