对磷的膳食来源缺乏认知是一个临床问题。
Lack of Awareness of Dietary Sources of Phosphorus Is a Clinical Concern.
作者信息
Shimada Michiko, Shutto-Uchita Yoshiko, Yamabe Hideaki
机构信息
Department of Cardiology and Nephrology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Tsuchiura Kyodo Hospital Namegata District Medical Center, Namegata, Japan.
出版信息
In Vivo. 2019 Jan-Feb;33(1):11-16. doi: 10.21873/invivo.11432.
Abstract
Hyperphosphatemia is a serious complication in patients with chronic kidney disease (CKD), and is associated with more rapid progression as well as higher risk of mortality, and higher rate of cardiovascular disease accidents. CKD patients are usually advised to adopt a low phosphate diet in addition to phosphate-lowering medications, if necessary. However, there is a lack of awareness of the dietary sources of phosphate, especially hidden phosphate intake from phosphate additives in processed foods and carbonated beverages. Appropriate nutritional education could be an effective solution in reducing phosphate toxicity without introducing an additional pill burden or malnutrition.
摘要
高磷血症是慢性肾脏病（CKD）患者的一种严重并发症，与疾病进展更快、死亡风险更高以及心血管疾病事故发生率更高相关。通常建议CKD患者除必要时服用降磷药物外，还应采用低磷饮食。然而，人们对磷的饮食来源缺乏认识，尤其是加工食品和碳酸饮料中磷酸盐添加剂的隐藏磷摄入。适当的营养教育可能是减少磷毒性的有效解决方案，而不会增加额外的药物负担或导致营养不良。
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