[Individualized supplemented low-protein diet in patients with chronic kidney failure].
The possibility of developing protein-energy malnutrition poses a serious risk associated with long-term administration of a restrictive low-protein diet. We conducted a randomized prospective study designed to evaluate 36 patients with chronic renal failure in initial malnutrition (BMI 22%, albumin 35 milligrams, WQ 2.02). In 20 of these patients (Group I), low-protein diet was supplemented with ketoanalogs of essential amino acids along with a low-phosphate drink from casein-free protein. The diet of another 16 patients (Group II) was supplemented with a mixture of essential and non-essential amino acids of egg white. Three-month follow-up revealed a statistically significant improvement in selected metabolic parameters (Surea, albumin, WQ, valine HDL-CH cholesterol, SP and SCa), particularly in Group I (p < 0.01). In group II, the improvement was either not marked (p < 0.05) or no improvement was seen. Results of the study indicate that patients found to suffer from initial malnutrition require early dietary supplementation including ketoanalogs of essential amino acids and a special protein providing an adequate amount of energy.
Teplan
V
V
Subkatedra nefrologie Institutu postgraduálního vzdĕlávání pracovníků ve zdravotnictví Praha.
Schück
O
O
Mengerová
O
O
Růzicková
J
J
D000328:Adult; D000368:Aged; D004044:Dietary Proteins / Q000008:administration & dosage*; D005260:Female; D005526:Food, Formulated; D006801:Humans; D007676:Kidney Failure, Chronic / Q000178:diet therapy*; D008297:Male; D008875:Middle Aged; D009748:Nutrition Disorders / Q000178:diet therapy / Q000209:etiology; D011446:Prospective Studies
D004044:Dietary Proteins
Individualizovaná suplementovaná nízkobílkovinná dieta u nemocných s chronickým selháním ledvin.