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Paper Information

Journal:   KOWSAR MEDICAL JOURNAL   Spring 2002 , Volume 7 , Number part 1; Page(s) 77 To 82.
 
Paper: 

THE DESIGNED DIETETIC PROGRAM AND CHRONIC RENAL FAILURE (RENAL INSUFFICIENCY)

 
 
Author(s):  RAFIEI GH.*, AHMADI F., EYN ELAHI BEHZAD
 
* Faculty Shahre Kord University of Medica Sciences, Shahre Kord, IR of IRAN.
 
Abstract: 
Chronic renal failure progresses over years and its control depends on maintaining the remained renal function, and it is evident that dialysis and renal transplantation are not enough alone. This quasiexperimental study was performed to assess the effects of a designed dietetic program on the control of chronic renal failure in early stages (renal insufficiency). Sixty-five randomly selected patients were divided by two groups: test group comprised of 35 patients with mean creatinine clearance rate of 43.4±8.7 ml/min and control group comprised of 30 patients with a mean creatinine clearance rate of 41.2±9.8 ml/min .The samples consisted of patients with various causes of chronic renal failure. After assessing weight BP, Ht., labaratory data and dietary condition of patints in several times, a nutrition regimen consisted of: protein 0.6-0.7 gr/kg ideal body wt./day, phosphrus 10-12 mg/gr protein, energy 35-40 kcal/kg ideal body wt./day, calcium 1-1.5 gr/day, and sodium 2-4 gr/day, period of six months were designed for test group. To see whether the patients were following the recomended regimen, lab data, protein catabolism rate, the rate of urine phosphorus excretion were assessed and the patients were inteviewed. For assessing of renal function, pars azemoon kits for creatinine measurement, zist shimi kits for urea, kitman for phosphorus, and trichloroacetic acid 3% for measurement of urine protein were used. All data were collected every 1.5 months for period of six months. The results showed that, after the intervention, there was a significant difference in mean creatinin clearance rate between two groups (P
 
Keyword(s): DIET,RENAL INSUFFICIENCY ,CHRONIC RENAL FAILURE, PROTEIN & PHOSPHOROUS RESTRICTION
 
References: 
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