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功能性食品和适应性体育活动作为慢性肾脏病患者的新辅助治疗方法。

Functional Foods and Adapted Physical Activity as New Adjuvant Therapy for Chronic Kidney Disease Patients.

机构信息

Department of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy.

Department of Exercise, Human and Health Sciences, Foro Italico University of Rome, 00135 Rome, Italy.

出版信息

Nutrients. 2024 Jul 19;16(14):2325. doi: 10.3390/nu16142325.

Abstract

BACKGROUND

Chronic kidney disease (CKD) will become the fifth leading cause of death in the world by 2040. It is fundamental to prevent and treat this pathology to reduce its impact on national health costs. This trial's aim is to evaluate the effects induced by a combination of consumed functional foods (FFs) with adapted physical activity (APA) on the progression of CKD-related comorbidities.

METHODS

The study lasted 12 weeks. We divided 40 CKD patients into four groups: mixed (FF + APA), APA, FF and control group (usual care). The FFs were characterized by their total antioxidant capacity and antiradical activity. The APA was performed though an online training protocol, three times per week, 1 h each session.

RESULTS

At the end of the study, we observed, in the mixed group, a decrease in azotemia ( = 0.0272), diastolic blood pressure ( = 0.0169), and C-reactive protein ( = 0.0313), with increases in the FORD test ( = 0.0203) and fat free mass ( = 0.0258). The APA group showed a reduction in total cholesterol ( = 0.0039).

CONCLUSIONS

The combination of FFs and APA can help counteract several CKD-related comorbidities, such as arterial hypertension, dyslipidemia and uremic sarcopenia, and improve the CKD patients' quality of life.

摘要

背景

到 2040 年,慢性肾脏病(CKD)将成为全球第五大死亡原因。预防和治疗这种疾病对于降低其对国家卫生费用的影响至关重要。本试验旨在评估食用功能性食品(FFs)与适应性身体活动(APA)相结合对 CKD 相关合并症进展的影响。

方法

研究持续 12 周。我们将 40 名 CKD 患者分为四组:混合组(FF + APA)、APA 组、FF 组和对照组(常规护理)。FFs 的特点是总抗氧化能力和抗自由基活性。APA 通过在线培训方案进行,每周三次,每次 1 小时。

结果

在研究结束时,我们观察到混合组的氮血症(= 0.0272)、舒张压(= 0.0169)和 C 反应蛋白(= 0.0313)降低,FORD 测试(= 0.0203)和去脂体重(= 0.0258)增加。APA 组总胆固醇(= 0.0039)降低。

结论

FFs 和 APA 的结合可以帮助对抗几种 CKD 相关的合并症,如动脉高血压、血脂异常和尿毒症性肌萎缩,提高 CKD 患者的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce01/11279472/b69076b63140/nutrients-16-02325-g001.jpg

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