The Role of Protein Restriction in the Progression of Chronic Kidney Disease.

Nereida Spahia, Merita Rroji, Myftar Barbullushi, Goce Spasovski
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Abstract

Even though nephrology has made much progress, reducing the progression of the chronic kidney disease remains, in fact, one of the biggest challenges. Long before the renal replacement therapy (RRT), it was known that limiting the protein could help almost all uremia symptoms. Although it was proposed as early as the 1960s, it only became widely used in the 1980s. By lowering the urea and other nitrogen wastes and lowering the metabolic acidosis, oxidative stress, and insulin resistance, limiting the amount of protein in your diet can help improve uremic symptoms. Also, limiting the protein in the diet positively controls the cardiovascular complications, including the arterial blood pressure and proteinuria reduction, which are risk factors for CKD progression. This mini-review examines the impact of protein restriction on the possibility of slowing CKD progression in depth.

蛋白质限制在慢性肾脏疾病进展中的作用。
尽管肾脏病学已经取得了很大的进步,但实际上,减少慢性肾病的进展仍然是最大的挑战之一。早在肾替代疗法(RRT)之前,人们就知道限制这种蛋白质可以帮助几乎所有的尿毒症症状。虽然它早在20世纪60年代就被提出,但直到20世纪80年代才得到广泛应用。通过减少尿素和其他氮废物,减少代谢性酸中毒,氧化应激和胰岛素抵抗,限制饮食中的蛋白质含量可以帮助改善尿毒症症状。此外,限制饮食中的蛋白质可以积极控制心血管并发症,包括动脉血压和蛋白尿减少,这些都是CKD进展的危险因素。这篇小型综述深入探讨了蛋白质限制对减缓CKD进展可能性的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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