终末期肾病的营养干预:临床试验研究。

IF 4 2区 农林科学 Q2 NUTRITION & DIETETICS Frontiers in Nutrition Pub Date : 2024-10-24 eCollection Date: 2024-01-01 DOI:10.3389/fnut.2024.1322229
Xueting Tao, Jiaolin Qian, Yongwei Hu
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引用次数: 0

摘要

目的:慢性肾病是一个全球性的健康问题,终末期肾病(ESRD)对患者的生活质量和预后有重大影响。然而,针对 ESRD 患者的个体化营养治疗研究需要更多的补充证据:方法:在小范围人群中开展了一项临床研究。研究对象包括 2019 年 1 月至 2021 年 12 月期间在中国苏州大学附属太仓医院肾内科接受透析治疗的 ESRD 患者。按照随机数字表法,患者被分为营养治疗组(NIG)和非营养干预对照组(NNIG)。该研究分析了ESRD患者接受个性化营养治疗后残余肾功能(RRF)及血肾功能指标的变化:结果表明,对 ESRD 患者进行营养干预能有效降低 RRF 的下降率,改善血液和肾功能指标。研究还发现,糖尿病患者接受个体化营养治疗后,每单位 RRF 的改善所带来的健康益处较少:本研究提供了有关 ESRD 患者个体营养干预的治疗效果和相关因素的重要信息。这些结果有助于更好地了解营养疗法在 ESRD 中的效果,并为营养疗法的管理提供依据。进一步的研究应侧重于特定人群和潜在的干预措施,以改善患者的预后。
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Nutritional intervention in end-stage renal disease: a clinical trial study.

Objective: Chronic kidney disease is a global health problem, and end-stage renal disease (ESRD) has a major impact on patients' quality of life and prognoses. However, studies on individualized nutritional therapy for patients with ESRD need more complementary evidence.

Methods: A clinical study was conducted based on a small population. It included patients with ESRD who underwent dialysis treatment in the Taicang Hospital Department of Nephrology, Soochow University, China, between January 2019 and December 2021. According to the randomized number table method, patients were divided into the nutritional treatment group (NIG) and the non-nutritional intervention control group (NNIG). There were 84 patients in the NIG and 92 patients in the NNIG. This study analyzed the changes in residual renal function (RRF) and indicators of blood and kidney function in ESRD with personalized nutritional therapy.

Results: The results show that nutritional interventions for ESRD are effective in reducing the rate of decline in RRF and improving indicators of blood and kidney function in patients with ESRD. It was also found that patients with diabetes mellitus gained fewer health benefits per unit of RRF improvement with individualized nutritional therapy.

Conclusion: This study provides important information about the treatment effects and factors associated with individual nutritional interventions in a population with ESRD. These results contribute to a better understanding of the effects of nutritional therapy in ESRD and provide a basis for managing it. Further studies should focus on specific populations and potential interventions to improve patient prognosis.

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来源期刊
Frontiers in Nutrition
Frontiers in Nutrition Agricultural and Biological Sciences-Food Science
CiteScore
5.20
自引率
8.00%
发文量
2891
审稿时长
12 weeks
期刊介绍: No subject pertains more to human life than nutrition. The aim of Frontiers in Nutrition is to integrate major scientific disciplines in this vast field in order to address the most relevant and pertinent questions and developments. Our ambition is to create an integrated podium based on original research, clinical trials, and contemporary reviews to build a reputable knowledge forum in the domains of human health, dietary behaviors, agronomy & 21st century food science. Through the recognized open-access Frontiers platform we welcome manuscripts to our dedicated sections relating to different areas in the field of nutrition with a focus on human health. Specialty sections in Frontiers in Nutrition include, for example, Clinical Nutrition, Nutrition & Sustainable Diets, Nutrition and Food Science Technology, Nutrition Methodology, Sport & Exercise Nutrition, Food Chemistry, and Nutritional Immunology. Based on the publication of rigorous scientific research, we thrive to achieve a visible impact on the global nutrition agenda addressing the grand challenges of our time, including obesity, malnutrition, hunger, food waste, sustainability and consumer health.
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