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透析前慢性肾病患者的膳食抗氧化剂与氧化应激

Dietary antioxidents and oxidative stress in predialysis chronic kidney disease patients.

作者信息

L Gupta Krishan, Sahni Nancy

机构信息

Department of Nephrology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Department of Dietetics, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

J Nephropathol. 2012 Oct;1(3):134-42. doi: 10.5812/nephropathol.8108. Epub 2012 Oct 1.

Abstract

CONTEXT

Dietary antioxidants are important in protecting against human diseases. Oxidative stress, a non- traditional risk factors of cardio-vascular disease is far more prevalent in chronic kidney disease (CKD) patients than in normal subjects.

EVIDENCE ACQUISITIONS

Directory of Open Access Journals (DOAJ), Google Scholar, Pubmed (NLM), LISTA (EBSCO) and Web of Science have been searched.

RESULTS

Oxidative stress could be a consequence of an increase in reactive oxygen species as well as a decrease in antioxidant defenses. Among the important factors that can be involved in triggering oxidative stress is insufficient dietary intake of antioxidants. Malnourished CKD patients are reported to have more oxidative stress than well nourished ones.

CONCLUSIONS

Moving beyond the importance of assessment of dietary protein and energy in pre dialysis CKD patients to the assessment of dietary antioxidants is of utmost importance to help combat enhanced oxidative stress levels in such patients.

摘要

背景

膳食抗氧化剂对于预防人类疾病至关重要。氧化应激作为心血管疾病的一种非传统风险因素,在慢性肾脏病(CKD)患者中比在正常受试者中更为普遍。

证据收集

检索了开放获取期刊目录(DOAJ)、谷歌学术、PubMed(美国国立医学图书馆)、LISTA(EBSCO)和科学引文索引。

结果

氧化应激可能是活性氧增加以及抗氧化防御能力下降的结果。引发氧化应激的重要因素之一是膳食抗氧化剂摄入不足。据报道,营养不良的CKD患者比营养良好的患者有更多的氧化应激。

结论

对于透析前CKD患者,从评估膳食蛋白质和能量的重要性,进一步转向评估膳食抗氧化剂,对于帮助对抗此类患者增强的氧化应激水平至关重要。

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本文引用的文献

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The role of oxidative stress in chronic kidney disease.氧化应激在慢性肾脏病中的作用。
Semin Dial. 2009 Jul-Aug;22(4):405-8. doi: 10.1111/j.1525-139X.2009.00590.x.
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Oxidative stress: an accomplice to uremic toxicity?氧化应激:尿毒症毒性的帮凶?
J Ren Nutr. 2006 Jul;16(3):194-8. doi: 10.1053/j.jrn.2006.04.015.
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Low protein diets for chronic kidney disease in non diabetic adults.非糖尿病成年慢性肾病患者的低蛋白饮食
Cochrane Database Syst Rev. 2006 Apr 19(2):CD001892. doi: 10.1002/14651858.CD001892.pub2.

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