잠시만 기다려 주세요. 로딩중입니다.

Nutritional management in patients with chronic kidney disease

Korean Journal of Internal Medicine 2020년 35권 6호 p.1279 ~ 1290
김선문, 정지용,
소속 상세정보
김선문 ( Kim Sun-Moon ) - Chungbuk National University Hospital Department of Internal Medicine
정지용 ( Jung Ji-Yong ) - Gachon University Gil Medical Center Department of Internal Medicine

Abstract


The global prevalence of chronic kidney disease (CKD) is increasing with the aging of populations worldwide. As kidney function declines, the accumulation of metabolic waste products and excessive electrolytes can significantly impair the health of patients with CKD. As nutritional management of patients with CKD is thought to control uremic symptoms and provide beneficial effects on the progression of kidney dysfunction, the diet of patients with CKD should be an important consideration in their care. Many guidelines recommend limiting protein intake in these patients, as high-protein diets aggravate kidney dysfunction. Excess sodium may be associated with CKD progression and all-cause mortality and, therefore, limiting salt intake is generally recommended. Low potassium is associated with muscle weakness and hypertension, whereas high potassium is associated with cardiac arrhythmia. Therefore, recent guidelines recommend adjusting dietary potassium intake on an individual basis to maintain serum potassium levels within the normal range. Appropriate dietary calcium intake is recommended to maintain calcium balance in patients with CKD G3, G4. Given the many dietary considerations for patients with CKD, effective nutritional management is challenging. Individualized strategies are needed to ensure the best outcome for patients with CKD.

키워드

Diet, protein-restricted; Nutrients; Progression of chronic kidney disease; Individualization

원문 및 링크아웃 정보

 

등재저널 정보