Critical review: Efficacy of low-protein diet in improving biochemical parameters and delaying progression of chronic kidney disease in adult patients.

Abstract

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.

El Control nutricional que garantice el adecuado consumo de nutrientes debe ser parte del proceso de atención nutricional cualquiera sea su edad, cobrando mayor importancia en los adultos mayores el consumo de fibra asociado a las causas del estreñimiento y problemas digestivos. 70 adultos mayores atendidos en el Centro de Salud Magdalena del Mar ubicado en Lima, Perú en el año 2021 a quienes se aplicó un cuestionario validado que incluye recordatorio de 24 horas, así como información con respecto a su estado nutricional. Nuestro adulto mayor tiene 72.1+7 años de edad, peso 66.8+13.6 kg, talla 1.59+0.1 m e IMC promedio 26.3+4.4, presentando el 44.3%, sobrepeso. El Requerimiento Energético Basal y el Requerimiento Energético Total es 1252.7+156.4 y 1377.9+171.9 respectivamente. El consumo de fibra fue 11.4+5.1 g/día, siendo la requerida 13.7+1.7 g/día, logrando como cobertura del requerimiento de fibra de 83.9+39.5 %. Respecto al consumo de fibra, solo el 27.1% consume la porción diaria adecuada. En cuanto la calidad de fibra, encontramos diferencia entre la fibra soluble e insoluble considerando el sexo. Los alimentos ricos en fibra tenemos que, solo 31.4% consume avena a diario, solo 8.6% consume menestras 3 veces por semana,64.3% consume frutas a diario y 2.9% ingiere jugos de frutas diario.