慢性肾病患者的饮食模式及其对临床病程的影响:一项来自Kanyakumari农村的纵向研究

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL
Sundhareshwaran Chandrasekaran, R. Mookambika, Vishnu Ashok, Priya Panicker, G. Nithya
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引用次数: 0

摘要

背景:通过饮食调整对慢性肾脏疾病(CKD)进行非药物治疗是预防疾病进展为肾衰竭的一个组成部分。在肾脏饮食中,鱼类被推荐作为替代蛋白质,而不是肉类。然而,沿海地区的主食沙丁鱼和干鱼可能弊大于利。因此,本研究旨在分析CKD患者沙丁鱼、干鱼、肉类和盐的饮食模式及其影响。材料和方法:这项纵向研究在肾病科的100名CKD患者中进行,不包括重病患者或血液透析患者。饮食模式采用食物频率问卷进行评估。在研究开始时和2个月后评估肾脏参数和临床分期。结果:CKD患者的平均年龄为55.29岁。每周消耗的沙丁鱼、干鱼、肉和盐的平均量分别为375克、70.1克、115.7克和39.54克。所有肾脏参数的平均值均有统计学意义的增加。肌酸酐和钾水平升高的患者对沙丁鱼和盐的平均摄入量分别具有统计学意义。结论:CKD患者对沙丁鱼、肉和盐的摄入量较高。在几乎一半的研究人群中发现疾病恶化。CKD患者的饮食调整需要符合文化的饮食指南。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Dietary patterns among chronic kidney disease patients and their impact on their clinical course: A longitudinal study from rural Kanyakumari
Background: Nonpharmacological management of chronic kidney disease (CKD) by dietary modifications is an integral part in preventing the disease progression into renal failure. Fish has been recommended as a substitute protein instead of meat in renal diets. However, sardines and dried fish which are a staple diet in coastal areas may cause more harm than benefit. Hence, this study was designed to analyze dietary patterns of sardines, dried fish, meat and salt consumption and its impact among CKD patients. Materials and Methods: This longitudinal study was carried out among 100 CKD patients in Nephrology department, excluding seriously ill patients or those on hemodialysis. Dietary patterns were assessed using food frequency questionnaire. Renal parameters and clinical staging were estimated at the beginning of the study and after 2 months. Results: The mean age of the CKD patients was 55.29 years. The mean quantities of sardines, dried fish, meat, and salt consumed per week were 375 g, 70.1 g, 115.7 g, and 39.54 g, respectively. There was a statistically significant increase in the mean values of all renal parameters. Patients who had elevated creatinine and potassium levels had a statistically significant higher mean consumption of sardines and salt, respectively. Conclusion: The consumption of sardines, meat and salt was very high among the CKD patients. Worsening of disease was seen in almost half the study population. Culturally appropriate dietary guidelines are required for diet modifications in CKD patients.
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