L Gupta Krishan, Sahni Nancy
Department of Nephrology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Department of Dietetics, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
J Nephropathol. 2012 Oct;1(3):134-42. doi: 10.5812/nephropathol.8108. Epub 2012 Oct 1.
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.
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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.
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.
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。
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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。
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。