New approaches in the nutritional treatment of advanced chronic kidney disease

Martínez-Villaescusa, María; Aguado-García, Ángel; López-Montes, Aurora; Martínez-Díaz, Mercedes; Gonzalvo-Díaz, César; Pérez-Rodríguez, Ana Victoria; Pedrón-Megías, Asunción; García-Arce, Llanos; Sánchez-Sáez, Paloma; García-Martínez, Clara; Azaña-Rodríguez, Abígail; García-Martínez, Ana Belén; Andrés-Pretel, Fernando; Botella-Romero, Francisco; Vega-Martínez, Almudena; Bachs, J.M. Giménez; León‐Sanz, Miguel

doi:10.1016/j.nefroe.2022.11.001

Cited by 2 publications

(3 citation statements)

References 30 publications

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“…The characteristics of the included studies are outlined in Table 2 , Table 3 , Table 4 , Table 5 . 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 ,…”

Section: Resultsunclassified

“… 52 A range of CKD stages were investigated within the studies, with the most common stages being stages 3-4. Dietary interventions were investigated in 24 studies, 46 , 47 , 48 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 with exercise interventions used in 23 studies. 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 Eleven studies assessed interventions involving multiple components (eg, both diet and exercise), 16 , 82 , 83 , 84 , 85 , 86 , 87 ,…”

Section: Resultsmentioning

confidence: 99%

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Lifestyle Interventions, Kidney Disease Progression, and Quality of Life: A Systematic Review and Meta-analysis

Neale¹,

Rosario²,

Probst³

et al. 2023

Kidney Medicine

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Section: Resultsunclassified

Section: Resultsmentioning

confidence: 99%

Lifestyle Interventions, Kidney Disease Progression, and Quality of Life: A Systematic Review and Meta-analysis

Neale¹,

Rosario²,

Probst³

et al. 2023

Kidney Medicine

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“…Odimet ® is well known and widely used by health professionals in Spain and Spanishspeaking countries, and as of 2022, an English-language version has been available to facilitate its internationalization. Its versatility is demonstrated by its recommendation in the Nutritional Guide of the Spanish Pediatrics Association [36] and in the Spanish Ketogenic Diet Guide [37] and the extension of its use outside the scope of the IEMs, being a wide-ranging dietary-nutritional calculation tool which could be used for other chronic diseases [38,39].…”

Section: Discussionmentioning

confidence: 99%

Odimet®: A Pioneering Tele-Health Tool to Empower Dietary Treatment and the Acute Management of Inborn Errors of Metabolism—An Assessment of Its Effectiveness during the COVID Pandemic

Sánchez-Pintos,

Camba-Garea,

López-Pardo

et al. 2024

Nutrients

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Strict adherence to a diet is an essential pillar of long-term treatment for many inborn errors of metabolism (IEMs). Tools that educate patients about dietary management can positively condition adherence and prevent morbidity. We designed a free online dietary calculation program (Odimet®, version 2.1.) for IEMs patients in 2008, updated in 2022, that provides detailed information on the content of amino acids, protein, lipids, carbohydrates, vitamins and minerals in >3000 food products, including specific medical foods for IEM. We analyzed the statistics on visits to Odimet® to evaluate its usefulness for long-term dietary management during a 5-year period focusing on three periods: pre-pandemic (15 March 2018–14 March 2020); pandemic 1 (15 March 2020–14 March 2021); and pandemic 2 period (15 March 2021–15 March 2023), in 120 patients with the following distribution: 84 patients with phenylketonuria (PKU); 12 with maple syrup urine disease (MSUD); 11 with urea cycle disorders (UCDs); and 13 with classical galactosemia. The evolutionary levels of their specific metabolic markers were evaluated, showing that globally, both pediatric and adult patients maintain a good metabolic control, even during a pandemic (median levels of phenylalanine in pediatric PKU patients 213.4 µmol/L and 482.3 µmol/L in adults; of leucine in MSUD patients: 144.2 µmol/L; of glutamine in UCDs: 726.8 µmol/L; and of galactose 1-phosphate levels in galactosemia: 0.08 µmol/L). The proportion of patients using Odimet® ranges from 78–100%. An increase in the number of diets being calculated was observed during COVID-19 pandemic. Currently, 14,825 products have been introduced (3094 from the general database, and 11,731 added by users to their own profiles). In 2023 63 emergency dietary adjustments in the studied intoxication-type pathologies were calculated in Odimet®. Our results suggest that its regular use contributes to maintaining metabolic stability in IEMs patients, allowing them to adapt their menus to their lifestyle, and represents a powerful complementary tele-health tool which can be used to perform remote real-time dietary follow-up.

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New approaches in the nutritional treatment of advanced chronic kidney disease

Cited by 2 publications

References 30 publications

Lifestyle Interventions, Kidney Disease Progression, and Quality of Life: A Systematic Review and Meta-analysis

Lifestyle Interventions, Kidney Disease Progression, and Quality of Life: A Systematic Review and Meta-analysis

Odimet®: A Pioneering Tele-Health Tool to Empower Dietary Treatment and the Acute Management of Inborn Errors of Metabolism—An Assessment of Its Effectiveness during the COVID Pandemic

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