title: [Adherence to dietetic treatment, the nutritional metabolic status and the progression of chronic kidney failure].
abstract: Effects of two protein restricted diets on dietary compliance, nutritional and metabolic state, and progression of chronic renal failure (CRF) were investigated. Twenty-one patients with CRF were randomly assigned to either a conventional low protein diet (0.6 g of protein/kg b.w./day) or to a very low protein diet, providing 0.4 g of protein/kg b.w./day, supplemented with a mixture of essential amino acids which contained HIS, TYR and a high proportion of branched chain amino acids. Nutrition, assessed by body weight, anthropometry, serum protein levels and nitrogen balance studies, was maintained in all patients. Some metabolic abnormalities of CRF (i.e., secondary hyperparathyroidism, glucose intolerance) improved in both groups. The supplemented diet provided better adherence to protein prescription, corrected the depletion of VAL and LEU in muscle and was more effective than conventional diet in slowing the rate of progression of CFR.
authors: Istituto di Clinica Medica e Nefrologia, Università degli Studi di Parma.
authors: G
authors: G
authors: Garini
authors: L
authors: L
authors: Arisi
authors: A
authors: A
authors: Borrini
authors: E
authors: E
authors: Fiaccadori
authors: A
authors: A
authors: Guariglia
authors: G
authors: G
authors: Magnati
authors: A
authors: A
authors: Mazzi
authors: N
authors: N
authors: Ronda
authors: G
authors: G
authors: Savazzi
authors: A
authors: A
authors: Borghetti
mesh_terms: D000328:Adult; D000368:Aged; D000597:Amino Acids, Branched-Chain / Q000008:administration & dosage; D016009:Chi-Square Distribution; D004044:Dietary Proteins / Q000008:administration & dosage; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000178:diet therapy* / Q000453:epidemiology / Q000378:metabolism; D008297:Male; D008875:Middle Aged; D009752:Nutritional Status; D010349:Patient Compliance; D013997:Time Factors
chemical_list: D000597:Amino Acids, Branched-Chain; D004044:Dietary Proteins
vernacular_title: Aderenza al trattamento dietetico, stato metabolico nutrizionale e progressione dell'insufficienza renale cronica.