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Protein-restricted diets plus keto/amino acids--a valid therapeutic approach for chronic kidney disease patients.
J Ren Nutr. 2012 Mar; 22(2 Suppl):S1-21.JR

Abstract

Chronic kidney disease (CKD) is increasingly common, and there is an increasing awareness that every strategy should be used to avoid complications of CKD. Restriction of dietary protein intake has been a relevant part of the management of CKD for more than 100 years, but even today, the principal goal of protein-restricted regimens is to decrease the accumulation of nitrogen waste products, hydrogen ions, phosphates, and inorganic ions while maintaining an adequate nutritional status to avoid secondary problems such as metabolic acidosis, bone disease, and insulin resistance, as well as proteinuria and deterioration of renal function. This supplement focuses on recent experimental and clinical findings related to an optimized dietary management of predialysis, dialysis, and transplanted patients as an important aspect of patient care. Nutritional treatment strategies are linked toward ameliorating metabolic and endocrine disturbances, improving/maintaining nutritional status, as well as delaying the renal replacement initiation and improving outcomes in CKD patients. A final consensus states that dietary manipulations should be considered as one of the main approaches in the management program of CKD patients and that a reasonable number of patients with moderate or severe CKD benefit from dietary protein/phosphorus restriction.

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Authors+Show Affiliations

Aparicio M
Department of Nephrology, Centre Hospitalier Universitaire et Université Bordeaux II, Bordeaux, France.
Bellizzi V
No affiliation info available
Chauveau P
No affiliation info available
Cupisti A
No affiliation info available
Ecder T
No affiliation info available
Fouque D
No affiliation info available
Garneata L
No affiliation info available
Lin S
No affiliation info available
Mitch WE
No affiliation info available
Teplan V
No affiliation info available
Zakar G
No affiliation info available
Yu X
No affiliation info available

MeSH

AcidosisAmino AcidsAnimalsCardiovascular DiseasesDiet, Protein-RestrictedDietary SupplementsHumansInsulin ResistanceKeto AcidsKidney Failure, ChronicMalnutritionMiceNutritional StatusOxidative StressProteinuriaRatsRenal Replacement TherapyTreatment Outcome

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Review

Language

eng

PubMed ID

22365371

Citation

Aparicio, Michel, et al. "Protein-restricted Diets Plus Keto/amino Acids--a Valid Therapeutic Approach for Chronic Kidney Disease Patients." Journal of Renal Nutrition : the Official Journal of the Council On Renal Nutrition of the National Kidney Foundation, vol. 22, no. 2 Suppl, 2012, pp. S1-21.
Aparicio M, Bellizzi V, Chauveau P, et al. Protein-restricted diets plus keto/amino acids--a valid therapeutic approach for chronic kidney disease patients. J Ren Nutr. 2012;22(2 Suppl):S1-21.
Aparicio, M., Bellizzi, V., Chauveau, P., Cupisti, A., Ecder, T., Fouque, D., Garneata, L., Lin, S., Mitch, W. E., Teplan, V., Zakar, G., & Yu, X. (2012). Protein-restricted diets plus keto/amino acids--a valid therapeutic approach for chronic kidney disease patients. Journal of Renal Nutrition : the Official Journal of the Council On Renal Nutrition of the National Kidney Foundation, 22(2 Suppl), S1-21. https://doi.org/10.1053/j.jrn.2011.09.005
Aparicio M, et al. Protein-restricted Diets Plus Keto/amino Acids--a Valid Therapeutic Approach for Chronic Kidney Disease Patients. J Ren Nutr. 2012;22(2 Suppl):S1-21. PubMed PMID: 22365371.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Protein-restricted diets plus keto/amino acids--a valid therapeutic approach for chronic kidney disease patients. AU - Aparicio,Michel, AU - Bellizzi,Vincenzo, AU - Chauveau,Philippe, AU - Cupisti,Adamasco, AU - Ecder,Tevfik, AU - Fouque,Denis, AU - Garneata,Liliana, AU - Lin,Shanyan, AU - Mitch,William E, AU - Teplan,Vladimír, AU - Zakar,Gábor, AU - Yu,Xueqing, PY - 2011/09/27/received PY - 2011/09/27/accepted PY - 2012/2/28/entrez PY - 2012/3/6/pubmed PY - 2012/7/12/medline SP - S1 EP - 21 JF - Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation JO - J Ren Nutr VL - 22 IS - 2 Suppl N2 - Chronic kidney disease (CKD) is increasingly common, and there is an increasing awareness that every strategy should be used to avoid complications of CKD. Restriction of dietary protein intake has been a relevant part of the management of CKD for more than 100 years, but even today, the principal goal of protein-restricted regimens is to decrease the accumulation of nitrogen waste products, hydrogen ions, phosphates, and inorganic ions while maintaining an adequate nutritional status to avoid secondary problems such as metabolic acidosis, bone disease, and insulin resistance, as well as proteinuria and deterioration of renal function. This supplement focuses on recent experimental and clinical findings related to an optimized dietary management of predialysis, dialysis, and transplanted patients as an important aspect of patient care. Nutritional treatment strategies are linked toward ameliorating metabolic and endocrine disturbances, improving/maintaining nutritional status, as well as delaying the renal replacement initiation and improving outcomes in CKD patients. A final consensus states that dietary manipulations should be considered as one of the main approaches in the management program of CKD patients and that a reasonable number of patients with moderate or severe CKD benefit from dietary protein/phosphorus restriction. SN - 1532-8503 UR - https://www.unboundmedicine.com/medline/citation/22365371/Protein_restricted_diets_plus_keto/amino_acids__a_valid_therapeutic_approach_for_chronic_kidney_disease_patients_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1051-2276(11)00164-6 DB - PRIME DP - Unbound Medicine ER -