Clinical significance of risk factors control in prevention of chronic renal failure progression

Stojimirovic, Biljana; Petrović, Dejan

doi:10.2298/vsp0606585s

Cited by 3 publications

(4 citation statements)

References 22 publications

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“…Bolesnici koji imaju hroničnu bolest bubrega treba da pored kontrole krvnog pritiska, klirensa endogenog kreatinina (serumski kreatinin), mikroalbuminurije/ proteinurije, kontrolišu i profil lipida i glikemiju (glukoza u krvi natašte, glukoza u krvi postprandijalno, glikozilovani hemoglobin -HbA1c). [14,15] MENTALNA HIGIJENA I HBI Psihički problemi kod pacijenata sa terminalnom bubrežnom insuficijencijem već dugo zaokupljaju zdravstvene radnike . Široko je prihvaćeno da oboleli od HBI ispoljavaju različite psihološke probleme koji dalje imaju negativana uticaj na ishod bolesti ali i troškove lečenja i zdravstvene nege.…”

Section: Hronična Bubrežna Insuficijencija Definicija I Principi Skrunclassified

“…Dnevno treba uneti 30-35 kilokalorija na kilogram telesne mase. [15] Danas istraživači postavljaju pitanja kako se uopšte došlo do ovih zvaničnih preporuka? U eri personalizovane medicine, možemo se zapitati da li je randomizirano, kontrolisano ispitivanje najbolji način da se pokaže efekat promene u navikama u ishrani i, više od toga -da li je etički zdravo randomizirati takvu nametljivu promenu životnog stila [36,37,38,39].…”

Section: Dijeta I Hbiunclassified

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Elements of mental hygiene and diet as factor of control chronical renal disease

Jović¹,

Knežević²,

Ilic³

et al. 2016

Praxis Med

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Chronic kidney disease (CKD) is a syndrome which is caused by gradual progressive and irreversible reduction of kidney function. CKD has become a global health care problem. From a mental hygiene point of view, the aim of this study is to present the most important stressors in patients with CKD. Knowledge and recognition of everything that influences the increase of stress in people with CKD, on one hand leads to an improvement of understanding , and on the other gives us possibilities to prevent or at least reduce the negative effects of stress. Furthermore, patients with CKD often have anxiety and depressive symptoms which overlap with the clinical symptomatology of kidney disease, which is mostly caused by uremia. We have given certain suggestions for early depression screening in patients with CKD by analyzing previously conducted research. As far as diet is concerned, research suggests that patients with CKD should be prescribed a low protein diet which delays the progression of CKD, reduces the metabolical disbalance and delays the need for dialysis. A traditional diet focused on protein intake without a special selection of meals is recommended. Other recommendations are vegan diet as well as vegan diet with suplements. Furthermore, a diet without proteins with pastas without proteins, bread and other carbohydrates. There are also recommendations for a low protein diet with suplements with an intake of only 0.3 g/kg BM/protein a day with an addition of proteins from vegetables, amino and keto acids. Finally, it should be mentioned that comorbidities should be taken into consideration when prescribing a diet for patients with CKD. It is necessary for the patient to be compliant with the recommended diet.

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Section: Hronična Bubrežna Insuficijencija Definicija I Principi Skrunclassified

Section: Dijeta I Hbiunclassified

Elements of mental hygiene and diet as factor of control chronical renal disease

Jović¹,

Knežević²,

Ilic³

et al. 2016

Praxis Med

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“…Chronic kidney disease (CKD) is a progressive disease and loss of renal function is followed by various complications of which anemia, secondary hyperparathyroidism (SHPTH) and cardiovascular diseases are the most important 1,2 . Ninety percent of patients starting with hemodialysis are diagnosed with anemia caused by lack of endogen erythropoietin (EPO) which stimulates erythropoiesis in the bone marrow 3 .…”

Section: Introductionmentioning

confidence: 99%

“…Among other causes of anemia the most important is hemorrhage 3 . Screening for anemia should be performed when gromelular filtration rate (GFR) is less than 60 mL/min/1.73 m 2 . Measured parameters include hemoglobin concentration (Hb), hematocrit (Hct), red blood cell indices, serum iron (Fe 2+ ) and ferritin concentration (FER), transferrin saturation (TSAT) and serum concentration of C-reactive protein (CRP) [1][2][3] .…”

Section: Introductionmentioning

confidence: 99%

Influence of secondary hyperparathyroidism in management anemia in patients on regular hemodialysis

Hamzagić¹,

Anđelković

Stanojević-Pirković

et al. 2020

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Background/Aim. Anemia is a common complication in hemodialysis patients. Treatment of anemia is affected by iron deficiency, insufficient dose of erythropoietin, microinflammation, vitamin D deficiency, increased intact parathyroid hormone concentration and inadequate hemodialysis. The aim of the study was to determine the prevalence of vitamin D deficiency and its impact on hemoglobin concentration , iron status, microinflammation, malnutrition, dialysis adequacy and erythropoietin dose in patients on regular hemodialysis. Methods. The study involved 120 patients divided into three groups: severely deficient of vitamin D: 25hydroxyvitamin D 25(OH)D  10 ng/mL; deficient-25(OH)D within range of 10-20 ng/mL, and insufficient-25(OH)D  20 ng/mL. For statistical analysis Kolmogorov-Smirnov test, the single-factor parametric analysis of variance-ANOVA and Kruskal-Wallis test were used. Results. The prevalence of vitamin D deficiency in patients on regular hemodialysis was 75.83%, while the prevalence of severe vitamin D deficiency was 24.7%. Patients with severe vitamin D deficiency had lower blood concentration of hemoglobin, hematocrit, serum concentration of total proteins and albumin, and dialysis indices were also lower compared to the other two groups of patients. The level of C-reactive protein was significantly higher in the group of patients with severe vitamin D deficiency than in the two rest groups. Conclusion. Hemodialysis patients with severe vitamin D deficiency have lower hemoglobin, lower dialysis adequacy, significant microinflammation, malnutrition, bone metabolism disorders and need higher dose of erythropoietin than patients whose vitamin D was higher than 10 ng/mL. Vitamin D is important risk factor for development of anemia in hemodialysis patients and important factor that can affect treatment of anemia in these patients.

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Proteinuria as a risk factor for the progression of chronic renal disease

Petrović

Stojimirovic²

2008

VOJNOSANIT PREGL

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Clinical significance of risk factors control in prevention of chronic renal failure progression

Cited by 3 publications

References 22 publications

Elements of mental hygiene and diet as factor of control chronical renal disease

Elements of mental hygiene and diet as factor of control chronical renal disease

Influence of secondary hyperparathyroidism in management anemia in patients on regular hemodialysis

Proteinuria as a risk factor for the progression of chronic renal disease

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