Acidose metabólica na doença renal crônica: abordagem nutricional
Palavras-chave:
Acidose, Desnutrição energético-protéica, Dieta, Doença renal crônicaResumo
A acidose metabólica é uma das complicações da doença renal crônica e está associada ao aumento do catabolismo protéico, à diminuição da síntese de proteínas e ao balanço nitrogenado negativo. A dieta tem forte influência sobre a geração de ácidos, podendo contribuir, portanto, para determinar a gravidade da acidose no paciente com doença renal crônica. Alguns pesquisadores têm observado que é possível estimar a excreção ácida renal, e que o cálculo dessa carga ácida a partir de alguns componentes da dieta, permitiria uma predição apropriada dos efeitos da dieta na acidose metabólica. Este artigo é uma comunicação sobre as bases fisiológicas, bem como as implicações clínicas da acidose em pacientes com doença renal crônica e a influência da dieta no balanço ácido-básico desses pacientes.
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Copyright (c) 2023 Viviane de Oliveira LEAL, Maurilo LEITE JÚNIOR, Denise MAFRA
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
