慢性肾脏疾病血液透析患者膳食磷与营养不良之间隐藏而复杂的关系

IF 1.6 Q2 MEDICINE, GENERAL & INTERNAL Romanian Journal of Internal Medicine Pub Date : 2024-03-23 Print Date: 2024-03-01 DOI:10.2478/rjim-2023-0029
Clonia Milla, Widodo, Teddy Heri Wardhana
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引用次数: 0

摘要

慢性肾病(CKD)一直是一个复杂的全球性挑战,在全球死亡原因中排名第12位。血液透析作为终末期肾病(ESRD)患者最常用的肾脏替代疗法(RRTs)之一,在预防营养不良和矿物质骨病(CKD-MBD)等并发症方面仍存在一定局限性。虽然研究的重点是控制CKD-MBD参数,如钙和磷酸盐,但对饮食干预的关注较少。此外,血液透析患者采用低磷饮食是非常复杂的,因为它可能与指南推荐的高蛋白饮食方法相冲突。本研究旨在探讨定期进行血液透析的CKD患者膳食磷摄入量与营养状况之间的关系。方法:这项非随机横断面研究包括88名患者,于2022年3月在东爪哇泗水RSUD Dr. Soetomo血液透析部门进行,使用为期三天的饮食记录。采用Spearman检验和ANOVA检验分析变量之间的关系。结果:膳食钙与校正钙水平无显著正相关(p = 0.988;Rs = -0.002),且饲粮磷与血浆磷水平之间存在显著性差异(p = 0.082;Rs = 0.187)。然而,Spearman的分析显示,膳食磷与营养状况之间存在微弱的正相关关系(p = 0.022;Rs = 0.215*)。结论:我们的研究强调了血液透析患者膳食磷与营养状况之间的正相关关系,为优化患者护理和预后的潜在策略提供了见解。
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The hidden and complex relationship between dietary phosphorus and malnutrition in hemodialysis patients with chronic kidney disease.

Introduction: Chronic kidney disease (CKD) has always been a complicated global challenge, ranking as the 12th leading cause of death worldwide. Hemodialysis, being one of the most opted renal replacement therapies (RRTs) for patients with end-stage renal disease (ESRD), still possesses some limitations in preventing complications, such as malnutrition and mineral bone disease (CKD-MBD). While efforts have focused on controlling CKD-MBD parameters like calcium and phosphate, less attention has been given to dietary interventions. Moreover, the adoption of low-phosphorus diets for hemodialysis patients is very complex due to potential conflicts with the guideline-recommended high-protein dietary approach. This study sought to investigate the relationship between dietary phosphorus intake and nutritional status in CKD patients undergoing regular hemodialysis.

Method: This non-randomized cross-sectional study comprising 88 patients was conducted at the Hemodialysis Unit, RSUD Dr. Soetomo, Surabaya, East Java, using a three-day dietary record in March 2022. Relationships between variables were analyzed using Spearman and ANOVA tests.

Result: No significant positive association was found between dietary calcium with corrected calcium levels (p = 0.988; rs = -0.002) and between dietary phosphorus with plasma phosphate levels (p = 0.082; rs = 0.187). However, Spearman's analysis revealed a weak but positive correlation between dietary phosphorus and nutritional status (p = 0.022; rs = 0.215*).

Conclusion: Our study highlights a positive relationship between dietary phosphorus and nutritional status among hemodialysis patients, offering insights into potential strategies for optimizing patient care and outcomes.

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来源期刊
Romanian Journal of Internal Medicine
Romanian Journal of Internal Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.20
自引率
5.30%
发文量
35
审稿时长
15 weeks
期刊介绍: Romanian Journal of Physics is a journal publishing physics contributions on the following themes: •Theoretical Physics & Applied Mathematics •Nuclear Physics •Solid State Physics & Materials Science •Statistical Physics & Quantum Mechanics •Optics •Spectroscopy •Plasma & Lasers •Nuclear & Elementary Particles Physics •Atomic and Molecular Physics •Astrophysics •Atmosphere and Earth Science •Environment Protection
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