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Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Dietary antioxidents and oxidative stress in predialysis chronic kidney disease patients
Krishan L Gupta1, Nancy Sahni2
1Department of Nephrology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Insights
Dietary antioxidants are crucial for health. Chronic kidney disease (CKD) patients experience higher oxidative stress, often linked to insufficient antioxidant intake, highlighting the need for dietary assessment in CKD management.
Area of Science:
- Nutritional Science
- Nephrology
- Biochemistry
Background:
- Dietary antioxidants play a vital role in preventing human diseases.
- Oxidative stress is a significant risk factor for cardiovascular disease, particularly prevalent in chronic kidney disease (CKD) patients.
- CKD patients exhibit higher levels of oxidative stress compared to healthy individuals.
Purpose of the Study:
- To review the role of dietary antioxidants in chronic kidney disease (CKD).
- To highlight the connection between oxidative stress and nutritional status in CKD patients.
- To emphasize the importance of assessing dietary antioxidants in CKD management.
Main Methods:
- Comprehensive literature search conducted across multiple databases including DOAJ, Google Scholar, PubMed, LISTA, and Web of Science.
- Review of existing research on oxidative stress and dietary factors in CKD.
- Synthesis of findings related to antioxidant intake and oxidative stress markers.
Main Results:
- Oxidative stress results from an imbalance between reactive oxygen species production and antioxidant defenses.
- Insufficient dietary intake of antioxidants is a key factor contributing to oxidative stress.
- Malnourished CKD patients demonstrate elevated levels of oxidative stress compared to well-nourished individuals.
Conclusions:
- Assessing dietary antioxidants is critical for pre-dialysis CKD patients.
- Focusing on dietary antioxidants can help mitigate enhanced oxidative stress in CKD.
- Integrating antioxidant assessment into nutritional strategies is essential for managing CKD patients.
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.
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