Recomendaciones del grupo GARIN para el tratamiento dietético de los pacientes con enfermedad renal crónica.
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Date
2019-02-26
Authors
Alhambra-Exposito, Maria Rosa
Molina-Puerta, Maria Jose
Olveira, Gabriel
Arraiza-Irigoyen, Carmen
Fernandez-Soto, Marisa
Garcia-Almeida, Jose Manuel
Garcia-Luna, Pedro Pablo
Gomez-Perez, Ana María
Irles-Rocamora, Juan Antonio
Molina-Soria, Juan Bautista
Advisors
Journal Title
Journal ISSN
Volume Title
Publisher
Aula Medica Ediciones
Abstract
En el tratamiento dietético de los pacientes con enfermedad renal crónica (ERC) existen muchas áreas de incertidumbre, por lo que el grupo de trabajo GARIN se ha propuesto definir su posición en este ámbito. Para ello, se realizó una revisión bibliográfica previa y una reunión presencial en la que se discutieron y respondieron preguntas específicas sobre el tema. Los resultados señalan que la intervención terapéutica debe ser individualizada, considerando el grado de enfermedad renal del paciente y sus comorbilidades. En cuanto a la terapia médica nutricional, el grupo propone tres niveles diferentes de actuación, en los que varían las recomendaciones de ingesta de proteínas, fibra, ácidos grasos o potasio. Asimismo, se sugiere utilizar el concepto de la ratio fósforo/proteína para ajustar la dieta del paciente con ERC, y se brindan recomendaciones sobre el tratamiento en pacientes con diabetes y sobre la suplementación artificial. Estas recomendaciones aportan respuestas concretas a cuestiones comunes en la atención de personas con enfermedad renal crónica.
Background and objectives: by means of this update, the GARIN working group aims to define its position regarding the dietary treatment of patients with chronic kidney disease (CKD). In this area there are many aspects of uncertainty. Material and methods: bibliographical review and specific questions in advance were discussed and answered at a meeting in the form of conclusions. Results: the therapeutic action must be individualized and taking into account the degree of renal failure that the patient presents and their comorbidities. Regarding nutritional medical therapy, our group proposes three different levels of action, in which the recommendations of protein intake, fiber, fatty acids or potassium are different. In addition, we suggest using the phosphorus/protein ratio concept in adjusting the diet of the patient with CKD. We give recommendations regarding treatment in diabetes and artificial supplementation. Conclusions: these recommendations about dietary issues in patients with CKD can add value to clinical work.
Background and objectives: by means of this update, the GARIN working group aims to define its position regarding the dietary treatment of patients with chronic kidney disease (CKD). In this area there are many aspects of uncertainty. Material and methods: bibliographical review and specific questions in advance were discussed and answered at a meeting in the form of conclusions. Results: the therapeutic action must be individualized and taking into account the degree of renal failure that the patient presents and their comorbidities. Regarding nutritional medical therapy, our group proposes three different levels of action, in which the recommendations of protein intake, fiber, fatty acids or potassium are different. In addition, we suggest using the phosphorus/protein ratio concept in adjusting the diet of the patient with CKD. We give recommendations regarding treatment in diabetes and artificial supplementation. Conclusions: these recommendations about dietary issues in patients with CKD can add value to clinical work.
Description
MeSH Terms
Diabetic Neuropathies
Diet
Dietary Supplements
Guidelines as Topic
Humans
Nutritional Status
Renal Insufficiency, Chronic
Diet
Dietary Supplements
Guidelines as Topic
Humans
Nutritional Status
Renal Insufficiency, Chronic
DeCS Terms
Ácidos grasos
Insuficiencia renal
Incertidumbre
Fósforo
Insuficiencia renal crónica
Insuficiencia renal
Incertidumbre
Fósforo
Insuficiencia renal crónica
CIE Terms
Keywords
Insuficiencia renal
, Dieta, Nutrición, Enfermedad renal, Renal insuffi ciency, Diet, Nutrition, Chronic kidney disease
Citation
Alhambra Expósito MR, Molina Puerta MJ, Olveira G, Arraiza Irigoyen C, Fernández Soto M, García Almeida JM, et al. Recomendaciones del grupo GARIN para el tratamiento dietético de los pacientes con enfermedad renal crónica [Recommendations of the GARIN group for dietary managing of patient with chronic kidney disease]. Nutr Hosp. 2019 Mar 7;36(1):183-217. Spanish
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