Manejo dietético na doença renal crônica felina
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Tipo de documento: | Trabalho de conclusão de curso |
Idioma: | por |
Título da fonte: | Repositório Institucional do IFAM (Repositório Institucional do Instituto Federal do Amazonas) |
Texto Completo: | http://repositorio.ifam.edu.br/jspui/handle/4321/848 |
Resumo: | Chronic kidney disease (CKD) is the most common metabolic disease in domestic cats. It occurs when the kidneys become unable to maintain their excretory, regulatory and endocrine functions in animals. The clinical picture of a feline with CKD is nonspecific and the most commonly observed clinical signs include anorexia, lethargy, polyuria and polydipsia. Clinical and historical findings suggestive of CKD, as well as increased serum creatinine concentration, inappropriately low specific urinary density, persistent increase in symmetric dimethylarginine (SDMA), and evidence of sonographic changes. Staging is performed after CKD diagnosis, based on blood creatinine or SDMA concentration, and substaging is based on whether or not hypertension and proteinuria occur. Treatment consists of supportive and symptomatic therapy designed to correct abnormalities in hydroelectrolytic, acid-base, endocrine and nutritional balance. Diet modification are considered standard therapy for the treatment of CKD. Renal diets (RDs) are specifically formulated for the purpose of clinical management of cats with CKD, modified based on the impact of declining renal function and supplemented with nutrients that improve disease complications. Protein restriction is recommended as they reduce nitrogenous waste and glomerular proteinuria; lowering serum phosphorus concentration is also associated with better long-term survival, decreasing the incidence of secondary hyperparathyroidism; Reducing sodium intake may be beneficial in CKD patients due to sodium retention and the potential for systemic arterial hypertension. Hypokalemia is common in cats with CKD, and diets formulated for CKD may provide potassium supplementation; supplementation with polyunsaturated omega-3 fatty acids (EPA) exerts renoprotective effects, may reduce glomerular hypertension and proteinuria, and limit the production of proinflammatory mediators. Thus, renal diets play an important role in decreasing clinical signs of uremia and, in the face of a progressive disease, slowing the progression of the disease, which increases the expectation and quality of life of patients. Thus, the objective of this study was to review the nutritional management of cats with chronic kidney disease (CKD), and to discuss the main nutrients present in renal diets. |
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Manejo dietético na doença renal crônica felina1. DRC. 2. Felinos. 3. Dieta. I. Vieira, Flávia Volpato. II. Título.CNPQ::CIENCIAS AGRARIAS::MEDICINA VETERINARIAChronic kidney disease (CKD) is the most common metabolic disease in domestic cats. It occurs when the kidneys become unable to maintain their excretory, regulatory and endocrine functions in animals. The clinical picture of a feline with CKD is nonspecific and the most commonly observed clinical signs include anorexia, lethargy, polyuria and polydipsia. Clinical and historical findings suggestive of CKD, as well as increased serum creatinine concentration, inappropriately low specific urinary density, persistent increase in symmetric dimethylarginine (SDMA), and evidence of sonographic changes. Staging is performed after CKD diagnosis, based on blood creatinine or SDMA concentration, and substaging is based on whether or not hypertension and proteinuria occur. Treatment consists of supportive and symptomatic therapy designed to correct abnormalities in hydroelectrolytic, acid-base, endocrine and nutritional balance. Diet modification are considered standard therapy for the treatment of CKD. Renal diets (RDs) are specifically formulated for the purpose of clinical management of cats with CKD, modified based on the impact of declining renal function and supplemented with nutrients that improve disease complications. Protein restriction is recommended as they reduce nitrogenous waste and glomerular proteinuria; lowering serum phosphorus concentration is also associated with better long-term survival, decreasing the incidence of secondary hyperparathyroidism; Reducing sodium intake may be beneficial in CKD patients due to sodium retention and the potential for systemic arterial hypertension. Hypokalemia is common in cats with CKD, and diets formulated for CKD may provide potassium supplementation; supplementation with polyunsaturated omega-3 fatty acids (EPA) exerts renoprotective effects, may reduce glomerular hypertension and proteinuria, and limit the production of proinflammatory mediators. Thus, renal diets play an important role in decreasing clinical signs of uremia and, in the face of a progressive disease, slowing the progression of the disease, which increases the expectation and quality of life of patients. Thus, the objective of this study was to review the nutritional management of cats with chronic kidney disease (CKD), and to discuss the main nutrients present in renal diets.A doença renal crônica (DRC) é a doença metabólica mais comum em gatos domésticos, ocorre quando os rins tornam-se incapazes de manter suas funções excretórias, regulatórias e endócrinas em animais. O quadro clínico de um felino com DRC é inespecífico e os sinais clínicos mais comumente observados incluem anorexia, letargia, poliúria e polidipsia. Os achados clínicos e históricos sugestivos de DRC, bem como o aumento da concentração de creatinina sérica, densidade urinária específica inapropriadamente baixa, aumento persistente da dimetilarginina simétrica (SDMA) e evidência de alterações ultrassonográficas. O estadiamento é realizado após o diagnóstico da DRC, baseia-se na concentração de creatinina ou SDMA no sangue, e o subestadiamento é baseado na ocorrência ou não de hipertensão e proteinúria. O tratamento consiste em terapia de suporte e sintomática projetada para corrigir anormalidades no equilíbrio de hidroeletrolítico, ácido-base, endócrino e nutricional. A modificação da dieta são consideradas terapia padrão para o tratamento da DRC. As dietas renais (DRs) são especificamente formuladas para o propósito de manejo clínico de gatos com DRC, modificadas com base no impacto da função renal em declínio e suplementados com nutrientes que melhoram as complicações da doença. A restrição de proteínas é recomendada pois reduzem os resíduos nitrogenados e a proteinúria glomerular; a redução da concentração sérica de fósforo também está associado a uma melhor sobrevida a longo prazo, diminuindo a incidência de hiperparatireoidismo secundário; a redução da ingestão de sódio pode ser benéfica em pacientes com DRC devido à retenção de sódio e ao potencial de hipertensão arterial sistêmica. A hipocalemia é comum em gatos com DRC, e dietas formuladas para DRC podem fornecer suplementação de potássio; a suplementação com ácidos graxos ômega-3 poli-insaturados (EPA) exerce efeitos renoprotetores, pode reduzir a hipertensão glomerular e a proteinúria, e limitar a produção dos mediadores pró-inflamatórios. Dessa forma, dietas renais têm o importante papel de diminuir os sinais clínicos de uremia e, diante de uma doença de caráter progressivo, retardar a progressão da doença, o que aumenta a expectativa e a qualidade de vida dos pacientes. Com isso, o objetivo desse trabalho foi realizar uma revisão acerca do manejo nutricional de felinos portadores da doença renal crônica (DRC), e discorrer sobre os principais nutrientes presentes nas dietas renais. Palavras-chave: DRC; Felinos; Dieta.BrasilCampus Manaus Zona LesteInstituto Federal do AmazonasIFAMMedicina VeterináriaInstituto Federal do AmazonasIFAMMedicina VeterináriaInstituto Federal do AmazonasIFAMMedicina VeterináriaVieira, Flávia Volpatohttp://lattes.cnpq.br/1627861597325307Vieira, Flávia Volpatohttp://lattes.cnpq.br/1627861597325307Tonin, Alexandre Albertohttp://lattes.cnpq.br/6912106214152950Brandão, Mariza Dinah ManesCV: http://lattes.cnpq.br/8540977723934655Aragão, Emanuela Ipuchima Guimarães2022-06-06T21:12:18Z2022-06-062022-06-06T21:12:18Z2019-12-13info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/bachelorThesisARAGÃO, Emanuela Ipuchima Guimarães. Manejo Dietético na Doença Renal Crônica Felina / CMZL - 43 f. Monografia (Bacharelado em Medicina Veterinária) – Instituto Federal de Educação, Ciência e Tecnologia do Amazonas, Campus Manaus Zona Leste, Manaus, 2019.http://repositorio.ifam.edu.br/jspui/handle/4321/848porinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional do IFAM (Repositório Institucional do Instituto Federal do Amazonas)instname:Instituto Federal do Amazonas (IFAM)instacron:IFAM2023-05-26T12:36:17Zoai:localhost:4321/848Repositório InstitucionalPUBhttp://repositorio.ifam.edu.br/oai/requestcgeb@ifam.edu.bropendoar:2023-05-26T12:36:17Repositório Institucional do IFAM (Repositório Institucional do Instituto Federal do Amazonas) - Instituto Federal do Amazonas (IFAM)false |
dc.title.none.fl_str_mv |
Manejo dietético na doença renal crônica felina |
title |
Manejo dietético na doença renal crônica felina |
spellingShingle |
Manejo dietético na doença renal crônica felina Aragão, Emanuela Ipuchima Guimarães 1. DRC. 2. Felinos. 3. Dieta. I. Vieira, Flávia Volpato. II. Título. CNPQ::CIENCIAS AGRARIAS::MEDICINA VETERINARIA |
title_short |
Manejo dietético na doença renal crônica felina |
title_full |
Manejo dietético na doença renal crônica felina |
title_fullStr |
Manejo dietético na doença renal crônica felina |
title_full_unstemmed |
Manejo dietético na doença renal crônica felina |
title_sort |
Manejo dietético na doença renal crônica felina |
author |
Aragão, Emanuela Ipuchima Guimarães |
author_facet |
Aragão, Emanuela Ipuchima Guimarães |
author_role |
author |
dc.contributor.none.fl_str_mv |
Vieira, Flávia Volpato http://lattes.cnpq.br/1627861597325307 Vieira, Flávia Volpato http://lattes.cnpq.br/1627861597325307 Tonin, Alexandre Alberto http://lattes.cnpq.br/6912106214152950 Brandão, Mariza Dinah Manes CV: http://lattes.cnpq.br/8540977723934655 |
dc.contributor.author.fl_str_mv |
Aragão, Emanuela Ipuchima Guimarães |
dc.subject.por.fl_str_mv |
1. DRC. 2. Felinos. 3. Dieta. I. Vieira, Flávia Volpato. II. Título. CNPQ::CIENCIAS AGRARIAS::MEDICINA VETERINARIA |
topic |
1. DRC. 2. Felinos. 3. Dieta. I. Vieira, Flávia Volpato. II. Título. CNPQ::CIENCIAS AGRARIAS::MEDICINA VETERINARIA |
description |
Chronic kidney disease (CKD) is the most common metabolic disease in domestic cats. It occurs when the kidneys become unable to maintain their excretory, regulatory and endocrine functions in animals. The clinical picture of a feline with CKD is nonspecific and the most commonly observed clinical signs include anorexia, lethargy, polyuria and polydipsia. Clinical and historical findings suggestive of CKD, as well as increased serum creatinine concentration, inappropriately low specific urinary density, persistent increase in symmetric dimethylarginine (SDMA), and evidence of sonographic changes. Staging is performed after CKD diagnosis, based on blood creatinine or SDMA concentration, and substaging is based on whether or not hypertension and proteinuria occur. Treatment consists of supportive and symptomatic therapy designed to correct abnormalities in hydroelectrolytic, acid-base, endocrine and nutritional balance. Diet modification are considered standard therapy for the treatment of CKD. Renal diets (RDs) are specifically formulated for the purpose of clinical management of cats with CKD, modified based on the impact of declining renal function and supplemented with nutrients that improve disease complications. Protein restriction is recommended as they reduce nitrogenous waste and glomerular proteinuria; lowering serum phosphorus concentration is also associated with better long-term survival, decreasing the incidence of secondary hyperparathyroidism; Reducing sodium intake may be beneficial in CKD patients due to sodium retention and the potential for systemic arterial hypertension. Hypokalemia is common in cats with CKD, and diets formulated for CKD may provide potassium supplementation; supplementation with polyunsaturated omega-3 fatty acids (EPA) exerts renoprotective effects, may reduce glomerular hypertension and proteinuria, and limit the production of proinflammatory mediators. Thus, renal diets play an important role in decreasing clinical signs of uremia and, in the face of a progressive disease, slowing the progression of the disease, which increases the expectation and quality of life of patients. Thus, the objective of this study was to review the nutritional management of cats with chronic kidney disease (CKD), and to discuss the main nutrients present in renal diets. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-12-13 2022-06-06T21:12:18Z 2022-06-06 2022-06-06T21:12:18Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/bachelorThesis |
format |
bachelorThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
ARAGÃO, Emanuela Ipuchima Guimarães. Manejo Dietético na Doença Renal Crônica Felina / CMZL - 43 f. Monografia (Bacharelado em Medicina Veterinária) – Instituto Federal de Educação, Ciência e Tecnologia do Amazonas, Campus Manaus Zona Leste, Manaus, 2019. http://repositorio.ifam.edu.br/jspui/handle/4321/848 |
identifier_str_mv |
ARAGÃO, Emanuela Ipuchima Guimarães. Manejo Dietético na Doença Renal Crônica Felina / CMZL - 43 f. Monografia (Bacharelado em Medicina Veterinária) – Instituto Federal de Educação, Ciência e Tecnologia do Amazonas, Campus Manaus Zona Leste, Manaus, 2019. |
url |
http://repositorio.ifam.edu.br/jspui/handle/4321/848 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Brasil Campus Manaus Zona Leste Instituto Federal do Amazonas IFAM Medicina Veterinária Instituto Federal do Amazonas IFAM Medicina Veterinária Instituto Federal do Amazonas IFAM Medicina Veterinária |
publisher.none.fl_str_mv |
Brasil Campus Manaus Zona Leste Instituto Federal do Amazonas IFAM Medicina Veterinária Instituto Federal do Amazonas IFAM Medicina Veterinária Instituto Federal do Amazonas IFAM Medicina Veterinária |
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reponame:Repositório Institucional do IFAM (Repositório Institucional do Instituto Federal do Amazonas) instname:Instituto Federal do Amazonas (IFAM) instacron:IFAM |
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Instituto Federal do Amazonas (IFAM) |
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IFAM |
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IFAM |
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Repositório Institucional do IFAM (Repositório Institucional do Instituto Federal do Amazonas) |
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Repositório Institucional do IFAM (Repositório Institucional do Instituto Federal do Amazonas) |
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Repositório Institucional do IFAM (Repositório Institucional do Instituto Federal do Amazonas) - Instituto Federal do Amazonas (IFAM) |
repository.mail.fl_str_mv |
cgeb@ifam.edu.br |
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