No abstract

In chronic kidney disease (CKD) patients undergoing conservative lowprotein diets ameliorate uremic symptoms and certain CKD complications and, can slow progression of renal disease. The aim of this study was to determine the short-term effects of protein restriction on the progression of CKD. Twenty-six CKD patients from the Renal Nutrition Ambulatory, Nutrition Faculty, UFF, Niteroi, Brazil (63.1 7 13.7 years, 13 men, and % body fat for men, 25.0 76.9% and for women, 36.0 73.3%) were analysed. All patients were originally prescribed low-protein diets and energy according to NKF-K/DOQI recommendations. One month later, their body mass index, creatinine, urea and creatinine clearance (calculated by Cockcroft-Gault) were evaluated (Table). The patients reported good adherence diet in clinical records. In spite of the short period of time, the dietary protein restriction during conservative treatment seems slowing the progression of kidney disease.

In chronic kidney disease (CKD) patients undergoing conservative lowprotein diets ameliorate uremic symptoms and certain CKD complications and, can slow progression of renal disease. The aim of this study was to determine the short-term effects of protein restriction on the progression of CKD. Twenty-six CKD patients from the Renal Nutrition Ambulatory, Nutrition Faculty, UFF, Niteroi, Brazil (63.1 7 13.7 years, 13 men, and % body fat for men, 25.0 76.9% and for women, 36.0 73.3%) were analysed. All patients were originally prescribed low-protein diets and energy according to NKF-K/DOQI recommendations. One month later, their body mass index, creatinine, urea and creatinine clearance (calculated by Cockcroft-Gault) were evaluated (Table). The patients reported good adherence diet in clinical records. In spite of the short period of time, the dietary protein restriction during conservative treatment seems slowing the progression of kidney disease.

a b s t r a c t The aim of the study was to define the positive effect of physical activity and nutrition on the health related quality of life in renal transplant patients in the first year following the surgery. Interestingly, the results showed that the quality of life evaluated by SF-36 of physically active renal transplant patients reached or even overreached the values of healthy individuals. We assessed the influence of intervention (physical activity, nutrition or both) on the health related quality of life. The health related quality of life was evaluated using standardized questionnaire KDQOL-SF TM (part of the generic questionnaire SF-36), and in the period one month before transplantation (patients filled the questionnaire retrospectively during their hospitalization in the first 14 days after the surgery) and approximately 10 months after the transplantation. There were 103 patients in this study (45 females, 58 males) of the age in the range 23-75 years with the average 54.7 years (AE12 years). In the period when the patient was physically active or had special nutritive therapy (9.5 months after the renal transplantation) the quality of life evaluated using SF-36 (n = 94) statistically significantly improved in all domains except for physical activity (Wilcoxon test, p < 0.05) that was lower than the values of healthy individuals in the Czech Republic. The results did not show any statistically significant difference among the items of the life quality and type of intervention done (ANOVA, p < 0.05). Also the testing of the differences among particular types of intervention with regard to the evaluation of the quality of life did not show any statistically significant changes.There is a positive impact of physical activity on the quality of life of the renal transplant patients. It seems to be the most effective tool improving the quality of life, when physical activity is combined with nutrition therapy.