Focus on the Possible Role of Dietary Sodium, Potassium, Phosphate, Magnesium, and Calcium on CKD Progression

被引:21
作者
Mazzaferro, Sandro [1 ,2 ]
de Martini, Natalia [1 ]
Cannata-Andia, Jorge [3 ]
Cozzolino, Mario [4 ]
Messa, Piergiorgio [5 ]
Rotondi, Silverio [6 ]
Tartaglione, Lida [1 ]
Pasquali, Marzia [2 ]
机构
[1] Sapienza Univ, Dept Translat & Precis Med, I-00185 Rome, Italy
[2] Policlin Umberto I Hosp, Nephrol Unit, I-00185 Rome, Italy
[3] Oviedo Univ, Retic REDinREN ISCIII, Inst Invest Sanitaria Principado Asturias ISP, Bone & Mineral Res Uni,Hosp Univ Cent Asturias, Oviedo 33011, Spain
[4] Univ Milan, San Paolo Hosp, Renal Div, Dept Hlth Sci, I-20122 Milan, Italy
[5] Univ Milan, San Paolo Hosp, Dept Clin Sci & Commun, I-20122 Milan, Italy
[6] Polo Pontino Sapienza Univ, ICOT Hosp, Dialysis Unit, I-04100 Latina, Italy
关键词
sodium; potassium; phosphate; magnesium; calcium; CKD; dietary electrolytes; CKD-MBD; CHRONIC KIDNEY-DISEASE; BONE; RISK; PHOSPHORUS; MORTALITY; EXCRETION; DEATH;
D O I
10.3390/jcm10050958
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The impressive estimated number of chronic kidney disease (CKD) patients in the world justifies any possible effort at implementing preventive measures of disease progression. Renal insufficiency is associated with significant changes in the electrolyte handling and body balance of sodium, potassium, phosphate, magnesium, and calcium, all of which are biologically vital molecules. Dietary habits could contribute significantly to the optimal management of possible derangements. In this review, we examined the available evidence recommending dietary prescriptions for these five elements aiming at reducing CKD progression. Clear evidence that specific dietary prescriptions may halt or reduce CKD progression is lacking. However, some practical recommendations are possible to prescribe the best possible therapy to the individual CKD patient.
引用
收藏
页码:1 / 11
页数:11
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