El vegetarianismo comienza a ser receta médica

[Mad doctor]

Recién salido del horno, es de junio de 2010

Nephrol Dial Transplant. 2010 Jun 22.

Vegetarian supplemented low-protein diets. A safe option for pregnant CKD patients: report of 12 pregnancies in 11 patients.

Piccoli GB, Attini R, Vasario E, Gaglioti P, Piccoli E, Consiglio V, Deagostini C, Oberto M, Todros T.

1SS Nefrologia, Department of Clinical and Biological Sciences, ASOU San Luigi, University of Torino, Italy.
Abstract

BACKGROUND: Pregnancy in CKD is an increasing challenge, considering also the paucity of therapeutic tools available in pregnant women. While theoretically interesting, the experience with low protein diets in pregnancy is limited. Aim of this feasibility study is to review our experience with supplemented vegetarian low protein diets in pregnancy, as a "rescue treatment" for severe CKD and/or proteinuria.

METHODS: Data were gathered prospectively. Diet schema: proteins: 0.6-0.7 g/Kg/day, amino and chetoacid supplementation, 1-3 free meals/week. Compliance, side effects, biochemical data recorded at each visit (at least twice monthly).

RESULTS: Between January 2000 and February 2010, out of 168 pregnancies referred, 12 were managed by the diet (11 patients; median age 33, range 20-38). One pregnancy was terminated (patient's choice); the other 10 patients delivered 11 healthy babies. At referral, 2 patients were in stage 4 CKD, 4 in stage 3, 4 had nephrotic proteinuria (3.6-6.3 g/day). One patient doubled serum creatinine; none needed renal replacement therapy within 6 months from delivery. No patient complained of side effects, nor developed hyperkalemia or hypercalcaemia. Two babies from mothers in CKD stage 4 were small for gestational age; 9/11 were delivered by caesarean section (median gestational age 33 weeks: range 28-37; birth weight 935-2620 g) within a policy of delivery in the presence of foetal growth impairment and/or worsening of proteinuria, GFR, hypertension or foetal conditions. All babies are well, 1 month, 7.5 years from delivery.

CONCLUSION: Our report suggests considering vegetarian diets as an additional tool in the management of pregnant CKD patients.

Se trata de valorar si la dieta vegetariana baja en proteínas (y suplementada) es saludable para mujeres embarazadas con una enfermedad crónica renal (CKD) después de un largo seguimiento, los resultados sugieren considerar las dietas vegetarianas como herramienta adicional terapéutica para mujeres embarazadas que padezcan una enfermedad crónica renal.

[Nulyeta]

Mad! podrias poner el enlace? Un abrazo GRACIAS!!!!

[Mad doctor]

Supongo que te refieres a un enlace a una revista que incluya el abstract?

Es de la Sociedad Americana de Nefrología.

Por ejemplo aparece aquí: http://cjasn.asnjournals.org/cgi/con...CJN.07911109v1

[sujal]

Bueno, y si va bien a las embarazadas con una enfermedad crónica renal, se entiende que para las embarazadas a secas también, ¿no?

[Mad doctor]

Bueno, y si va bien a las embarazadas con una enfermedad crónica renal, se entiende que para las embarazadas a secas también, ¿no?

Pues en principio sí, pero ya sabes, en ciencia, o se demuestra específicamente, o son suposiciones con mucho fundamento nada más.

Por cierto, voy a hacer dentro de poco una review sobre el veganismo en atletas, fijo que te interesa y quizás puedas ayudarme, si eso lo hablamos por privado.