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The Protein-Energy Wasting Syndrome in Chronic Kidney Disease

Program Date: 17 June 2021

Publication Date: 17 June 2021

Continuing Education Units: Nurse Contact: 0.5; Dietitian CPEU: 0.5

Course Description:

In this course, you’ll review the prevalence of protein-energy wasting (PEW) in chronic kidney disease (CKD); discuss the causes of anorexia and undernutrition that lead to PEW; discuss the causes of inflammation and hypermetabolism that lead to PEW; and describe the implications of PEW on important patient outcomes.

Course Objectives:

• Review the prevalence of protein-energy wasting (PEW) in chronic kidney disease.
• Discuss the causes of anorexia and undernutrition that lead to PEW.
• Discuss the causes of inflammation and hypermetabolism that lead to PEW.
• Describe the implications of PEW on important patient outcomes.

CDR Level: 2
Performance Indicators: 4.2.7, 8.1.4, 8.3.1
Run Time: 40

Course Instructor Bio(s)

Juan Jesus Carrero, PhD, FNKF, FERA

Professor, Kidney Epidemiology
Dept of Medical Epidemiology and Biostatistics
Karolinska Institutet
Solna, Sweden

Juan Jesus Carrero, PhD, is a Professor of Kidney Epidemiology at Karolinska Institutet in Stockholm, Sweden. Dr. Carrero earned his pharmacy degree from the University of Granada, Spain, where he also completed a PhD in Pharmacy. Dr. Carrero then performed his postdoctoral stay at Karolinska Institutet, where he undertook a second PhD in Medicine and established academically.

Dr. Carrero’s principal research interests are centered on the identification of modifiable causes of morbidity and mortality in persons with chronic kidney disease through clinical epidemiological approaches. His interest areas on nutritional management involve dietary quality, diagnostic and prognostic validity of nutritional screening and assessment tools and the value of monitoring of nutritional biomarkers as well as inflammation-driven catabolic disorders. His other interests are medication errors, drug safety and effectiveness. Dr. Carrero has published his research in over 450 peer-reviewed articles, as well as numerous book chapters. He serves as co-chair of the TNT Renal Program of the International Society of Renal Nutrition and Metabolism (ISRNM) and is the chair of the European Renal Nutrition working group of the European Renal Association-European Dialysis and Transplantation Association (ERA-EDTA). He was involved in the 2020 KDOQI/AND and 2021 ESPEN guidelines for nutritional management of persons with CKD.