| Nutritional intervention in uremia--myth or reality? | |
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MedLine Citation:
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PMID: 20797568 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Nutritional intervention in uremia, specifically the restricted protein diet, has been under debate for decades. The results of various clinical trials have not been concordant, as some studies have reported positive effects of the low-protein diets, whereas others have shown no benefit. Recently published data show that the restricted protein diets seem to be effective and safe in ameliorating nitrogen waste products retention and the disturbances in acid-base and calcium-phosphorus metabolism, and in delaying the initiation of renal replacement therapy (RRT), without any deleterious effect on the nutritional status of patients with chronic kidney disease. The nutritional support and particularly the supplemented very low protein diet could be a new link to the RRT-integrated care model. A possible delay in RRT initiation through nutrition could have a major economic effect, particularly in developing countries, where the dialysis facilities still do not meet the requirements. However, a careful selection of motivated patients who could benefit from such a diet, closer nutritional monitoring, and dietary counseling are required. |
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Authors:
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Liliana Garneata; Gabriel Mircescu |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation Volume: 20 ISSN: 1532-8503 ISO Abbreviation: J Ren Nutr Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-08-27 Completed Date: 2011-01-13 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9112938 Medline TA: J Ren Nutr Country: United States |
Other Details:
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Languages: eng Pagination: S31-4 Citation Subset: IM |
Copyright Information:
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Copyright 2010 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Dr Carol Davila Teaching Hospital of Nephrology, Bucharest, Romania. lilianagarna@yahoo.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Amino Acids, Essential
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administration & dosage Diet, Protein-Restricted* / adverse effects Dietary Supplements Humans Kidney Failure, Chronic / prevention & control Nutritional Support Randomized Controlled Trials as Topic Renal Replacement Therapy / economics Uremia / diet therapy* |
| Chemical | |
Reg. No./Substance:
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0/Amino Acids, Essential |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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