| 特集名 | 腎疾患患者の食事援助 -- 治療用特殊食品の利用 | |
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| 題名 | 食物繊維製品 (1) 特性と利点 | |
| 発刊年月 | 1997年 10月 | |
| 著者 | 稲本 元 | 慶應義塾大学医学部内科 / 中央透析室 |
| 【 要旨 】 | 食物繊維の不足は便秘，大腸疾患，脂質，糖質代謝異常および関連疾患発生に関連する．透析患者ではカリウム制限のため食物繊維摂取量は一般人の45％と少なく，便秘の頻度が71％と高く，大腸，直腸癌の発生は2～3倍多い． 一般の繊維食品は原材料のカリウムをそのまま含み，塩分が多い．食物繊維の含量は最大7～8％である．飲料には化学繊維入りが多く，水分が多量含まれる．透析患者にはカリウム，リン，食塩，エネルギー，水分の含量が少なく，化学繊維でなく，危険な添加物を含まない繊維食品が必要である．セルリーハイはこの条件を満たし，便通などが改善され，水分が1週間におよそ1,000ml余計に，同時にカリウム，塩分，リンも余計に排泄され，その分食事が豊かになる．向後，食物繊維は第6の栄養素として透析患者でも十分に配慮すべきである． |
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| Theme | The Support of Nutritional Condition of Patients with Renal Disease -- Foods for special dietary uses | |
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| Title | Potassium free fiber foods for dialysis patients | |
| Author | Hajime Inamoto | Division of Dialysis, Department of Internal Medicine, School of Medicine, Keio University |
| [ Summary ] | Lack of dietary fiber has been shown to be an important cause of constipation, colon diseases and metabolic disorders of carbohydrate and fat. The mean dietary fiber intake of dialysis patients corresponds to only about 45% of the daily intake of an average Japanese, due to the restricted potassium intake. Seventy-one percent of dialysis patients suffer from constipation. The incidences of colon and rectal cancer are 2 to 3 fold higher than those in the general population. Usual fiber-rich foods contain potassium, salt and at most 7 to 8% dietary fiber. Usual fiber drinks contain water and synthetic fiber. Ideal fiber foods for dialysis patients would be free of potassium, phosphate, salt, energy, water and unnecessary chemicals. Celuri-Hi satisfies this condition, and is very effective for constipation. The excessive 1,000 ml of water is excreted in a week with potassium, salt and phosphate via the stools using Celluri-Hi. The dinner table has now become plentiful. Dietary fiber should be regarded as the 6th nutrient, especially in dialysis patients. |
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