[Is it possible to improve the nutritional status of dialysis patients?].

It is well known that hemodialyzed patients show a protein-calorie malnutrition (PCM) due to several factors: dialytic and/or biologic age, diet, hormonal status, amino acid loss. The nutritional status of 44 HD patients was quarterly evaluated from september '87 to may '90 (32 months) and ten of them (5 M, 5 F) were treated by means of L-carnitine (6 g/ev/week) from september '88 to may '90. In the 5 treated males a net gain (+ 80 g/month) of the muscle mass was observed while the 5 treated females showed a low increase of fats. This trend was different (even though not significantly different) from that observed in the untreated group, in which a muscle mass loss and a fat increase was the rule.