Examinando por Autor "Paredes Vargas, Zoila Pamela"
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Ítem Acceso abierto Critical review: effect of dietary fiber intake on uric acid and creatinine levels in adult patients on hemodialysis(Universidad Privada Norbert Wiener, 2024-06-20) Paredes Vargas, Zoila Pamela; Ponce Castillo, Diana AntoniaAlthough hemodialysis successfully prolongs and improves the quality of life for renal patients, fiber intake also affects this process by reducing toxins (urea, creatinine, etc.). The clinical question was: What is the effect of dietary fiber intake on uric acid and creatinine levels in adult patients on hemodialysis? Evidence-based nutrition (NuBE) methodology was used. The search for information was conducted in PUBMED, MEDLINE, SCIELO, SCOPUS, and SCIENCE DIRECT, yielding 22 articles, 9 of which were selected for evaluation using the CASPE tool. The randomized clinical trial titled "Effects of Fermentable High Fiber Diet Supplementation on Gut-Derived and Conventional Nitrogenous Products in Maintenance Hemodialysis Patients" was chosen, with a level of evidence AI and a strong recommendation grade. The critical commentary concluded that a diet enriched with fermentable fiber is suitable for maintenance dialysis patients due to its safety and absence of significant side effects, and it significantly reduces creatinine and uric acid levels.
