Usefulness of a nutritional strategy on dyslipidemia in pediatric patients with terminal chronic kidney disease
Por:
Villasis-Keever, Miguel Angel, Zurita-Cruz, Jessie Nallely, Barradas-Vazquez, Aly Sugei, Barbosa-Cortes, Lourdes, Zepeda-Martinez, Claudia del Carmen, Alegria-Torres, Gabriela, Gonzalez-Estevez, Marianne, Dominguez-Salgado, Juan Manuel
Publicada:
1 may 2022
Resumen:
Background and objective: in chronic kidney disease (CKD) there are
several factors that increase the presence of dyslipidemia. The aim of
this study was to identify the usefulness of a nutritional intervention,
in children with terminal CKD, on dyslipidemia 6 months after
intervention start.
Materials and methods: a quasi-experiment study (before and after) was
performed. End-stage CKD patients on peritoneal dialysis and
hemodialysis were included. Each child underwent a determination
somatometry, and lipid profile at the beginning and at 6 months of
follow-up. A nutritional guide was made with food traffic lights,
turning the food that should be consumed in the least amount possible in
red. In addition to including life-size food using educational models.
To compare the quantitative variables before and after the intervention,
the variables were transformed to their logarithm and a paired Student's
t-test was applied.
Results: a total of 41 patients were analyzed. After the intervention,
the parameters in the lipid profile were modified; meanwhile HDL
concentrations increased (41.0 mg/dL vs 44.4 mg/dL, p = 0.048),
triglyceride concentrations decreased (227.1 mg/dL vs 185.9 mg/dL, p =
0.007), and these changes persist even after excluding patients who were
under lipid-lowering treatment (195 mg/dL vs 171.6, p = 0.049).
Regarding the state of dyslipidemia, hypertriglyceridemia decreased,
without reaching significance (80.5 % vs 62.5 %, p = 0.073).
Conclusions: the nutritional intervention improved HDL and triglyceride
concentrations 6 months afterwards in children with terminal CKD.
Filiaciones:
Villasis-Keever, Miguel Angel:
Unidad de Investigación en Análisis y Síntesis de la Evidencia, Unidad Médica de Alta Especialidad, Hospital de Pediatría «Doctor Silvestre Frenk Freund», Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, Mexico
Zurita-Cruz, Jessie Nallely:
Facultad de Medicina, Universidad Nacional Autónoma de México, Hospital Infantil de México «Federico Gómez», Ciudad de México, Mexico
Unidad de Investigación en Nutrición Médica, Unidad Médica de Alta Especialidad, Hospital de Pediatría «Doctor Silvestre Frenk Freund», Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, Mexico
Barradas-Vazquez, Aly Sugei:
Unidad de Investigación en Nutrición Médica, Unidad Médica de Alta Especialidad, Hospital de Pediatría «Doctor Silvestre Frenk Freund», Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, Mexico
Barbosa-Cortes, Lourdes:
Unidad de Investigación en Nutrición Médica, Unidad Médica de Alta Especialidad, Hospital de Pediatría «Doctor Silvestre Frenk Freund», Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, Mexico
Zepeda-Martinez, Claudia del Carmen:
Servicio de Medicina del Adolescente, Hospital Infantil de México «Federico Gómez», Secretaría de Salud (SSA), Ciudad de México, Mexico
Alegria-Torres, Gabriela:
Servicio de Medicina del Adolescente, Hospital Infantil de México «Federico Gómez», Secretaría de Salud (SSA), Ciudad de México, Mexico
Gonzalez-Estevez, Marianne:
Servicio de Medicina del Adolescente, Hospital Infantil de México «Federico Gómez», Secretaría de Salud (SSA), Ciudad de México, Mexico
Dominguez-Salgado, Juan Manuel:
Unidad de Investigación en Nutrición Médica, Unidad Médica de Alta Especialidad, Hospital de Pediatría «Doctor Silvestre Frenk Freund», Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, Mexico
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