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Behandling med proteinreducerad kost vid njursvikt: Majoritet av svenska njurmedicinska enheter tillämpar metoden, visar enkät. [Treatment with protein-restricted diet in renal failure. The majority of Swedish renal units practice the method according to a questionnaire]
Sahlgrenska University Hospital, Gothenburg.ORCID iD: 0000-0002-3692-7014
2008 (Swedish)In: Läkartidningen, ISSN 0023-7205, Vol. 105, no 30-31, 2089-2093 p.Article in journal (Refereed) Published
Abstract [sv]

Olika synsätt präglar den svenska njursjukvården vad gäller det nutritionella omhändertagandet av patienter med njursvikt utan dialys. En majoritet av Sveriges njurmedicinska kliniker använder proteinreducerad kost vid njursviktsbehandling före dialys. Den lägsta proteinnivån vid proteinreducerad kost (0,3 g/kg kroppsvikt/dag) är inte längre i bruk. Den proteinreducerade kosten har »moderniserats« under de senaste 10 åren. Ordination av fasta proteinnivåer har minskat, medan individuellt beräknade proteinnivåer har ökat, vilket överensstämmer med riktlinjerna från Svensk njurmedicinsk förening. Njursvikt leder ofta till malnutrition. Oberoende av synen på proteinreducerad kost bör njursviktspatienter erbjudas kontakt med legitimerad dietist för optimering av näringsintaget i syfte att förebygga malnutrition.

Abstract [en]

This article investigates the use of low protein diet (LPD) in Sweden using a questionnaire distributed to renal dietitians and nephrologists in 1997 and dietitians in 2006. Close to 80% of the dietitians answered the questionnaires, representing approximately 68% of the nephrology clinics in Sweden. A majority of these clinics use LPD, though there are several clinics who find this to be an inappropriate treatment for the pre-dialysis patient. The protein levels have become more individualized during the past decade, in accordance with the guidelines of the Swedish Association of Nephrologist. Very low protein diets (0.3 g protein/kg/day) are not in use any more.

Place, publisher, year, edition, pages
2008. Vol. 105, no 30-31, 2089-2093 p.
National Category
Nutrition and Dietetics Nursing
Identifiers
URN: urn:nbn:se:hkr:diva-12814PubMedID: 18751446OAI: oai:DiVA.org:hkr-12814DiVA: diva2:743620
Available from: 2014-09-04 Created: 2014-09-04 Last updated: 2015-01-27Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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More styles
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