Effects of Low-Protein Diet on lipid and anthropometric profiles of patients with chronic kidney disease on conservative management

Detalhes bibliográficos
Autor(a) principal: Fontes,Bruna Carvalho
Data de Publicação: 2018
Outros Autores: Anjos,Juliana Saraiva dos, Black,Ana Paula, Moreira,Nara Xavier, Mafra,Denise
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Jornal Brasileiro de Nefrologia
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002018000300225
Resumo: ABSTRACT Introduction: Chronic Kidney disease (CKD) patients have a high prevalence of cardiovascular mortality, and among the risk factors are dyslipidemia and obesity, common findings in the early stages of CKD. The aim of this study was to evaluate the effects of low protein diet (LPD) on the lipid and anthropometric profile in non-dialysis CKD patients. Methods: Forty CKD patients were studied (20 men, 62.7 ± 15.2 years, glomerular filtration rate (GFR) 26.16 ± 9.4 mL/min/1.73m2). LPD (0.6g/kg/d) was prescribed for six months and, biochemical and anthropometric parameters like body mass index (BMI), waist circumference and body fat mass (assessed by dual X-ray absorptiometry - DXA) were evaluated before and after six months with LPD. Results: After six months of nutritional intervention, patients presented reduction on BMI (from 28.1 ± 5.6 to 27.0 ± 5.3 Kg/m2, p = 0.001), total cholesterol (from 199.7 ± 57.1 to 176.0 ± 43.6mg/dL, p = 0.0001), LDL (from 116.2 ± 48.1 to 97.4 ± 39.1 mg/dL, p = 0,001) and uric acid (from 6.8 ± 1.4 to 6.2 ± 1.3 mg/dL, p = 0.004). In addition, GFR values were increased from 26.2 ± 9.5 to 28.9 ± 12.7mL/min (p = 0.02). The energy, proteins, cholesterol and fiber intake were reduced significantly. Conclusion: LPD prescribe to non-dialysis CKD patients for six months was able to improve some cardiovascular risk factors as overweight and plasma lipid profile, suggesting that LPD can be also an important tool for protection against cardiovascular diseases in these patients.
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spelling Effects of Low-Protein Diet on lipid and anthropometric profiles of patients with chronic kidney disease on conservative managementKidney Disease, ChronicCardiovascular DiseasesDiet, Protein-RestrictedDyslipidemiasOverweightObesityABSTRACT Introduction: Chronic Kidney disease (CKD) patients have a high prevalence of cardiovascular mortality, and among the risk factors are dyslipidemia and obesity, common findings in the early stages of CKD. The aim of this study was to evaluate the effects of low protein diet (LPD) on the lipid and anthropometric profile in non-dialysis CKD patients. Methods: Forty CKD patients were studied (20 men, 62.7 ± 15.2 years, glomerular filtration rate (GFR) 26.16 ± 9.4 mL/min/1.73m2). LPD (0.6g/kg/d) was prescribed for six months and, biochemical and anthropometric parameters like body mass index (BMI), waist circumference and body fat mass (assessed by dual X-ray absorptiometry - DXA) were evaluated before and after six months with LPD. Results: After six months of nutritional intervention, patients presented reduction on BMI (from 28.1 ± 5.6 to 27.0 ± 5.3 Kg/m2, p = 0.001), total cholesterol (from 199.7 ± 57.1 to 176.0 ± 43.6mg/dL, p = 0.0001), LDL (from 116.2 ± 48.1 to 97.4 ± 39.1 mg/dL, p = 0,001) and uric acid (from 6.8 ± 1.4 to 6.2 ± 1.3 mg/dL, p = 0.004). In addition, GFR values were increased from 26.2 ± 9.5 to 28.9 ± 12.7mL/min (p = 0.02). The energy, proteins, cholesterol and fiber intake were reduced significantly. Conclusion: LPD prescribe to non-dialysis CKD patients for six months was able to improve some cardiovascular risk factors as overweight and plasma lipid profile, suggesting that LPD can be also an important tool for protection against cardiovascular diseases in these patients.Sociedade Brasileira de Nefrologia2018-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002018000300225Brazilian Journal of Nephrology v.40 n.3 2018reponame:Jornal Brasileiro de Nefrologiainstname:Sociedade Brasileira de Nefrologia (SBN)instacron:SBN10.1590/2175-8239-jbn-3842info:eu-repo/semantics/openAccessFontes,Bruna CarvalhoAnjos,Juliana Saraiva dosBlack,Ana PaulaMoreira,Nara XavierMafra,Deniseeng2018-11-12T00:00:00Zoai:scielo:S0101-28002018000300225Revistahttp://www.bjn.org.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||jbn@sbn.org.br2175-82390101-2800opendoar:2018-11-12T00:00Jornal Brasileiro de Nefrologia - Sociedade Brasileira de Nefrologia (SBN)false
dc.title.none.fl_str_mv Effects of Low-Protein Diet on lipid and anthropometric profiles of patients with chronic kidney disease on conservative management
title Effects of Low-Protein Diet on lipid and anthropometric profiles of patients with chronic kidney disease on conservative management
spellingShingle Effects of Low-Protein Diet on lipid and anthropometric profiles of patients with chronic kidney disease on conservative management
Fontes,Bruna Carvalho
Kidney Disease, Chronic
Cardiovascular Diseases
Diet, Protein-Restricted
Dyslipidemias
Overweight
Obesity
title_short Effects of Low-Protein Diet on lipid and anthropometric profiles of patients with chronic kidney disease on conservative management
title_full Effects of Low-Protein Diet on lipid and anthropometric profiles of patients with chronic kidney disease on conservative management
title_fullStr Effects of Low-Protein Diet on lipid and anthropometric profiles of patients with chronic kidney disease on conservative management
title_full_unstemmed Effects of Low-Protein Diet on lipid and anthropometric profiles of patients with chronic kidney disease on conservative management
title_sort Effects of Low-Protein Diet on lipid and anthropometric profiles of patients with chronic kidney disease on conservative management
author Fontes,Bruna Carvalho
author_facet Fontes,Bruna Carvalho
Anjos,Juliana Saraiva dos
Black,Ana Paula
Moreira,Nara Xavier
Mafra,Denise
author_role author
author2 Anjos,Juliana Saraiva dos
Black,Ana Paula
Moreira,Nara Xavier
Mafra,Denise
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Fontes,Bruna Carvalho
Anjos,Juliana Saraiva dos
Black,Ana Paula
Moreira,Nara Xavier
Mafra,Denise
dc.subject.por.fl_str_mv Kidney Disease, Chronic
Cardiovascular Diseases
Diet, Protein-Restricted
Dyslipidemias
Overweight
Obesity
topic Kidney Disease, Chronic
Cardiovascular Diseases
Diet, Protein-Restricted
Dyslipidemias
Overweight
Obesity
description ABSTRACT Introduction: Chronic Kidney disease (CKD) patients have a high prevalence of cardiovascular mortality, and among the risk factors are dyslipidemia and obesity, common findings in the early stages of CKD. The aim of this study was to evaluate the effects of low protein diet (LPD) on the lipid and anthropometric profile in non-dialysis CKD patients. Methods: Forty CKD patients were studied (20 men, 62.7 ± 15.2 years, glomerular filtration rate (GFR) 26.16 ± 9.4 mL/min/1.73m2). LPD (0.6g/kg/d) was prescribed for six months and, biochemical and anthropometric parameters like body mass index (BMI), waist circumference and body fat mass (assessed by dual X-ray absorptiometry - DXA) were evaluated before and after six months with LPD. Results: After six months of nutritional intervention, patients presented reduction on BMI (from 28.1 ± 5.6 to 27.0 ± 5.3 Kg/m2, p = 0.001), total cholesterol (from 199.7 ± 57.1 to 176.0 ± 43.6mg/dL, p = 0.0001), LDL (from 116.2 ± 48.1 to 97.4 ± 39.1 mg/dL, p = 0,001) and uric acid (from 6.8 ± 1.4 to 6.2 ± 1.3 mg/dL, p = 0.004). In addition, GFR values were increased from 26.2 ± 9.5 to 28.9 ± 12.7mL/min (p = 0.02). The energy, proteins, cholesterol and fiber intake were reduced significantly. Conclusion: LPD prescribe to non-dialysis CKD patients for six months was able to improve some cardiovascular risk factors as overweight and plasma lipid profile, suggesting that LPD can be also an important tool for protection against cardiovascular diseases in these patients.
publishDate 2018
dc.date.none.fl_str_mv 2018-09-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1590/2175-8239-jbn-3842
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Nefrologia
publisher.none.fl_str_mv Sociedade Brasileira de Nefrologia
dc.source.none.fl_str_mv Brazilian Journal of Nephrology v.40 n.3 2018
reponame:Jornal Brasileiro de Nefrologia
instname:Sociedade Brasileira de Nefrologia (SBN)
instacron:SBN
instname_str Sociedade Brasileira de Nefrologia (SBN)
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reponame_str Jornal Brasileiro de Nefrologia
collection Jornal Brasileiro de Nefrologia
repository.name.fl_str_mv Jornal Brasileiro de Nefrologia - Sociedade Brasileira de Nefrologia (SBN)
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