Very low-protein diet to postpone renal failure: Pathophysiology and clinical applications in chronic kidney disease

The uremic syndrome is a metabolic disorder characterized by the impairment of renal handling of several solutes, the resulting accumulation of toxic products and the activation of some adaptive but detrimental mechanisms which all together contribute to the progression of renal damage. In moderate...

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Autores principales: Vincenzo Bellizzi, Patrizia Calella, Juan Jesus Carrero, Denis Fouque
Formato: article
Lenguaje:EN
Publicado: KeAi Communications Co., Ltd. 2018
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Acceso en línea:https://doaj.org/article/94a9e55ccf004c76b878a6cba2e55532
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Sumario:The uremic syndrome is a metabolic disorder characterized by the impairment of renal handling of several solutes, the resulting accumulation of toxic products and the activation of some adaptive but detrimental mechanisms which all together contribute to the progression of renal damage. In moderate to advanced renal failure, the dietary manipulation of nutrients improves metabolic abnormalities and may contribute to delay the time of dialysis initiation. This commentary focuses on the physiopathological rationale and the clinical application of the very low-protein diet supplemented with ketoanalogs for the management of chronic kidney disease. Keywords: Low-protein diet, Ketoanalogs, Renal failure, Chronic kidney disease