| Theme | The Support of Nutritional Condition of Patients with Renal Disease -- Foods for special dietary uses | |
|---|---|---|
| Title | Maltdextrins and their application dietary for renal disease | |
| Publish Date | 1997/10 | |
| Author | Kazuko Ichikawa | Depertment of Nutrition, Kawasaki Medical School Hospital |
| Author | Fusako Teramoto | Depertment of Nutrition, Kawasaki Medical School Hospital |
| Author | Kazue Kawahara | Depertment of Nutrition, Kawasaki Medical School Hospital |
| [ Summary ] | Nutritional management is essential in the treatment of patients with chronic renal failure. To minimize catabolism and slow the progression of renal disease, a protein-restricted diet with adequate caloric intake has been proposed, but it is not easy to obtain sufficient carbohydrates and fats for proper caloric intake by utilizing routine Japanese foods. Occasionally, patients are advised to simply include more sugar in their diet to balance out the caloricd eficiency. However, sugar is too sweet, and can increase triglyceride synthesis and impair glucos tolerance if it is abnormal. Maltdextrin (kona-ame, Tetrastor, and Caloriner), which is composed mainly of maltotriose, has been widely introduced in hospitals and homes. In this report, three successful dietetic regimens adapting maltdextrin are presented; 1) a regimen in which it has been used as a substitute for sugar. 2) one in which it has been applied together with starch for nutritional management of diabetic nephropathy, and 3) one in which it has been used as a component of enteral nutritional diet therapy for patients with oral intake disorders, such as postoperative states, neuromuscular diseases, and drug-induced gastrointestinal disturbances. All these regimens employing maltdextrin have been shown to be effective in diet therapy for patients with renal diseases. If carbohydrate products, which cause less alteration in glucose metabolism could be industrially developed in the future, they could be applied to nutritional management of patients with diabetic nephropathy, the numbers of whom are rapidly increasing in Japan. |
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