AN APPROACH TO PROTEIN RESTRICTION IN CHILDREN WITH RENAL-INSUFFICIENCY

被引：9

作者：

RAYMOND, NG ^{[1
]}

DWYER, JT ^{[1
]}

NEVINS, P ^{[1
]}

KURTIN, P ^{[1
]}

机构：

[1] NEW ENGLAND MED CTR HOSP,FRANCES STERN NUTR CTR,DEPT PEDIAT & MED,DIV PEDIAT NEPHROL,BOSTON,MA 02111

来源：

PEDIATRIC NEPHROLOGY | 1990年 / 4卷 / 02期

关键词：

Glomerulosclerosis; Growth; Hyperfiltration; Low protein diet;

D O I：

10.1007/BF00858826

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Children with mild to moderate renal insufficiency may be at an increased risk for developing glomerulosclerosis and subsequent renal failure. Low protein diets (LPD) have been shown to delay the progression of renal insufficiency in laboratory animals and may be of benefit in adult humans. The nutritional costs of a LPD in adults are reportedly minimal. We review the protein and caloric requirements of growing children and discuss the potential harmful effects and benefits of an LPD in this population. We also discuss dietary adherence and the difficulty of designing an LPD for children. We conclude that the protein content of a typical American diet can safely be reduced to, but not below, the recommended daily allowance for protein if diets are carefully planned, patients and their parents extensively counseled, and if dietary supplements are given to help meet the caloric and vitamin-mineral nutrient needs of growing children. In addition, ongoing nutritional assessment, counseling, and frequent monitoring of growth, diet and biochemical indicators of protein status are essential for maintaining the health of these children. © 1990 IPNA.

引用

页码：145 / 151

页数：7

共 76 条

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