N Bašić-Marković, I Šutić, B Popović, R Marković, J Vučak
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[DIET CHARACTERISTICS IN PATIENTS WITH CHRONIC KIDNEY DISEASE].
Because of the increasing number of patients, chronic kidney disease (CKD) has become a significant public health
problem. As kidney function decreases, it is necessary to introduce certain dietary modifications. The aim was to investigate
what is the appropriate approach to diet of CKD patients, which could contribute to slowing down progression of the
disease. Dietary recommendations are individual for each patient, but also vary in the same patient depending on the
stage of disease progression because special attention must be paid to appropriate intake of macronutrients (protein,
carbohydrates and fats), micronutrients (sodium, potassium, calcium, phosphorus, zinc, selenium, various vitamins), and
water. In newly diagnosed patients, it is necessary to assess their nutritional status and energy requirements. It has been
shown that protein-energy malnutrition, muscle loss and cachexia are strong predictors of mortality in CKD. Comparing
different dietary approaches in everyday life of patients suffering from CKD, it was found that the most effective diet is
Mediterranean food style. Studies confirm that Mediterranean diet has a preventive effect on renal function and reduces
progression of the disease. Preventive measures, correct identification and early intervention can increase survival of
patients and improve their quality of life. Mediterranean diet tailored to individual stages of CKD has been confirmed as the
best choice in CKD patients.
期刊介绍:
ACTA MEDICA CROATICA publishes original contributions to medical sciences, that have not been previously published. All manuscripts should be written in English.