Open AccessUsefulness of a nutritional strategy on dyslipidemia in pediatric patients with terminal chronic kidney disease
Author(s) -
Miguel Ángel Villasís-Keever,
Jessie Nallely ZuritaCruz,
Aly Sugei Barradas-Vázquez,
Lourdes Barbosa-Cortés,
Claudia del Carmen Zepeda-Martínez,
Gabriela Alegría-Torres,
Marianne González-Estévez,
Juan Manuel Domínguez-Salgado
Publication year - 2022
Publication title -
nutrición hospitalaria
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.31
H-Index - 53
eISSN - 1699-5198
pISSN - 0212-1611
DOI - 10.20960/nh.03921
Subject(s) - dyslipidemia , medicine , hypertriglyceridemia , kidney disease , triglyceride , peritoneal dialysis , lipid profile , hemodialysis , gastroenterology , endocrinology , cholesterol , disease
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.