Red meat snacks for chronic hemodialysis patients: effect on inflammatory activity (a pilot study)
Maduro IP, Nonino CB, Sakamoto LM, Meirelles MG, Cardeal Da Costa JA, Marchini JS
Renal failure · 7 citas
Etiquetas de revisión
Alimentación controladaDatos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.
Cómo se estudió
- Diseño
- Ensayo clínico controlado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
- Consumo medido con
- Comida provista por los investigadores
Quién lo pagó
- Financiación
- Financiación independiente
- Gobierno
- Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
- Gobierno
- Conselho Nacional de Desenvolvimento Científico e Tecnológico
Según 2 financiadores declarados.
Publicación
- Publicado
- 2013-05-28 · Ren Fail · vol. 35 · número 6 · págs. 830–834
- Editorial
- Taylor & Francis
- Citado
- 11 citas · más que el 57% de estudios similares · 0.3× el promedio de su campo
- Referencias
- 29 trabajos
- Acceso
- De pago
- Áreas de investigación
- Dialysis and Renal Disease Management · Nutrition and Health in Aging · Nutritional Studies and Diet
- Palabras clave
- Medicine, Hemodialysis, Dialysis, Malnutrition, C-reactive protein, Internal medicine, Calorie, Gastroenterology, Inflammation
- MeSH
- humans, kidney failure, chronic, protein-energy malnutrition, inflammation, c-reactive protein, renal dialysis, prospective studies, pilot projects, nutritional status, meat, adult, middle aged, female, male, young adult
6 autores
- Isolda Prado de Negreiros Nogueira Maduro🇧🇷 · autor de correspondenciaUniversidade de Ribeirão Preto; Universidade de São Paulo; Universidade do Estado do Amazonas
- Carla Barbosa Nonino🇧🇷Universidade do Estado do Amazonas
- Luiz Maçao Sakamoto🇧🇷Clinics Hospital of Ribeirão Preto
- Maurício Gomes Meirelles🇧🇷Universidade de Ribeirão Preto
- José Abrão Cardeal da Costa
- Júlio Sérgio Marchini🇧🇷Universidade do Estado do Amazonas
Resumen
El texto original del estudio, en el idioma en que se publicó.
Rational
Among the alternatives to reverse chronic hemodialysis protein-energy malnutrition is the enhancement of intradialytic oral nutritional therapy. Although foods of animal origin are a source of nutrients and represent a feasible diet, there is uncertainty about their health consequences.
Objectives
We assessed the relationship of intradialytic high-protein red meat snack supplementation with patient inflammatory status and protein losses (nitrogen) during this supplementation. Fourteen patients submitted to low-flux chronic hemodialysis for one month were divided into two groups receiving 2 g (group 1) and 29 g (group 2) of oral intradialytic protein during the initial phase, respectively. In the subsequent phase, group 1 was supplemented with 27 g protein (a red meat snack) for a total of 29 g per dialysis. Group 2 continued to receive 29 g protein. Nutritional status, total nitrogen losses through the dialysate and acute inflammatory phase protein (CRP) were assessed before and after dialysis. Reuse of the dialyzer was also determined on each occasion.
Main findings
Red meat supplementation did not interfere with CRP, nitrogen loss through the dialysate (18 ± 7 to 19 ± 4 g in group 1, ns, and 20 ± 7 to 21 ± 4 g in group 2, ns) or with nutritional status. However, the data showed a positive correlation between pre- and post-hemodialysis CRP values (r = 0.84, p < 0.01) in both groups, suggesting an increase of the values after ultrafiltration. Reuse of the dialyzer was not correlated with CRP values.
Principle conclusions
The results suggest that snacks were not acutely correlated with increased inflammatory levels and indicated that a protein-rich red meat snack may be beneficial for chronic hemodialysis patients.
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