Examinando por Autor "Dávila Córdova, Jennifer Estefania"

Mostrando 1 - 20 de 26

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Benefits of probiotics in colorectal cancer
(Universidad Privada Norbert Wiener, 2020-12-16) Cotrina Barrios, Leidy Brighity; Dávila Córdova, Jennifer Estefania
The present secondary research entitled as a critical review: “Benefits of probiotics in colorectal cancer”, aimed to identify the benefits of probiotics in patients with colorectal cancer. The clinical question was: Will probiotics produce benefits in adults over 50 years of age who suffer from colorectal cancer? The Evidence-Based Nutrition (NuBE) methodology was used. The information search was carried out in PubMed, Scielo, HINARI and LILACS, finding 31 articles, 5 being selected that have been evaluated by the CASPE critical reading tool, finally selecting the Prospective Controlled Clinical Trial titled “Usage of Probiotics and its Clinical Significance at Surgically Treated Patients Suffering from Colorectal carcinoma” which has a level of evidence I and Grade of Recommendation I, according to the expertise of the researcher. The critical comment allowed us to conclude that there are great benefits of probiotics, since by regulating the intestinal microbiota, they have a positive impact on the health of the patient with colorectal cancer, both at the digestive and extra-digestive levels.
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Burnout syndrome and work stress in nurses at the surgical center of a National Hospital in Lima, 2022.
(Universidad Privada Norbert Wiener, 2021-04-08) Gonzales Pérez, Priscila Abigail; Dávila Córdova, Jennifer Estefania
Type 2 diabetes (DM2) is associated with modifiable risk factors such as malnutrition and sedentary lifestyle, directly linked to diseases like cancer and cardiovascular diseases, causing deaths worldwide. The aim of this research was to critically review scientific articles regarding the positive effects of physical exercise on oxidative stress markers in patients with DM2. The clinical question was: In adult patients with type 2 diabetes, can physical exercise reduce oxidative stress levels? Evidence-Based Nutrition (NuBE) methodology was applied. A search in EBSCO, Sage Journals, Frontiers in Endocrinology, Scopus, Redalyc, Science Direct, Springer, PubMed, Scielo, and Medwave yielded 38 articles, of which 25 were selected and evaluated using the CASPE tool. The final selected randomized clinical trial was "Effectiveness of High-Intensity Interval Training Compared to Moderate-Intensity Continuous Training in Reducing Oxidative Stress in Adult Patients with Type 2 Diabetes: CAT," which has an I evidence level and strong recommendation grade. The critical commentary concluded that, in patients aged 50-70 years with controlled DM2, both moderate-intensity continuous training and high-intensity interval training provide similar benefits in normalizing lipid profile markers and improving general physical condition. However, high-intensity interval training was more effective in reducing oxidative stress damage markers.
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Concordance of nutritional risk methods in patients of a PNP Hospital - 2019.
(Universidad Privada Norbert Wiener, 2020-12-22) Mora Negrón, Ambar Magaly; Dávila Córdova, Jennifer Estefania
Introduction: Currently there is no nutritional screening method considered to be of choice to identify the nutritional risk of hospitalized adult patients. According to evidence, the longer the period of hospital stay, the greater the risk of worsening malnutrition. The Cardona method and the NRS 2002 method are nutritional screening tools to detect Nutritional Risk that, in several studies in adults, have been shown to be the most appropriate due to their feasibility, specificity and predictive value. Objective: Compare the nutritional risk detected by the CARDONA method and NRS 2002 to identify if both tools are equivalent for clinical practice. Material and methods: A cross-sectional study was carried out with the observation technique in 30 hospitalized adults from a hospital in Lima, Peru. The CARDONA method and NRS 2002 were compared to each other to determine their agreement in detecting nutritional risk, using the Kappa index. Results: It was found that 23% have Nutritional Risk with the Cardona Method and 36.7% have Nutritional Risk with the NRS 2002 method. The age group that most frequently enters the PNP hospital is 45 to 64 years old and in mostly men. The comparison between both nutritional assessment tools showed an acceptable agreement (K=0.378), which means that the two tools are not strongly related, that is, they are different. Regarding the NRS 2002 variables, if the patient is seriously ill, if there is an association (Sig.=0.029) between the variable and the result by the NRS 2002 method. Regarding the variable deterioration of nutritional status in the final evaluation, if there is association between the characteristic deterioration of nutritional status and the result by the NRS method (Sig.=0.00). It is recommended to use either method due to its association with the results.
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Critic review: effect of physical exercise on improving quality of life in people with chronic kidney disease on renal replacement therapy
(Universidad Privada Norbert Wiener, 2021-12-22) Camones Palomino, Gisselle Eloisa; Dávila Córdova, Jennifer Estefania
Patients with chronic kidney disease who undergo renal replacement therapy have no physical activity or physical exercise due to the multiple comorbidities and physical problems they may present. The present secondary research titled as a critical review: Effect of physical exercise on improving the quality of life in patients with chronic kidney disease on renal replacement therapy, aimed to demonstrate whether physical activity improves the quality of life in patients with Chronic kidney disease in renal replacement therapy. The clinical question was: Will the effect of physical exercise (aerobic exercises, walking, squats) improve the quality of life of patients with chronic kidney disease on renal replacement therapy? The Evidence-Based Nutrition (NuBE) methodology was used. The information search was carried out in Science Direct, Pubmed, HINARI, Scielo, Redalyc, Springer, finding 24 articles, 12 being selected that have been evaluated by the CASPE critical reading tool, finally selecting a systematic review and meta-analysis titled Effects of intradialytic aerobic exercise on hemodialysis patients: a systematic review and meta-analysis, which has a level of evidence B I and Grade of Strong Recommendation, according to the expertise of the researcher. The critical comment allowed us to conclude that physical exercise improves the quality of life of patients with chronic kidney disease on renal replacement therapy.
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Critic review: efficacy of curcuma supplementation on inflammatory status in patients with chronic kidney disease in haemodialysis therapy
(Universidad Privada Norbert Wiener, 2021-12-21) Jauregui Romero, Erika; Dávila Córdova, Jennifer Estefania
Chronic kidney disease (CKD) is characterized by a continuous reduction in kidney function, increased inflammation, and reduced antioxidant capacity, which are closely related to the progression of renal failure. This secondary research, titled 'Critical Review: Efficacy of Curcumin Supplementation on the Inflammatory Status in Hemodialysis Patients,' aimed to determine if curcumin supplementation could improve the inflammatory status in CKD patients undergoing hemodialysis. The clinical question was: 'Will curcumin supplementation improve the inflammatory status in CKD patients undergoing hemodialysis?' The Evidence-Based Nutrition (NuBE) methodology was used. Information was searched in SCIENCE DIRECT, PUBMED, and SCIELO, finding 51 articles, of which 11 were selected and evaluated using the critical reading tool CASPE. The randomized clinical trial titled 'Evaluation of Curcumin's Effect on Inflammation in Hemodialysis Patients' was selected, which has an evidence level of I and a Strong Recommendation grade. The critical commentary concluded that curcumin can be used to reduce inflammation and the mean hs-CRP level as an important inflammatory marker in hemodialysis patients.
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Critic review: influence of nutritional status on mortality of renal transplant patients
(Universidad Privada Norbert Wiener, 2021-12-17) Aguirre Ascate, Elliana Karla; Dávila Córdova, Jennifer Estefania
The kidney transplant patient has better tolerance to foods and culinary preparations, which leads to consuming excess nutrients and energy. Also, remaining immunosuppressed alters the metabolism, causing changes in weight, biochemical indicators and graft, leading to a poor nutritional status. suboptimal which influence mortality. The present secondary research entitled as a critical review: Influence of Nutritional Status on the Mortality of the Kidney Transplant Patient, aimed to demonstrate that the nutritional status influences the mortality of the kidney transplant patient. The clinical question was: Does nutritional status influence the mortality of kidney transplant recipients? The Evidence-Based Nutrition (NuBE) methodology was used. The information search was carried out in PUBMED, SCIELO, SCOPUS, SCIENCE DIRECT, finding 61 articles, 12 being selected that have been evaluated by the CASPE critical reading tool, selecting the systematic review and meta-analysis titled “Body Mass Index and Mortality in Renal Transplant Recipients: Systematic Review and Meta-analysis”, which has a BI level of evidence and Strong Recommendation Degree, according to the researcher's expertise. The critical comment allowed us to conclude that nutritional status influences the mortality of kidney transplant recipients.
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Critical review: carnitine supplementation for the improvement of cardiometabolic parameters in patients with chronic kidney disease
(Universidad Privada Norbert Wiener, 2022-06-28) Mariños Cotrina, Brian Wally; Dávila Córdova, Jennifer Estefania
Cardiometabolic parameters in patients with chronic kidney disease (CKD) are altered with the progression of their clinical condition. Various interventions have been studied, with carnitine supplementation considered one of the most strategic. This secondary research, titled 'Critical Review: Carnitine Supplementation for Improving Cardiometabolic Parameters in Chronic Kidney Disease Patients,' aimed to provide a professional critical commentary based on the review of scientific articles related to carnitine supplementation for improving cardiometabolic parameters. The clinical question was: 'Will carnitine supplementation improve cardiometabolic parameters in adults with chronic kidney disease?' The Evidence-Based Nutrition (NuBE) methodology was used. Information was searched in PUBMED, SCIENCE DIRECT, and REDALYC, finding 32 articles, with 13 selected and evaluated using the critical reading tool CASPE, ultimately selecting the randomized clinical trial titled 'Study on effects of L-carnitine supplementation on anaemia with erythropoietin hyporesponsiveness and lipid profile in chronic kidney disease patients on maintenance hemodialysis,' which has an evidence level of 'AI' and a Strong Recommendation grade, according to the researcher's expertise. The critical commentary concluded that there is sufficient evidence to determine the effect of L-carnitine supplementation on improving cardiometabolic parameters such as hemoglobin, erythropoietin resistance, total cholesterol, triglycerides, HDL, LDL, and VLDL lipoproteins.
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Critical review: Chronobiology in the treatment of obesity and the metabolic syndrome.
(Universidad Privada Norbert Wiener, 2022-03-16) Enciso Rios, Raquel Roxana; Dávila Córdova, Jennifer Estefania
The present secondary research titled as a critical review: Chronobiology in the treatment of obesity and metabolic syndrome. The clinical question was: Is chronobiology effective in the treatment of obesity and metabolic syndrome? The Evidence-Based Nutrition (NuBE) methodology was used. The search for information in the PUBMED, SCIELO and Science Direct databases, finding 23 articles, 8 being selected that have been evaluated by the CASPE critical reading tool, finally taking into account the Randomized Clinical Trial entitled “Effect of an adjusted diet to chronotype on the effectiveness of weight loss: A randomized clinical trial”, which has a level of evidence I and Grade of Strong Recommendation, according to the expertise of the researcher. The critical comment allowed us to conclude that the nutritional intervention appropriate to the chronotype is more effective than the traditional hypocaloric diet in obese patients, for weight loss and a decrease in abdominal circumference, however, it has been anticipated that it is necessary to take other components, such as, social and behavioral factors. On the other hand, greater findings related to the components of the metabolic syndrome are expected in subsequent research.
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Critical review: Effect of dietary acid load on kidney disease progression in adult outpatients.
(Universidad Privada Norbert Wiener, 2022-02-23) Pozo Yauri, Diego Enrique; Dávila Córdova, Jennifer Estefania
Chronic Kidney Disease (CKD) continues to be a public health problem globally. The acid load of the diet has been linked to CKD progression in some studies. However, results have been inconclusive, with varying methodologies and outcomes between studies. This secondary research titled "Critical review: Effect of dietary acid load on the progression of chronic kidney disease in adult outpatient patients" aimed to determine the effect of dietary acid load on CKD progression. The clinical question was: Will dietary acid load influence the progression of chronic kidney disease in adult outpatient patients? The methodology used was Evidence-Based Nutrition (NuBE). Articles were searched in Pubmed, Science Direct, DOAJ, finding a total of 103 articles, 13 of which responded to the clinical question. These were evaluated using the CASPE critical reading tool, with the systematic review and meta-analysis titled "Dietary acid load, kidney function, and risk of chronic kidney disease: a systematic review and meta-analysis of observational studies" being selected. The evidence level was II A, and the recommendation grade was strong. The critical commentary concluded that dietary acid load is related to CKD progression in adult outpatient patients. Some suggestions were made regarding the potential sources of heterogeneity in the studies included in the meta-analysis.
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Critical review: Effect of low-potassium diets on reducing the progression of chronic kidney disease in adult patients
(Universidad Privada Norbert Wiener, 2023-03-02) Córdova Alarcón, Miluska Mercedes; Dávila Córdova, Jennifer Estefania
Nutritional intervention is the set of dietary, nutritional and metabolic actions that must be undertaken in a patient before, during and after the treatment of a disease. The present secondary research titled as a critical review: Effect of Low Potassium Diets in Reducing the Progression of Chronic Kidney Disease in Adult Patients, aimed to identify the benefits of dietary potassium restriction in reducing the progression of Chronic Kidney Disease in adult patients. The clinical question was: Will nutritional intervention (low potassium diets) improve nutritional quality (expressed in the reduction of disease progression) in adult patients suffering from Chronic Kidney Disease? The Evidence-Based Nutrition (NuBE) methodology was used. The information search was carried out in PubMed and Science Direct, finding 137 articles, 10 being selected that have been evaluated by the CASPE critical reading tool, finally selecting the Randomized Clinical Trial titled “Randomized Controlled Trial of the Effect of Potassium Restriction.” in the Diet on Nervous Function in CKD” which has an AI level of evidence and Strong Recommendation Degree, according to the expertise of the researcher. The critical comment allowed us to conclude that studies with larger samples and with characteristics similar to our population are needed to know exactly the existence of the benefits of dietary K restriction in terms of reducing the progression of CKD.
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Critical review: effects of low protein diet and alpha supplementation Keto analogues in the improvement of the intestinal microbiota and the reduction of uremic toxins in patients with kidney disease
(Universidad Privada Norbert Wiener, 2024-07-04) Quispe Galvez, Jean Carlos; Dávila Córdova, Jennifer Estefania
This secondary research titled Critical Review: Effects of Low-Protein Diets and Alpha-Ketoanalog Supplementation in Reducing Uremic Toxins in Patients with Chronic Kidney Disease aimed to identify articles that answered the clinical question: Does nutritional intervention with low-protein diets and alpha-ketoanalog supplementation reduce uremic toxin levels in adults with CKD with or without dialysis? The Evidence-Based Nutrition (EBN) methodology was used. Information was gathered from PUBMED, SCIENCE DIRECT, SCOPUS, and SCIELO, and evaluated using the CASPE tool. The randomized clinical trial titled “Ketoanalogs' Effects on Intestinal Microbiota Modulation and Uremic Toxins Serum Levels in Chronic Kidney Disease (Medika2 Study)” was selected, as it has an AI level of evidence and a strong recommendation grade, according to the researcher's expertise. The critical review concluded that nutritional therapy with low-protein diets and alpha-ketoanalog supplementation helps reduce a specific uremic toxin in CKD patients and thereby reduce gastrointestinal discomfort.
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Critical Review: Effects of Omega-3 on the Human Microbiota of At-Risk Adults metabolic
(Universidad Privada Norbert Wiener, 2022-02-15) Talledo Olaya, Silvia María; Dávila Córdova, Jennifer Estefania
The clinical question was: - What is the effect of omega 3 fatty acids on the modulation of the microbiota in adults over 18 years of age with any metabolic disease? The Evidence-Based Nutrition (NuBE) methodology was used. The information search was carried out in PUBMED, , SCIELO, HINDAWI, , finding 15 articles, 10 being selected that have been evaluated by the CASPE critical reading tool, finally selecting the Randomized Clinical Trial titled “Diets naturally rich in polyphenols and/or or long-chain n-3 polyunsaturated fatty acids differently affect microbiota composition in high-cardiometabolic-risk individuals”, which has a level of evidence I and Grade of Recommendation I, according to the expertise of the researcher. The critical commentary allowed us to conclude that diets naturally rich in polyphenols or long-chain n-3 polyunsaturated fatty acids can modulate the intestinal microbiota and these changes are related to an improvement in the cardiometabolic risk profile.
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Critical Review: Effects of prebiotics, probiotics and/or synbiotics to improve the intestinal microbiota and the levels of nitrogenous products in patients with CKD.
(Universidad Privada Norbert Wiener, 2022-05-05) Chumpitazi Alcantara, Cynthia Leonor; Dávila Córdova, Jennifer Estefania
Nutritional intervention in patients with CKD to slow the progression of kidney disease has been little studied. However, today more studies are being conducted to generate additional options for patient benefit. The present secondary research, titled Critical Review: Effects of Prebiotics, Probiotics, and Synbiotics to Improve Gut Microbiota and Nitrogenous Product Levels in Patients with CKD, aimed to identify articles that answer the clinical question: Will nutritional intervention with prebiotics, probiotics, and synbiotics improve gut microbiota and nitrogenous product levels in adults with CKD, with or without dialysis? The methodology used was Evidence-Based Nutrition (EBN). Information was searched in PUBMED, MEDLINE, SCIELO, using the CASPE critical reading tool. The final selection was the Randomized Clinical Trial titled Synbiotics Relieving Renal Failure by Improving Gut Microbiology (SYNERGY): A Randomized Trial, which has an A2 level of evidence and a Strong Recommendation Grade, according to the researcher's expertise. The critical commentary concluded that synbiotic therapy helps reduce a specific uremic toxin in patients with CKD and helps regulate gut microbiota.
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Critical review: nutritional intervention in the prevention of hyperkalemia in patients with chronic kidney disease
(Universidad Privada Norbert Wiener, 2022-12-29) Zavala Palacios, Elsa; Dávila Córdova, Jennifer Estefania
Kidney patients in different stages tend to present health consequences that may involve their nutritional status, in which nutritional intervention is an important part of preventing electrolyte alterations, such as hyperkalemia. The present secondary research titled Critical Review: nutritional intervention in the prevention of hyperkalemia in patients with CKD, aimed to determine whether the implementation of an educational program would help prevent hyperkalemia. The clinical question was: Would nutritional intervention help in the prevention of hyperkalemia in patients with Chronic Kidney Disease? The evidence-based nutrition (NuBE) methodology. The search for articles was carried out in the following databases: PubMed, Science Direct, Scielo and Redalyc; 188 articles were found, of which 10 were selected and were evaluated by the CASPE critical reading tool, the final selection was a randomized clinical trial study titled: “Evaluation of a nutritional intervention program in patients with advanced chronic kidney disease” , which presents level of AI evidence and degree of strong recommendation, in relation to the researcher's analysis. The critical commentary concludes that nutritional intervention helps prevent hyperkalemia in patients with CKD.
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Critical review: nutritional intervention with probiotics in patients with dyslipidemia
(Universidad Privada Norbert Wiener, 2023-01-19) Urcuhuaranga Reyes, Wendy Rosario; Dávila Córdova, Jennifer Estefania
The present secondary research titled as a critical review: Nutritional intervention with probiotics in patients with dyslipidemia, aimed to identify the effects of probiotics on the lipid profile in patients with dyslipidemia. The clinical question was: Will nutritional intervention with probiotics improve the lipid profile in adults suffering from dyslipidemia? The Evidence-Based Nutrition (NuBE) methodology was used. An information search was carried out in PubMed, Lilacs, Scielo, Dialnet, Science Direct and 37 articles were found, of which 11 were selected and evaluated by the CASPE critical reading tool, finally selecting the Systematic Review and Meta-analysis titled “The impact of probiotic yogurt consumption on lipid profiles in subjects with mild to moderate hypercholesterolemia: A systematic review and meta-analysis of randomized controlled trials”, which has a level of evidence A II and Grade of Recommendation Strong, according to the researcher's expertise. The critical comment allowed us to conclude that daily consumption of 300 mg of probiotic yogurt, with a maximum dose of 109 cfu and for more than 4 weeks reduces total cholesterol and LDL-C.
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Critical review: protective effect of breast milk in preterm infants”
(Universidad Privada Norbert Wiener, 2021-09-03) Quispe Camino, Nery Maritza; Dávila Córdova, Jennifer Estefania
The benefits of breast milk on the health of premature newborns is widely known and the administration of human milk to infants as an ideal food over any other is of great clinical and social relevance. The protective effect against necrotizing enterocolitis (NEC) has been very well studied, but it was necessary to compare different doses of breast milk as a protective effect. The present secondary research titled as a critical review: Protective effect of breast milk in premature newborns, aimed to evaluate the protective effect of breast milk in premature newborns. The clinical question was: What is the protective effect of breast milk in premature newborns? The Evidence-Based Nutrition (NuBE) methodology was used. The information search was carried out in PUBMED, SCIENCE DIRECT, COCHRANE, finding 128 articles, 25 being selected that have been evaluated by the CASPE critical reading tool, finally selecting the meta-analysis titled Protective effects of different doses of human milk on neonatal necrotizing enterocolitis . Which has a level of evidence A II and a strong Degree of Recommendation, according to the expertise of the researcher. The critical comment allowed us to conclude that breast milk exerts a protective effect against necrotizing enterocolitis at any dose, even more so if it is exclusive breast milk.
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Critical review: protective effect of overweight and obesity in patients with chronic kidney disease on hemodialysis.
(Universidad Privada Norbert Wiener, 2021-03-09) Lipe Camero, Carolina Rocio; Dávila Córdova, Jennifer Estefania
Overweight and obesity are factors that epidemiologically generate health problems; however, in the population of patients with chronic kidney disease (CKD) undergoing hemodialysis, it has been seen that both overweight and obesity can have a protective effect. However, it is still necessary to carry out more research that uses other indicators in addition to BMI, due to the great limitations that are known. The present secondary research titled as a critical review: protective effect of overweight and obesity in patients with chronic kidney disease undergoing hemodialysis, aimed to determine the effect of overweight and obesity in patients with CKD undergoing hemodialysis. Taking as a clinical question: What is the protective effect of overweight and obesity in patients with chronic kidney disease undergoing hemodialysis? The Evidence-Based Nutrition (NuBE) methodology was used. The information search was carried out in the following search engines: Ciencia Science, Cochrane, Dialnet, Pubmed, Scielo, finding 694 articles, 49 being selected that have been evaluated by the CASPE critical reading tool, finally selecting the observational, randomized study titled how “Risk of hospitalization associated with body mass index and weight changes among prevalent haemodialysis patients”, which has a level of evidence AI and a strong Grade of Recommendation, according to the expertise of the researcher. The critical comment allowed us to conclude that overweight and obesity evaluated with BMI have a protective effect for patients with chronic kidney disease undergoing hemodialysis.
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Critical review: The effect of cholecalciferol supplementation improves vascular function in adult patients with chronic kidney disease.
(Universidad Privada Norbert Wiener, 2022-05-25) Ríos Barbarán, Martín; Dávila Córdova, Jennifer Estefania
Chronic kidney disease (CKD) is a public health problem of global relevance; since it is related to the increased risk of cardiovascular disease as kidney failure progresses, vitamin D deficiency is associated with mortality in patients with CKD, which could mitigate the risk of cardiovascular disease in CKD. The present secondary research entitled: Critical review: The effect of cholecalciferol supplementation improves vascular function in adult patients with chronic kidney disease", aimed to know the effect of cholecalciferol supplementation in improving vascular function in adult patients with chronic kidney disease. The clinical question was: Does the effect of cholecalciferol supplementation improve vascular function in adult patients with Chronic Kidney Disease? The Nutrition Based on Evidence (NuBE) methodology was used. The information search was performed in PUBMED and COCHRANE, finding 37 articles, of which 11 were selected and evaluated by the critical reading tool CASPE. Finally, the Randomized Clinical Trial entitled "A randomized trial of vitamin D supplementation on vascular function in CKD" was selected, which has an AI level of evidence and Strong Grade of Recommendation, according to the researcher's expertise. The critical commentary allowed to conclude that the use of cholecalciferol supplements improves vascular function through endothelial function indicators and circulating biomarkers, with cholecalciferol supplementation being considered as a nutritional treatment to positively improve in adult patients with chronic kidney disease; at the same time, it is proposed to continue carrying out clinical studies in which the number of participants is greater and the intervention period similar to the selected clinical trial.
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Effectiveness of exercise in improving functional physical capacity in adult patients with chronic kidney disease.
(Universidad Privada Norbert Wiener, 2022-07-25) Mendizábal Pinto, Ingrid Susan; Dávila Córdova, Jennifer Estefania
Chronic kidney disease (CKD) has a high epidemiological impact, affecting 1 in 10 people worldwide, and remains a global public health issue. Sedentary lifestyle is associated with the progression of CKD in some studies, though the results have not been conclusive, with methodologies and outcomes varying across studies. The present secondary research, titled "Critical Review: Effectiveness of Exercise in Improving Physical Functional Capacity in Adult Patients with Chronic Kidney Disease," aimed to answer the clinical question: Is exercise effective in improving physical functional capacity in adult patients with chronic kidney disease? Evidence-Based Nutrition (NuBE) methodology was used. A search of the PubMed, Science Direct, and Scielo databases found 25 articles, of which 15 addressed the clinical question. These were evaluated using the CASPE tool, and the final selected clinical trial was "Comparing Effects of 4 Months of Two Self-Administered Exercise Training Programs on Physical Performance in Patients with Chronic Kidney Disease: RENEXC Randomized Controlled Trial," with an AI evidence level and strong recommendation grade. The critical commentary concluded that physical exercise contributes to improving the physical functional capacity of CKD patients, while offering suggestions on potential sources of heterogeneity in the clinical trial.
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Effectiveness of nutritional education for better dietary adherence and improvement of renal function in adult patients with chronic kidney disease.
(Universidad Privada Norbert Wiener, 2022-05-06) Vilca Gamarra, Noelia Jackeline; Dávila Córdova, Jennifer Estefania
The clinical question was: Will nutritional education allow better dietary adherence and improvement in kidney function in patients with chronic kidney disease? The Evidence-Based Nutrition (NuBE) methodology was used. The information search was carried out in PUBMED, SCIELO, SCOPUS, WILEY, LILACS, DIALNET, COCHRANE; Finding 20 articles, 12 were selected that have been evaluated by the CASPE critical reading tool, finally selecting the Randomized Clinical Trial entitled: Hemodialysis Self-management Intervention Randomized Trial (HED-SMART): A Practical Low-Intensity Intervention to Improve Adherence and Clinical Markers in Patients Receiving Hemodialysis; which has a level of evidence I and Grade of Recommendation I, according to the expertise of the researcher. The critical comment allowed us to conclude that Nutrition Education through the HED-SMART Program is effective and improves the behavior of patients, in terms of adherence to dietary intake, fluid intake, medical treatment, better kidney function (improvement of biochemical markers) and improvement of self-care skills in patients with chronic kidney disease on hemodialysis.