Clements Laura, Ashurst Ione
Dept of Nutrition and Dietetics, Barts and The London NHS Trust, London.
J Ren Care. 2006 Oct-Dec;32(4):192-7. doi: 10.1111/j.1755-6686.2006.tb00021.x.
Chronic kidney disease is fast becoming a worldwide epidemic. There is an estimated annual increase of 8% with an associated economical and clinical burden. Recent research into lifestyle factors has confirmed different dietary attributes play a part in slowing the progression of chronic nephropathies. This has important implications and a potentially cost-saving way, to help reduce the progression of the disease. The roles of obesity, lipids, protein, diabetes and blood pressure are discussed to show how the current literature reflects how to modify the dietary aspects of these. The mechanisms behind these are not fully understood, but the message remains the same that there is an increased need for dietary advice in the pre-dialysis population.
慢性肾脏病正迅速成为一种全球性流行病。据估计,其年增长率为8%,并伴有经济和临床负担。最近对生活方式因素的研究证实,不同的饮食特性在减缓慢性肾病进展方面发挥着作用。这具有重要意义,也是一种潜在的节省成本的方法,有助于减缓疾病进展。本文讨论了肥胖、脂质、蛋白质、糖尿病和血压的作用,以说明当前文献如何反映对这些方面饮食的调整。这些背后的机制尚未完全了解,但信息仍然相同,即透析前人群对饮食建议的需求日益增加。