Efectos a corto y largo plazo de un programa de educación nutricional sobre el estado nutricional de pacientes con enfermedad renal crónica avanzada
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2018
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14/07/2017
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Selgas Gutiérrez, Rafael
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Universidad Complutense de Madrid
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Abstract
La Enfermedad Renal Crónica (ERC) se encuentra asociada con mayor riesgo de mortalidad por eventos cardiovasculares. Se caracteriza por la pérdida progresiva de la funcionalidad del riñón. Y se clasifica en 5 estadios en función del filtrado glomerular (FG) y la presencia de proteinuria. Hasta el momento en el que se instaura el fallo renal y es necesario el tratamiento renal sustitutivo (TRS), el tratamiento es farmacológico y nutricional. La prevalencia de malnutrición es elevada, y aumenta a medida que disminuye la función renal. Debido a la elevada prevalencia de malnutrición y a que sus causas son multifactoriales, el Comité de Expertos de la Sociedad Internacional de Metabolismo y Nutrición Renal (ISRNM) propuso el término Protein Energy Wasting (PEW), y su posterior traducción al castellano, Desgaste Proteico Energético (DPE), para definir“aquel estado patológico que se caracteriza por la pérdida progresiva de los depósitos proteicos y energéticos”. El DPE se debe principalmente a la disminución de la ingesta y al hipercatabolismo. El cual es secundario entre otros factores a la inflamación, la acidosis metabólica y a los desordenes hormonales que inhiben parte de las vías anabólicas del organismo. En el caso del TRS, la diálisis es un proceso hipercatabólico per se...
Chronic Kidney Disease (CKD) is associated with an increased risk of mortality from cardiovascular events. It is characterized by progressive loss of kidney function, andis classified into 5 stages depending on the glomerular filtration rate (GFR) and the presence of proteinuria. Until the moment renal failure is established and renal replacement therapy (RRT) is necessary, the treatment is pharmacological and nutritional.The prevalence of malnutrition is high, and increases as renal function decreases. Due to the high prevalence of malnutrition and its causes are multifactorial, the Committee of Experts of the International Society and of Metabolism and Renal Nutrition(ISRNM) proposed the term Protein Energy Wasting (PEW), to define that pathological condition characterized by the progressive loss of protein and energy deposits. PEW, it is mainly due to decreased intake and hypercatabolism. Which is secondary among other factors; Inflammation, metabolic acidosis and hormonal disorders, which inhibit part of the body's anabolic pathways. In the case of RRT, dialysisis a hypercatabolic process per se...
Chronic Kidney Disease (CKD) is associated with an increased risk of mortality from cardiovascular events. It is characterized by progressive loss of kidney function, andis classified into 5 stages depending on the glomerular filtration rate (GFR) and the presence of proteinuria. Until the moment renal failure is established and renal replacement therapy (RRT) is necessary, the treatment is pharmacological and nutritional.The prevalence of malnutrition is high, and increases as renal function decreases. Due to the high prevalence of malnutrition and its causes are multifactorial, the Committee of Experts of the International Society and of Metabolism and Renal Nutrition(ISRNM) proposed the term Protein Energy Wasting (PEW), to define that pathological condition characterized by the progressive loss of protein and energy deposits. PEW, it is mainly due to decreased intake and hypercatabolism. Which is secondary among other factors; Inflammation, metabolic acidosis and hormonal disorders, which inhibit part of the body's anabolic pathways. In the case of RRT, dialysisis a hypercatabolic process per se...
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Tesis de la Universidad Complutense de Madrid, Facultad de Farmacia, Departamento de Nutrición y Bromatología I (Nutrición), leída el 14/07/2017