文章基本信息

标题：Nutritional Guideline for the Management of Mexican Patients with CKD and Hyperphosphatemia
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作者：Frida Palafox-Serdán ; Olinto A. Luna-Montiel ; Sebastián E. Pablo-Franco 等
期刊名称：Nutrients
电子版ISSN：2072-6643
出版年度：2020
卷号：12
期号：11
页码：3289-3308
DOI：10.3390/nu12113289
出版社：MDPI Publishing
摘要：Chronic kidney disease (CKD) represents a serious concern for the Mexican population since the main predisposing diseases (diabetes, hypertension, etc.) have a high prevalence in the country. The development of frequent comorbidities during CKD such as anemia, metabolic disorders, and hyperphosphatemia increases the costs, symptoms, and death risks of the patients. Hyperphosphatemia is likely the only CKD comorbidity in which pharmaceutical options are restricted to phosphate binders and where nutritional management seems to play an important role for the improvement of biochemical and clinical parameters. Nutritional interventions aiming to control serum phosphate levels need to be based on food tables, which should be specifically elaborated for the cultural context of each population. Until now, there are no available food charts compiling a high amount of Mexican foods and describing phosphorus content as well as the phosphate to protein ratio for nutritional management of hyperphosphatemia in CKD. In this work, we elaborate a highly complete food chart as a reference for Mexican clinicians and include charts of additives and drug phosphate contents to consider extra sources of inorganic phosphate intake. We aim to provide an easy guideline to contribute to the implementation of more nutritional interventions focusing on this population in the country.
关键词：Mexican food chart; hyperphosphatemia; chronic kidney disease; nutritional management Mexican food chart ; hyperphosphatemia ; chronic kidney disease ; nutritional management