만성콩팥병 유병자와 정상인의 관상동맥질환 위험인자와 영양소 섭취 상태 비교 : 2015-2019 국민건강영양조사자료를 이용하여 (Comparison of Coronary Risk Factor and Nutrient Intake Status of Patients with Chronic Kidney Disease and Normal Subjects : Data Obtained from the 2015-2019 Korea National Health and Nutrition Examina)

서지정보

· 발행기관 : 한국지역사회생활과학회
· 수록지 정보 : 한국지역사회생활과학회지 / 33권 / 2호 / 189 ~ 203페이지
· 저자명 : 오현경, 류호경

초록

This study was undertaken to compare the coronary risk factors (CRF) and nutrient intake, and analyze the relationship between noncognitive chronic kidney disease (CKD) patients and normal subjects. Adult patients with CKD aged 30-74 years were selected using data from the 2015-2019 Korea National Health and Nutrition Examination Survey (KNHANES). Using propensity score matching (PSM), subjects with normal glomerular filtration rate (GFR) and having the same demographic characteristics as the CKD group were selected as the control group. Compared to the control group, the CRF level of the CKD group was poor. Untreated CKD increased the risk of developing CRF. The index of nutritional quality (INQ) of the CKD group was lower than the control group. Carbohydrate, fiber, protein, vitamin B1, Na, P, and Fe of the CKD group were determined to be greater than 1. However, energy, fat, n-3, n-6, saturated fatty acid (SFA), cholesterol, vitamin C, vitamin B2, niacin, Ca, and K were less than 1. Based on the KDIGO clinical guidelines, the intakes of vitamin C and calcium were lower than the recommended levels, whereas protein and sodium intakes exceeded the recommendation. Intakes of potassium and phosphorus need to be determined by evaluating the increase or decrease in serum concentration levels. Hence, diagnostic tests for individual serum concentrations are necessary. Results from the current study indicate the importance for CKD patients to start nutritional intervention at an appropriate time which will help slow down kidney damage and prevent future complications such as coronary artery disease (CAD).

영어초록

This study was undertaken to compare the coronary risk factors (CRF) and nutrient intake, and analyze the relationship between noncognitive chronic kidney disease (CKD) patients and normal subjects. Adult patients with CKD aged 30-74 years were selected using data from the 2015-2019 Korea National Health and Nutrition Examination Survey (KNHANES). Using propensity score matching (PSM), subjects with normal glomerular filtration rate (GFR) and having the same demographic characteristics as the CKD group were selected as the control group. Compared to the control group, the CRF level of the CKD group was poor. Untreated CKD increased the risk of developing CRF. The index of nutritional quality (INQ) of the CKD group was lower than the control group. Carbohydrate, fiber, protein, vitamin B1, Na, P, and Fe of the CKD group were determined to be greater than 1. However, energy, fat, n-3, n-6, saturated fatty acid (SFA), cholesterol, vitamin C, vitamin B2, niacin, Ca, and K were less than 1. Based on the KDIGO clinical guidelines, the intakes of vitamin C and calcium were lower than the recommended levels, whereas protein and sodium intakes exceeded the recommendation. Intakes of potassium and phosphorus need to be determined by evaluating the increase or decrease in serum concentration levels. Hence, diagnostic tests for individual serum concentrations are necessary. Results from the current study indicate the importance for CKD patients to start nutritional intervention at an appropriate time which will help slow down kidney damage and prevent future complications such as coronary artery disease (CAD).

참고자료

· 없음