Dietary intervention focused on phosphate intake in hemodialysis patients with hyperphosphoremia.

摘要: BACKGROUND Elevated serum phosphorus has been identified as a cardiovascular risk factor. This study aimed to assess the effectiveness of dietary intervention reduce intake and improve calcium-phosphorus metabolism in hemodialysis patients. DESIGN Patients were included 6-month, 2-group experimental if their previous 3-month average was over 5.5 mg/dl. allocated intensive or usual recommendations. The clinical end-points multivariate-adjusted change number patients who achieved levels < mg/dl 5 RESULTS 80 dialysis completed study, 41 group 39 control group. After 6 months, (702 ± 168 vs. 872 242 mg/24 h; p = 0.002) lower than group, with no inter-group differences protein-caloric intake. Serum decreased 1.67 0.58 (multivariate-adjusted difference 0.93 mg/ dl; 95% CI 0.34 - 1.52; 0.003). attained more frequently (51 18%, 0.002 31.7 15.4%, 0.08 respectively). CONCLUSIONS Intensive focusing on may be useful retention