肾脏患者营养意识及钙化醇补充的经验效应

Fatma A. Hamid, Mona Mohamed, Hanaa H. Elsayed, Nehad M. Ibrahim, Ghadir H. Elsawy, Naglaa Abd Elfattah, Entsar M. Ahmad
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摘要

维生素D(钙化醇)不足与肾脏疾病的进展有关。一些变量,如饮食状况和阳光照射,会导致维生素D缺乏。本研究的目的是确定慢性肾脏疾病CKD患者在饮食意识、阳光照射和钙化醇补充三个月前后的营养和维生素D状况。2019年1月至2020年7月,从埃及开罗国家泌尿和肾脏研究所门诊随机招募60名男性(45-55岁)。CKD的3-5期被用来对患者进行分类。所有的参与者被分为两组:对照组和慢性肾病组。对于所有个体,评估涵盖营养消耗,包括24小时召回问卷、人体测量和特定生化分析。根据研究结果,慢性肾病患者消耗更多的卡路里,并且肥胖,这是通过他们的身体质量指数(BMI)来衡量的。平均每日蛋白质摄入量高于每日推荐摄入量(RDI)。除了钠是最高的,其他矿物质的平均摄入量都在推荐每日摄入量之内,而维生素D的摄入量则不到推荐每日摄入量的10%。治疗三个月后,CKD组的能量水平从RDI的95.4%下降到82.8%,蛋白质、维生素C和纤维摄入量增加。虽然钠水平保持在RDI范围内,但生化检查显示维生素D、甲状旁腺激素、肌酐和尿素水平有显著改善。最终,营养干预和维生素D补充均可使CKD从3期或5期改善到2期。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Empirical Effect of Nutritional Awareness and Calciferol Supplementation in Renal Patients
RECAP itamin D (calciferol) insufficiency has been linked to the progress of renal disease. Some variables, such as dietary status and sunshine exposure, contribute to vitamin D deficiency. The target of the research was to set the nutritional and vitamin D status of chronic kidney disease CKD patients before and after three months of dietary awareness, sun exposure, and calciferol supplementation. From January 2019 to July 2020, 60 males (45-55 years old) were randomly recruited from the National Institute of Urology and Nephrology's outpatient clinic in Cairo, Egypt. Stages 3–5 of CKD are used to categorize patients. All of the participants were divided into two groups: control and CKD. For all individuals, the assessment covered nutritional consumption, including the 24-hours recall questionnaire, anthropometric measurements, and will specific biochemical assays. According to the findings, CKD patients consumed more calories and were obese, as measured by their body mass index (BMI). The average daily protein consumption was higher than the recommended daily intake (RDI). Except for sodium being the highest, the average mineral consumption was within RDI, whereas vitamin D intake was less than 10% of RDI. CKD group's energy levels dropped from 95.4 % to 82.8 % of RDI, protein vitamin C, and fiber intake increased after three months of treatments. While sodium levels remained within the RDI, biochemical examination revealed significant improvements in vitamin D, PTH, creatinine, and urea levels. Eventually, both nutritional intervention and vitamin D supplementation improved CKD stages from stage 3 or 5 to stage 2.
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