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Утверждается,что нет достаточных доказательств эффективности строгой малобелковой диеты с потреблением белка < 0.70 g/kg/day и ее надо придерживаться только под пристальным контролем врача,поэтому рекомендуется придерживаться более щадящей-(0.80–1.0 g/kg/day).

Dietary protein intake has been the focus of several trials. However, there is a lack of convincing evidence that the long-term restriction of protein intake (< 0.70 g/kg/day) delays the progression of chronic kidney disease. Thus, a protein-controlled diet (0.80–1.0 g/kg/day) is recommended. There have been no studies about dietary salt restriction and development or progression of chronic kidney disease. However, the benefits of salt reduction as they pertain to the development and control of hypertension are available and are included in the guidelines.

Because chronic kidney disease shares common risk factors with cardiovascular disease and diabetes, lifestyle modifications directed at smoking, obesity, alcohol consumption, exercise and diet are important

Утверждается,что нет достаточных доказательств эффективности строгой малобелковой диеты с потреблением белка < 0.70 g/kg/day и ее надо придерживаться только под пристальным контролем врача,поэтому рекомендуется придерживаться более щадящей-(0.80–1.0 g/kg/day).

И для меня не удивительно,что здесь не слишком жалуют кетостерил.

To reduce blood pressure, alcohol consumption in both normotensive and hypertensive individuals should be in accordance with Canadian
guidelines for low-risk drinking. Healthy adults should limit alcohol consumption to 2 drinks or less per day, and consumption should not exceed 14 standard drinks per week for men, and 9 standard drinks per week for women.The association between alcohol intake and development/progression of CKD is unclear . The Physicians Health Study followed a cohort of 11 023 healthy male subjects over 14 years for development of CKD (defined as a glomerular filtration rate < 55 mL/min).18 After adjustment for demographics and comorbidities, there was no association between alcohol consumption (based on self-report) and risk of CKD. In fact, for subjects in the 2 highest categories of alcohol consumption (5–6 and > 7 drinks per week), there was evidence of a statistically significant reduction in the risk of developing CKD, compared to < 1 drink per week. Lack of an association between alcohol intake and CKD development was also evident in other studies. The work group did not identify any studies evaluating the association between alcohol intake and progression of CKD. Given the limited evidence available, recommendations regarding alcohol consumption to reduce the risk of CKD progression cannot be made. However, there is evidence to support low-risk alcohol consumption for blood pressure reduction in the general population based on the Canadian Hypertensive Education Program guidelines, which have been generalized to the CKD population. In these recommendations 1 standard drink is considered to be 13.6 g or 17.2 mL of ethanol, or approximately 1.5 oz of 80 proof (40%) spirits, 5 oz of 12% wine, or 12 oz of 5% beer.

For nonhypertensive individuals (to reduce the possibility of becoming hypertensive) or for hypertensive patients (to lower their blood pressure), rescribe the accumulation of 30 to 60 minutes of moderate intensity dynamic exercise (walking, jogging, cycling or swimming) 4–7 days per week . Higher intensities of exercise are no more effective.

For prevention of hypertension, a dietary sodium intake of < 100 mmol/d is recommended, in addition to a well-balanced diet .
For hypertensive patients, dietary sodium intake should be limited to 65–100 mmol/d There were no studies regarding dietary salt restriction and development or progression of CKD that met our inclusion criteria. Although recommendations regarding salt restriction specific for CKD management cannot be provided, the related benefits of salt reduction as they pertain to the development and control of hypertension are available, and the recommendations provided are those based on the Canadian Hypertension Education Program recommendations.

Поэтому страховые компании США и Канады не возмещают затраты на кетостерил, следовательно он не завозится в страну, это невыгодно продавцам...

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