Department of Gerontology, Geriatrics and Metabolic Diseases, Second University of Naples, Italy.
Nutrition. 2013 Sep;29(9):1090-3. doi: 10.1016/j.nut.2013.01.023. Epub 2013 Apr 28.
Approximately 45% of the elderly population suffers from chronic kidney disease (CKD). The onset and the course of CKD can be ameliorated to a significant degree by several interventions, such as lowering blood pressure and serum lipid levels and achieving optimal glucose control in diabetes. In elderly patients with more advanced CKD, additional treatment may be needed. In these patients, a low-protein diet (LPD) regimen may delay the need for dialysis therapy. However, in the elderly, feasibility and compliance to LPD could be difficult and its effects are uncertain. In this contribution, we discuss the usefulness and the barriers of LPD regimen in the elderly.
大约 45%的老年人口患有慢性肾脏病（CKD）。通过多种干预措施，如降低血压和血清脂质水平以及在糖尿病中实现最佳血糖控制，可以在很大程度上改善 CKD 的发病和病程。对于 CKD 更为严重的老年患者，可能需要额外的治疗。在这些患者中，低蛋白饮食（LPD）方案可能会延迟透析治疗的需要。然而，在老年人中，LPD 的可行性和依从性可能很困难，其效果也不确定。在这篇文章中，我们讨论了 LPD 方案在老年人中的实用性和障碍。
