近日,Nephrology Dialysis Transplantation 杂志发布了一篇题为「The safety of a low protein diet in older adults with advanced chronic kidney disease」的研究文章,探讨了低蛋白饮食(LPD)在老年晚期慢性肾脏病(CKD)患者中的安全性,研究旨在评估在老年 CK...
Quantitative analysis of abdominal aortic calcification in CKD patients without dialysis therapy by use of the Agatston score. Kidney Blood Press Res 2013; 38: 196-204 [PMID: 24732137 DOI: 10.1159/000355768]Ichii M, Ishimura E, Shima H, et al. Quantitative analysis of abdominal aortic ...
近日,Nephrology Dialysis Transplantation 杂志发布了一篇题为「The safety of a low protein diet in older adults with advanced chronic kidney disease」的研究文章,探讨了低蛋白饮食(LPD)在老年晚期慢性肾脏病(CKD)患者中的安全性,研究旨在评估在老年 CKD 患者中实施 LPD 的潜在风险与益处。 研究方法 该研究为一...
3. Protein:Lean meat, milk, cereals, legumes, eggs and chicken are the main sources of protein. CKD patients who are not on dialysis are advised to limit dietary protein to <0.8 grams/kg body weight/day. Once dialysis is started, dietary intake can be increased to 1-1.2 grams/kg body ...
Metabolic acidosis in stage 5 may manifest as protein-energy malnutrition, loss of lean body mass, and muscle weakness. Altered salt and water handling by the kidney in CKD can cause peripheral edema and, not uncommonly, pulmonary edema and hypertension. Anemia, which in CKD develops primarily ...
In this review paper, we discuss the current pharmacological paradigm shift that places a new, broader standard of care in light of its interaction with nutritional therapy in order to optimize the global approach to patients with CKD not on dialysis. Graphical abstract This is a preview of ...
In this regard, an LPD, a reduced dietary protein intake (DPI) without PEW, should be separated from DPI per se. Unintentionally low DPI is a key component of PEW [13], suggesting reduced DPI and PEW are inseparable. Therefore, the effect of DPI per se on CKD progression should be ...
Based on the kidney function, proteinuria levels, and the individual patient’s needs and preferences, we allowed 1–3 unrestricted meals per week (without protein restriction but limited in unsaturated fats and short-chain sugars, as indicated in pregnancy). To facilitate compliance with a plant-...
Eat less protein and salt so you reduce the amount of work your kidneys must do. Watch the amount of alcohol you drink. If you smoke, now’s a good time to quit. Avoid taking over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs). These are hard on your kidneys. Your goal is...
Protein intake 3.1.13: We suggest lowering protein intake to 0.8 g/kg/day in adults with diabetes (2C) or without diabetes (2B) and GFR <30 ml/min per 1.73 m2 (GFR categories G4–G5), with appropriate education. 3.1.14: We suggest avoiding high protein intake (>1.3 g/kg/day) in...