Examinando por Materia "Disease Progression"

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  • Miniatura
    ÍtemAcceso abierto
    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.
  • Miniatura
    ÍtemAcceso abierto
    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.
  • Miniatura
    ÍtemAcceso abierto
    Critical review: Efficacy of low-protein diet in improving biochemical parameters and delaying progression of chronic kidney disease in adult patients.
    (Universidad Privada Norbert Wiener, 2020-04-21) Romero Osorio, Romina Sabah; Bohórquez Medina, Andrea Lisbet
    Omega 3 supplementation is an appropriate nutritional intervention to avoid cardiovascular risks in patients with chronic kidney disease (CKD) undergoing replacement treatment. In this secondary research study with the critical review title: “Omega 3 supplementation on the lipid profile in patients with chronic kidney disease with hemodialysis treatment”, the objective is to identify the effect of omega 3 supplementation on the lipid profile. lipid in patients with CKD with hemodialysis treatment. The clinical question being the following: Will omega 3 supplementation (capsules) improve the lipid profile (expressed in TC, LDL, HDL and TG) in CKD with hemodialysis treatment?, using the “Evidence-Based Nutrition (NuBE)” methodology. The databases used for the bibliographic search were “PUBMED, MEDLINE, SCIELO, SCOPUS, DIALNET, reporting 200 scientific investigations, choosing 11 articles to be evaluated by the CASPE critical reading tool, being selected the systematic review with meta-analysis “Effect of supplementation with omega-3 fatty acids on oxidative and cardiometabolic stress parameters in patients with chronic kidney disease: systematic review and meta-analysis”, presented the level of BI evidence and Fuerte's degree of recommendation, with respect to the researcher's experience. The conclusion of this critical comment is that omega 3 supplementation is recommended for reducing total cholesterol and triglycerides in patients with chronic kidney disease undergoing hemodialysis treatment.