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논문 기본 정보

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저자정보
Hyesu Lee (Seoul National University) 김현숙 (한림대학교) Tae Yeon Kim (Seoul National University) 류현진 (서울대학교병원) 주달래 (서울대학교) Miyoung Jang (Seoul National University Hospital) 오국환 (서울대학교) Curie Ahn (Seoul National University College of Medicine) 한성림 (서울대학교)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.35 No.23
발행연도
2020.1
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1 - 12 (12page)

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Background: Dietary intervention at the early stage of chronic kidney disease (CKD) is important for preventing progression to the end-stage renal disease (ESRD). However, few studies have investigated dietary intake of CKD patients in non-dialysis stage. Therefore, we investigated the dietary intake of Korean non-dialysis CKD patients and aimed to establish baseline data for the development of dietary education and intervention strategies for CKD patients. Methods: Three hundred fifty CKD patients who visited Seoul National University Hospital outpatient clinic from February 2016 to January 2017 were recruited for this cross-sectional study. Subjects on dialysis and those who had undergone kidney transplantation were excluded. Dietary intake, demographic information, and biochemical characteristics of 256 subjects who completed three-day dietary records were analyzed. Subjects were divided into four groups based on diabetes mellitus (DM) (DM-CKD and Non-DM-CKD groups) and kidney function (Early-CKD and Late-CKD groups). Results: Total energy intake was lower in the Late-CKD group compared with the Early-CKD group. In men, carbohydrate intake was higher and protein and fat intakes tended to be lower in the Late-CKD group compared with the Early-CKD group. In women, carbohydrate intake tended to be lower in the DM-CKD group than the Non-DM-CKD group. Protein intake tended to be higher in the DM-CKD groups. Phosphorus and sodium intakes were higher in the DM-CKD groups compared with the Non-DM-CKD groups in women, and tended to be higher in the DM-CKD groups in men. Conclusion: DM and kidney function affected energy and nutrient intakes. Subjects in the Late-CKD group consumed less energy than those in the Early-CKD group. Non-DM subjects seemed to restrict protein intake starting from the Early-CKD stage than subjects with DM. Subjects in this study had low energy and high sodium intakes compared with recommended levels. Protein intake was lower in advanced CKD patients, but their intake level was still higher than the recommendation. Dietary intervention strategies for non-dialysis CKD patients need to be customized depending on the presence of DM and kidney function.
#Chronic Kidney Disease #Diabetes Mellitus #Dietary Intake #Non-Dialysis #Kidney Function

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참고문헌 (46)

참고문헌 신청
International Society of Nephrology / 2017 / ISN Global Kidney Health Atlas / International Society of Nephrology google schola Ministry of Health and Welfare / 2016 / Health Behavior and Chronic Disease Statistics 2015 Korea National Health and Nutrition Examination Survey (KNHANES VI-3) google schola Beto JA / 2004 / Medical nutrition therapy in chronic kidney failure : integrating clinical practice guidelines / J Am Diet Assoc 104(3):404~409 google schola Royal College of Physicians of London / 2008 / National Clinical Guideline for Early Identification and Management in Adults in Primary and Secondary Care / Royal College of Physicians of London google schola Lee JH / 1999 / Management of pre-ESRD patients / Korean J Med 57(4):783~790 google schola

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