Critical review: effect of oral nutritional supplementation on the nutritional status of adult patients with chronic kidney disease undergoing hemodialysis treatment

Abstract

Oral Nutritional Supplementation (ONS) is the administration of nutrients by mouth, in addition to the daily dietary intake, to increase a patient’s nutritional intake. This secondary research, titled "Effect of oral nutritional supplementation on the nutritional status of adult patients with chronic kidney disease on hemodialysis," aimed to critically review clinical studies related to the benefits of ONS on the nutritional status of CKD patients on hemodialysis who are malnourished or at risk of malnutrition. The clinical question was: What is the effect of oral nutritional supplementation on the nutritional status of patients with CKD on hemodialysis? The methodology used was Evidence-Based Nutrition (NuBE). Databases used included SCIENCE DIRECT, PUBMED, SCIELO, DIALNET, and REDALYC, finding 166 articles, 12 of which were selected and evaluated using the CASPE critical reading tool. The randomized controlled clinical trial titled "Effects of oral nutritional supplementation on the treatment of malnutrition in hospitalized and discharged patients in India: a randomized, open, controlled trial" was selected, with an evidence level A II and a strong recommendation grade. The critical commentary concluded that there is sufficient evidence to determine that ONS has positive effects on nutritional status indicators in CKD patients on hemodialysis, as supplementation improves the intake of macro and micronutrients.

El trabajo está enfocado en investigar el efecto del consumo de productos lácteos en el riesgo de que se desarrolle cáncer a nivel orogastrointestinal en adultos. La presente investigación secundaria titulada: Relación del consumo de productos lácteos y riesgo de padecer cáncer orogastrotintestinal. La pregunta clínica fue: ¿La ingesta de productos lácteos influirá en el riesgo de padecer cáncer orogastrointestinal en adultos? Se utilizó la metodología Nutrición Basada en Evidencia (NuBE). La búsqueda de información se realizó en SCOPUS, PUBMED, SCIENCE DIRECT, NIH, SCIELO Y REDALYC; encontrando 23 artículos, siendo seleccionados 10 que han sido evaluados por la herramienta para lectura crítica CASPE, seleccionando finalmente el Ensayo Clínico Aleatorizado titulado cómo Dairy consumption and risks of colorectal cancer incidence and mortality: a meta-analysis of prospective cohort studies, el cual posee un nivel de evidencia A y Grado de Recomendación Fuerte, de acuerdo a la expertise del investigador. El comentario crítico permitió concluir que la ingesta de productos lácteos no influye en el riesgo de padecer cáncer orogastrointestinal.