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Nutrición Hospitalaria
versión On-line ISSN 1699-5198versión impresa ISSN 0212-1611
Resumen
VILLASIS-KEEVER, Miguel Ángel et al. Usefulness of a nutritional strategy on dyslipidemia in pediatric patients with terminal chronic kidney disease. Nutr. Hosp. [online]. 2022, vol.39, n.3, pp.530-536. Epub 17-Oct-2022. ISSN 1699-5198. https://dx.doi.org/10.20960/nh.03921.
Background and objective:
in chronic kidney disease (CKD) there are several factors that increase the presence of dyslipidemia. The aim of this study was to identify the usefulness of a nutritional intervention, in children with terminal CKD, on dyslipidemia 6 months after intervention start.
Materials and methods:
a quasi-experiment study (before and after) was performed. End-stage CKD patients on peritoneal dialysis and hemodialysis were included. Each child underwent a determination somatometry, and lipid profile at the beginning and at 6 months of follow-up. A nutritional guide was made with food traffic lights, turning the food that should be consumed in the least amount possible in red. In addition to including life-size food using educational models. To compare the quantitative variables before and after the intervention, the variables were transformed to their logarithm and a paired Student's t-test was applied.
Results:
a total of 41 patients were analyzed. After the intervention, the parameters in the lipid profile were modified; meanwhile HDL concentrations increased (41.0 mg/dL vs 44.4 mg/dL, p = 0.048), triglyceride concentrations decreased (227.1 mg/dL vs 185.9 mg/dL, p = 0.007), and these changes persist even after excluding patients who were under lipid-lowering treatment (195 mg/dL vs 171.6, p = 0.049). Regarding the state of dyslipidemia, hypertriglyceridemia decreased, without reaching significance (80.5 % vs 62.5 %, p = 0.073).
Conclusions:
the nutritional intervention improved HDL and triglyceride concentrations 6 months afterwards in children with terminal CKD.
Palabras clave : Dyslipidemia; Chronic kidney disease; Nutritional intervention; Pediatrics.