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The Impact of a Mediterranean-like Diet with Controlled Protein Intake on the Onco-Nephrological Scenario: Time for a New Perspective.
Bettiga, Arianna; Fiorio, Francesco; Liguori, Francesca; Marco, Federico Di; Quattrini, Giulia; Vago, Riccardo; Giannese, Domenico; Salonia, Andrea; Montorsi, Francesco; Trevisani, Francesco.
Afiliación
  • Bettiga A; Division of Experimental Oncology, Urological Research Institute, IRCCS Ospedale San Raffaele, 20132 Milano, Italy.
  • Fiorio F; Division of Experimental Oncology, Urological Research Institute, IRCCS Ospedale San Raffaele, 20132 Milano, Italy.
  • Liguori F; IRCCS San Raffaele Hospital, Direzione Sanitaria, 20132 Milano, Italy.
  • Marco FD; Emerging Bacterial Pathogens Unit, Division of Immunology, Transplantation and Infectious Diseases, IRCCS Ospedale San Raffaele, 20132 Milano, Italy.
  • Quattrini G; Division of Experimental Oncology, Urological Research Institute, IRCCS Ospedale San Raffaele, 20132 Milano, Italy.
  • Vago R; Division of Experimental Oncology, Urological Research Institute, IRCCS Ospedale San Raffaele, 20132 Milano, Italy.
  • Giannese D; Faculty of Medicine and Surgery, Università Vita-Salute San Raffaele, 20132 Milano, Italy.
  • Salonia A; Department of Clinical and Experimental Medicine, University of Pisa, 56121 Pisa, Italy.
  • Montorsi F; Division of Experimental Oncology, Urological Research Institute, IRCCS Ospedale San Raffaele, 20132 Milano, Italy.
  • Trevisani F; Faculty of Medicine and Surgery, Università Vita-Salute San Raffaele, 20132 Milano, Italy.
Nutrients ; 14(23)2022 Dec 06.
Article en En | MEDLINE | ID: mdl-36501223
Chronic kidney disease (CKD) represents a frequent comorbidity in cancer patients, especially for patients affected by urological cancers. Unfortunately, impaired kidney function may limit the choice of adequate oncological treatments for their potential nephrotoxicity or due to contraindications in case of a low glomerular filtration rate. For these patients, tailored nephrological and nutritional management is mandatory. The K-DIGO guidelines do not define whether the nutritional management of CKD could be useful also in CKD patients affected by urological cancer. In fact, in clinical practice, oncological patients often receive high-protein diets to avoid malnutrition. In our study, we investigated the nutritional and nephrological impact of a Mediterranean-like diet with a controlled protein intake (MCPD) on a cohort of 82 stage III-IV CKD patients. We compared two cohorts: one of 31 non-oncological CKD patients and the other of 51 oncological patients with CKD. The use of an MCPD had a favorable impact on both the oncological and non-oncological CKD patients with an amelioration in all the investigated parameters and with a better quality of life, with no cases of malnutrition or AKI.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Desnutrición / Insuficiencia Renal Crónica / Nefrología Tipo de estudio: Etiology_studies / Guideline Aspecto: Determinantes_sociais_saude / Patient_preference Límite: Humans Idioma: En Revista: Nutrients Año: 2022 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Desnutrición / Insuficiencia Renal Crónica / Nefrología Tipo de estudio: Etiology_studies / Guideline Aspecto: Determinantes_sociais_saude / Patient_preference Límite: Humans Idioma: En Revista: Nutrients Año: 2022 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza