کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3107945 1191990 2014 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Dietary management of hyperphosphatemia in chronic kidney disease
ترجمه فارسی عنوان
مدیریت رژیم غذایی هیپرفسفاتمی در بیماری مزمن کلیه
کلمات کلیدی
هیپر فسفاتمی رژیم غذایی فسفر، افزودنی های مواد غذایی، فسفات گیرنده، بیماری مزمن کلیوی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی مراقبت های ویژه و مراقبتهای ویژه پزشکی
چکیده انگلیسی

Dysregulation of phosphate homeostasis occurs in chronic kidney disease (CKD). Hyperphosphatemia is an ongoing challenge in treating CKD patients. Restriction of dietary proteins remains one of the cornerstones of nutritional management of CKD patients foods from animal sources are rich in organic phosphorus. Foods sources including certain beverages like colas, enhanced meats, frozen meals, snack bars, processed or spreadable cheeses, instant food products, and refrigerated bakery products are rich in inorganic phosphorus.Phosphate additives added to foods further increases the phosphorus burden. It is estimated that the intestinal absorption of inorganic phosphorus is usually more than 90% compared to only 40%–60% from that of the organic phosphorus. Phosphates from animal food are more readily absorbed compared to that present in plant foods sources as majority of it is present in the form of phytate and hence not readily absorbed. Intensive nutritional counseling regarding phosphorus content of foods, their bioavailability with an emphasis on consumption of a mixed diet including foods from animal sources and plant sources high in phytate. While limiting or avoiding the intake from foods very high in phosphorus to protein ratio and foods rich in phosphorus additives but with an adequate protein content to avoid malnutrition, reinforcement on dietary compliance and judicious use of phosphorus binders are important for the better management of hyperphosphatemia in CKD. Methods like soaking foods in water and boiling them helps in reducing the dietary phosphorus content per gram of protein in foods.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Clinical Queries: Nephrology - Volume 3, Issue 1, January–March 2014, Pages 38–45
نویسندگان
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