Abstract
Proteinuria is a broad term used to describe the pathological presence of proteins, including albumin, globulin, Bence-Jones protein, and mucoprotein in the urine. When persistent, proteinuria is a marker of kidney damage and represents a reliable predictor of the risk of progression of renal failure. Medical nutrition therapy is imperative for patients with proteinuria because it may slow the progression of renal disease. The aim of this review is to explore different nutritional approaches in the management of proteinuria and their influence on pathophysiological processes. As such, protein restriction is the main dietary intervention. Indeed, other management approaches are frequently used to reduce it regarding micro and macronutrients, but also the dietary style. Among these, the nutritional approach represents one of the most used and controversial interventions and the studies rarely take the form of randomized and controlled trials. With this work we aspire to analyze current clinical knowledge of how nutrition could influence proteinuria, potentially representing a useful tool in the management of proteinuric nephropathy.
Subject
Inorganic Chemistry,Organic Chemistry,Physical and Theoretical Chemistry,Computer Science Applications,Spectroscopy,Molecular Biology,General Medicine,Catalysis
Reference89 articles.
1. Pathophysiology of progressive nephropathies;Remuzzi;N. Engl. J. Med.,1998
2. Oxidative stress detection: What for?;Palmieri;Eur. Rev. Med. Pharmacol. Sci.,2007
3. Role of free radicals and antioxidant status in childhod nephrotic syndrome;Ghodake;Indian J. Nephrol.,2011
4. Protein restriction reduces transforming growth factor-beta and interstitial fibrosis in nephrotic syndrome;Eddy;Am. J. Physiol.,1994
5. Renal, metabolic and hormonal responses to ingestion of animal and vegetable proteins;Kontessis;Kidney Int.,1990
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