| Theme |
Practicing proper nutrition for kidney diseases |
| Title |
Nutritional status of chronic nephritic syndrome |
| Author |
Tamaki Sasaki |
Department of Medicine Division of Nephrology, Kawasaki Medical School |
| Author |
Tatsuo Fukushima |
Department of Medicine Division of Nephrology, Kawasaki Medical School |
| Author |
Yoshiki Watanabe |
Department of Medicine Division of Nephrology, Kawasaki Medical School |
| Author |
Shinsuke Nomura |
Department of Medicine Division of Nephrology, Kawasaki Medical School |
| Author |
Naoki Kashihara |
Department of Medicine Division of Nephrology, Kawasaki Medical School |
| Author |
Kazuko Ichikawa |
Department of Nutrition, Kawasaki Medical School |
| Author |
Yuko Kawasaki |
Department of Nutrition, Kawasaki Medical School |
| [ Summary ] |
Chronic nephritic syndrome has a pathophysiology characteriged by continuous proteinuria and hematuria or renal dysfunction, found at the time of diagnosis, or with progression of the clinical course. More than half of the patients who are presently placed on dialysis have primary chronic glomerulonephritis, including IgA nephropathy as the cause of this illness. Two theories, concerning glomerular hyperfiltration and tubulointerstitial damage have been proposed to explain the mechanism of autonomous progression of renal damage. Guidance, regarding lifestyle for these patients depends on the intensity of proteinuria, renal function and the presence or absence of hypertension. In principle, diet therapy is based on a low protein diet, with attention paid to the shortage of energy. Periodical monitoring needs is required to confirm that this is carried out without fail. |