Pro: The rationale for dietary therapy for patients with advanced chronic kidney disease
| Autor: | Denis Fouque, Joel D. Kopple |
|---|---|
| Přispěvatelé: | Service de néphrologie, Hospices Civils de Lyon (HCL)-Hôpital Edouard Herriot [CHU - HCL], Hospices Civils de Lyon (HCL), Cardiovasculaire, métabolisme, diabétologie et nutrition (CarMeN), Hospices Civils de Lyon (HCL)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Université de Lyon-Institut National des Sciences Appliquées (INSA)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Institut National de la Recherche Agronomique (INRA), Institut National de la Recherche Agronomique (INRA)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Hospices Civils de Lyon (HCL) |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment [SDV]Life Sciences [q-bio] 030232 urology & nephrology cardiovascular-disease Disease patients 03 medical and health sciences low-protein-diet 0302 clinical medicine Renal Dialysis low protein diet medicine Diet Protein-Restricted Humans 030212 general & internal medicine Renal replacement therapy Renal Insufficiency Chronic Intensive care medicine Wasting Kidney transplantation Dialysis glomerular-filtration-rate Transplantation business.industry weekly hemodialysis Urology & Nephrology medicine.disease Prognosis 3. Good health kidney failure Nephrology metabolic-acidosis supplemented very low protein diet Anxiety dialysis predialysis patients Hemodialysis medicine.symptom business diet nutritional-status uremic patients chronic kidney disease Kidney disease chronic-renal-failure |
| Zdroj: | Nephrology Dialysis Transplantation Nephrology Dialysis Transplantation, Oxford University Press (OUP), 2018, 33 (3), pp.373-378. ⟨10.1093/ndt/gfx333⟩ |
| ISSN: | 0931-0509 1460-2385 |
| DOI: | 10.1093/ndt/gfx333⟩ |
| Popis: | International audience; Dietary treatment offers many benefits to patients with advanced chronic kidney disease (CKD) who are approaching the need for renal replacement therapy. A large number of these benefits are independent of whether diets slow the rate of progression of CKD. These diets are low in protein and many minerals, and provide adequate energy for the CKD patient. The diets can reduce accumulation of potentially toxic metabolic products derived from protein and amino acid degradation, maintain a healthier balance of body water, sodium, potassium, phosphorus, calcium and other minerals, and prevent or improve protein-energy wasting. Such diets may enable patients to safely delay the onset of chronic dialysis therapy or kidney transplantation. Dietary therapy may also augment the effectiveness of infrequent or incremental dialysis by maintaining healthier metabolic and clinical status and may enable some end-stage renal disease patients to avoid the need for temporary placement of hemodialysis catheters while their arterial venous fistulae or grafts mature. The anxiety that many advanced CKD patients commonly experience with regard to starting dialysis may incentivize them to accept and adhere to dietary therapy. |
| Databáze: | OpenAIRE |
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