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在CKD中饮食中的蛋白质摄入量:数量和质量
Denis Fouque1, Denise Mafra2,3, Vincenzo Bellizzi4
1Department of Nephrology, Hospices Civils de Lyon, University Claude Bernard Lyon 1, Pierre-Bénite, France.
概括
优化饮食蛋白质对于慢性病 (CKD) 患者至关重要. 本综述考察了蛋白质数量,质量和植物性选择,以更好地管理CKD和减少毒素.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 营养科学 营养科学
- 内部医学 内部医学
背景情况:
- 对于患有慢性病 (CKD) 的患者来说,包括营养在内的密集管理至关重要.
- 自20世纪30年代以来,饮食中蛋白质的限制一直是CKD管理的基石,以控制尿素性症状.
- 过多的蛋白质摄入会使损伤恶化,而控制摄入会减少有害的代谢毒素.
研究的目的:
- 探索患有CKD的患者最佳的饮食蛋白质摄入量.
- 专注于蛋白质的数量和质量,并确保长期的患者遵守.
- 审查植物性蛋白质来源在CKD管理中的好处.
主要方法:
- 关于CKD中饮食蛋白质研究的文献综述.
- 分析动物蛋白与植物蛋白对尿素毒素的影响.
- 在CKD患者中探索可持续的饮食遵守策略.
主要成果:
- 动物蛋白质有助于尿素毒素的产生.
- 如果必需氨基酸平衡,植物性饮食可能是有益的.
- 最佳的蛋白质摄入策略是降低死亡率和改善CKD结果的关键.
结论:
- 控制饮食中的蛋白质摄入量对于管理CKD至关重要.
- 植物性蛋白质来源提供优势,当正确配制时.
- 为了有效的CKD营养管理,需要对持续合规策略进行进一步的研究.
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