izpis_h1_title_alt

Analiza vnosa fosfatov pri dializnih bolnikih
ID Škrlep, Maša (Author), ID Knap, Bojan (Mentor) More about this mentor... This link opens in a new window

.pdfPDF - Presentation file, Download (1,95 MB)
MD5: AED5365F0CA37DA61ED992E0AF0E74E3

Abstract
Evalvacija prehranskega vnosa pri bolnikih na peritonealni dializi je nujna za razumevanje povišanih vrednosti serumskih fosfatov, pa tudi za monitoring beljakovinskega vnosa, ki je zaradi predpisane restrikcije fosfatov glede na smernice praviloma prenizek. 20 bolnikov na peritonealni dializi je bilo naključno izbranih in analiziranih z namenom ugotoviti, kakšen je njihov energijski in hranilni vnos, s poudarkom na beljakovinah in fosfatih. S prehranskim intervjujem smo v obdobju treh mesecev trikrat izvedli metodo priklica jedilnika prejšnjega dne (24-urni priklic) in ga analizirali s spletnim orodjem OPKP. Sestava telesa je bila izmerjena z bioimpendančno spektroskopijo, opravljena je bila tudi biokemijska preiskava krvi. Povprečni energijski vnos 20 bolnikov, z upoštevnim energijskim doprinosom iz dializata, znaša (25,6 ± 6,7) kcal/kg TM/dan, povprečni beljakovinski vnos pa (0,9 ± 0,3) g/kg TM/dan. Glede na priporočila sta prenizka, možno je podcenjeno poročanje bolnikov v prehranskem intervjuju. Povprečni vnos mikrohranil (K, P, Na in Ca) je v referenčnem območju, primernem za dializne bolnike, kar je presenetljivo glede na visoke vrednosti serumskih fosfatov ((1,6 ± 0,4) mmol/L) in intaktnega paratiroidnega hormona ((450 ± 393) ng/L), kar nakazuje na hiperfosfatemijo in sekundarni hiperparatiroidizem. Korelacije med prehranskim vnosom fosfatov in serumskimi fosfati statistično značilno (p = 0,509) nismo zaznali, obstaja pa povezava med vnosom fosfatov in energijskim vnosom (p = 0,0001). Analiza poročanih fosfatov je pokazala, da so bolniki zaužili 60 % beljakovin živalskega izvora in 40 % beljakovin rastlinskega izvora, razmerje med beljakovinami in fosfati je bilo (16 ± 3,6). Anorganski fosfati iz fosfatnih aditivov niso bili zaznani zaradi odsotnosti podatkov v prehranski podatkovni bazi.

Language:Slovenian
Keywords:prehrana, kronična ledvična bolezen, dializni bolniki, peritonealna dializa, vnos fosfatov, hiperfosfatemija, sekundarni hiperparatiroidizem, metoda jedilnika prejšnjega dne
Work type:Master's thesis/paper
Typology:2.09 - Master's Thesis
Organization:BF - Biotechnical Faculty
Publisher:[M. Škrlep]
Year:2020
PID:20.500.12556/RUL-122899 This link opens in a new window
UDC:613.2:616.61
COBISS.SI-ID:42866691 This link opens in a new window
Publication date in RUL:16.12.2020
Views:4728
Downloads:160
Metadata:XML RDF-CHPDL DC-XML DC-RDF
:
Copy citation
Share:Bookmark and Share

Secondary language

Language:English
Title:Analysis of phosphate intake in dialysis patients
Abstract:
Evaluation of the dietary intake in patients on peritoneal dialysis is necessary for understanding of elevated phosphorus levels, as well as protein intake monitoring, which struggles to meet current dietary guidelines. 20 patients on peritoneal dialysis were randomly selected in Dialysis Centre of University Clinical Centre of Ljubljana, with the purpose to detect energy and nutritional intake, especially protein and phosphorus intake. A food propensity questionnaire has been carried out with three unannounced 24-hour dietary recalls per participant through a web-based application “OPEN” and picture book in three months period. Body composition was measured with bio-impedance spectroscopy and biochemical blood tests were performed. Average caloric intake of 20 patients was (25,6 ± 6,7) kcal/kg of body weight per day, dialysate included; average protein intake was (0,9 ± 0,3) g/kg body weight per day. They were inadequate according to the dietary recommendations for dialysis patients on peritoneal dialysis. Average intake of analysed micro-nutrients (K, P, Na) corresponds to the recommendations for dialysis patients which is surprising according to high levels of serum phosphorus (1,6 ± 0,4 mmol/L) and intact parathyroid hormone ((450 ± 393) ng/L). These levels are associated with hyperphosphatemia and secondary hyperparathyroidism. Phosphorus intake was moderately to strongly correlated with the dietary energy intake (p = 0,0001). The correlation between dietary phosphorus intake and serum phosphorus was insignificant (p = 0,509). According to the dietary report, the intake of protein was 60% animal and 40% plant. The ratio of protein intake versus dietary phosphorus was (16 ± 3,6). Inorganic phosphates from additives were not detected due to a lack of information in the database.

Keywords:nutrition, chronic kidney disease, dialysis patients, peritoneal dialysis, phosphate dietary intake, hyperphosphatemia, secondary hyperparatiroidism, 24 hour recall

Similar documents

Similar works from RUL:
Similar works from other Slovenian collections:

Back