越南慢性肾病患者营养干预的实用方法。

IF 1.3 4区 医学 Q4 NUTRITION & DIETETICS Asia Pacific journal of clinical nutrition Pub Date : 2024-06-01 DOI:10.6133/apjcn.202406_33(2).0004
Lan Huong Thi Nguyen, Anh Kim Dang, Giang Thu Nguyen, Anh Minh Tran, Tien Thanh Nguyen, Phuong Thi Duong, Ha Ngoc Vu, Huong Thi Le
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引用次数: 0

摘要

背景和目的:慢性肾脏病(CKD)患者要想获得良好的治疗效果,就必须进行全面的营养管理。我们旨在评估在未进行肾脏替代治疗(RRT)的情况下,营养管理对营养状况和疾病进展的影响:2022 年 7 月至 12 月,我们对 70 名处于 3-5 期的慢性肾脏病患者进行了准实验干预。如果参与者接受了 RRT,包括透析(血液透析或腹膜透析)或肾移植,则排除在外。营养方案包括营养咨询、饮食菜单样本和补充产品。我们在T0(入院)和T1(入院两周后或出院前24小时)使用主观全面评估(SGA)量表和亚临床血液测试评估营养状况:干预后,被归类为营养不良或有营养不良风险的患者人数明显减少(分别从 65.7% 降至 54.3%、25.7% 和 5.7%)。尿素、肌酐和甲状旁腺激素的血清浓度明显下降,尤其是接受营养管理的患者。在干预组中,膳食模式增加了钙和铁的摄入量,而磷、钠和钾的摄入量在随访后有所下降。与对照组相比,干预组的恶心/呕吐、食欲不振、疲倦和睡眠障碍有所改善:营养疗法改善了无 RRT 的 CKD 患者的营养状况、饮食质量和肾功能。在早期阶段应用营养教育和治疗可延缓 CKD 的进展,这应适用于越南其他地区。
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A practical approach to nutritional intervention for people with chronic kidney disease in Vietnam.

Background and objectives: A comprehensive nutritional management is necessary for favourable outcomes in patients with chronic kidney disease (CKD). We aimed to assess the changes in nutritional status and disease progression with nutritional management where renal replacement therapy (RRT) was not in place.

Methods and study design: A quasi-experiment intervention was conducted on 70 CKD patients at stages 3-5 from July to December 2022. Participants were excluded if they underwent RRT, including dialy-sis (hemodialysis or peritoneal dialysis), or kidney transplantation. The nutritional regimen covered nutrition-al counseling, samples of the dietary menu, and supplement products. We evaluated nutritional status using Subjective Global Assessment (SGA) scale and sub-clinical blood test at T0 (hospital admission) and T1 (two weeks after the admission or 24 hours before the discharge).

Results: After the intervention, the number of patients classified as malnutrition or at risk of malnourished reduced significantly (65.7% to 54.3% and 25.7% and 5.7%, respectively). The serum concentration of urea, creatinine and parathyroid hormone decreased remarkably, especially in patients receiving nutritional management. In the intervention group, the dietary pattern provided increased intakes of calcium and iron at T1, while phosphorus, sodium and potassium decreased after follow-up. Nausea/vomiting, loss of appetite, tiredness and sleep disorders were improved in the intervention compared to the control group.

Conclusions: Nutritional therapy enhanced the nutritional sta-tus, and quality of dietary and renal function in CKD patients without RRT. Applying nutrition education and treatment at an early stage can slow CKD progression, which should be applicable elsewhere in Vietnam.

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来源期刊
CiteScore
2.50
自引率
7.70%
发文量
58
审稿时长
6-12 weeks
期刊介绍: The aims of the Asia Pacific Journal of Clinical Nutrition (APJCN) are to publish high quality clinical nutrition relevant research findings which can build the capacity of clinical nutritionists in the region and enhance the practice of human nutrition and related disciplines for health promotion and disease prevention. APJCN will publish original research reports, reviews, short communications and case reports. News, book reviews and other items will also be included. The acceptance criteria for all papers are the quality and originality of the research and its significance to our readership. Except where otherwise stated, manuscripts are peer-reviewed by at least two anonymous reviewers and the Editor. The Editorial Board reserves the right to refuse any material for publication and advises that authors should retain copies of submitted manuscripts and correspondence as material cannot be returned. Final acceptance or rejection rests with the Editorial Board
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