Rapid weight loss with dietary salt restriction in hospitalized patients with chronic kidney disease.
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
19 06 2019
19 06 2019
Historique:
received:
18
01
2019
accepted:
04
06
2019
entrez:
21
6
2019
pubmed:
21
6
2019
medline:
29
10
2020
Statut:
epublish
Résumé
Dietary salt restriction is essential for managing fluid retention in patients with chronic kidney disease (CKD). In this retrospective cohort study, we investigated weight loss from the perspective of fluid status in CKD patients during a 7-day hospitalization period while consuming a low-salt diet (5 g/day). Among 311 patients, the median weight loss (interquartile range, maximum) was 0.7 (0.0-1.4, 4.7) kg on Day 4 and 1.0 (0.3-1.7, 5.9) kg on Day 7. Patients were classified into quartiles based on pre-hospital urinary salt excretion (quartile [Q] 1, 1.2-5.7; Q2, 5.8-8.4; Q3, 8.5-11.3; Q4, 11.4-29.2 g/day). Weight loss was significantly greater in Q3 and Q4 than in Q1. The body mass index (BMI) and urinary salt excretion in the first 24 hours after admission were independently associated with rapid weight loss on Day 4 by multivariate logistic regression analysis. In conclusion, CKD patients with a high salt intake or high BMI exhibit rapid weight loss within a few days of consuming a low-salt diet. Dietary salt restriction is effective for reducing proteinuria in these patients, but long-term observation is needed to confirm the sustained effects.
Identifiants
pubmed: 31217504
doi: 10.1038/s41598-019-45341-6
pii: 10.1038/s41598-019-45341-6
pmc: PMC6584671
doi:
Substances chimiques
Sodium Chloride
451W47IQ8X
Sodium
9NEZ333N27
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
8787Références
Am J Clin Nutr. 1984 Oct;40(4):786-93
pubmed: 6486085
Heart. 2013 Sep;99(17):1256-60
pubmed: 23766446
Clin J Am Soc Nephrol. 2013 Sep;8(9):1583-90
pubmed: 23868902
Kidney Int. 2014 Sep;86(3):489-96
pubmed: 24918155
Clin Exp Hypertens A. 1982;4(3):341-54
pubmed: 7074993
J Am Soc Nephrol. 2005 Feb;16(2):474-81
pubmed: 15615822
AMA Arch Intern Med. 1958 Oct;102(4):527-36
pubmed: 13582242
Clin Exp Nephrol. 2009 Dec;13(6):537-66
pubmed: 19960305
Diabetes Care. 2002 Apr;25(4):663-71
pubmed: 11919122
Nephron Clin Pract. 2012;120(3):c147-55
pubmed: 22678150
Clin Exp Nephrol. 2019 Apr;23(4):493-500
pubmed: 30341571
Clin Nephrol. 2007 Dec;68(6):401-4
pubmed: 18184523
Circ Heart Fail. 2013 Nov;6(6):1165-71
pubmed: 23985432
Obesity (Silver Spring). 2009 Sep;17(9):1684-8
pubmed: 19282825
Kidney Int. 2009 Sep;76(6):638-43
pubmed: 19516246
Nutr Metab Cardiovasc Dis. 2012 Jan;22(1):35-41
pubmed: 20678904
Clin J Am Soc Nephrol. 2011 Apr;6(4):799-804
pubmed: 21212422
Kidney Int. 2007 Feb;71(3):260-5
pubmed: 17091123
J Hypertens. 2001 Dec;19(12):2157-64
pubmed: 11725158
Lancet. 2010 Jun 12;375(9731):2073-81
pubmed: 20483451
Kidney Int. 1989 Aug;36(2):272-9
pubmed: 2550696
Eur Heart J. 2014 Feb;35(7):448-54
pubmed: 24265434
Kidney Int. 2014 Mar;85(3):703-9
pubmed: 24025647
Int J Epidemiol. 2009 Jun;38(3):791-813
pubmed: 19351697
Ren Fail. 2014 Feb;36(1):28-34
pubmed: 24028203
Cochrane Database Syst Rev. 2015 Feb 18;(2):CD010070
pubmed: 25691262
J Am Soc Nephrol. 2013 Dec;24(12):2096-103
pubmed: 24204003
Am J Kidney Dis. 2014 Nov;64(5):744-52
pubmed: 25082100
Kidney Int. 2003 Apr;63(4):1468-74
pubmed: 12631363
Ann Nutr Metab. 1982;26(2):90-9
pubmed: 7081956
Am J Kidney Dis. 2017 May;69(5):576-586
pubmed: 27993433
Hypertension. 1982 Mar-Apr;4(2):190-7
pubmed: 7040224
Lancet. 1988 Jul 2;2(8601):25-9
pubmed: 2898628
Proc Natl Acad Sci U S A. 2007 Oct 9;104(41):16281-6
pubmed: 17911245
Am J Kidney Dis. 2009 Jun;53(6):982-92
pubmed: 19339088
J Am Soc Nephrol. 2008 May;19(5):999-1007
pubmed: 18272844
J Am Soc Nephrol. 2008 Sep;19(9):1643-52
pubmed: 18322158