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Nutrition 207

 

Laboratory 7

 

17 February 2011

 

Kidney disease

 

Pre-lab lecture

            ESRD-pathology

                        -urea and creatinine

                                    -blood plasma urea and creatinine versus urinary urea and creatinine

                        -types 1 and 2 diabetes

                        -atherosclerosis

                        -hypertension

-all above contribute to stroke and therefore factors contributing to stroke also contribute to ESRD risk

                        -blood plasma fasting glucose

                        -blood plasma lipids and lipoproteins

                        -blood pressure

                        -body fat

                        -platelet reactivity

                        -nutrient intake

 


 

Results

 

                                                                        With ESRD               Without ESRD

-blood plasma urea                                            200                                             26

-blood plasma creatinine                                       6                                                1

-urinary urea (urea nitrogen)                                 0                                              13

-urinary creatinine (mg/kg/24 hour)                        0                                              17

-blood plasma fasting glucose                            180                                               85

-blood plasma fasting

            triglycerides                                           116                                              85

            cholesterol                                            190                                             140

            HDL-c                                                    42                                               50

            LDL-c                                                  129                                               90

           

-Blood pressure                                              141/82                                      126/80

-platelet reactivity (bleeding time)                         30                                                6

-BMI   (not significantly different)                     24.7                                            24.5

-nutrient intake

            protein             (g/kg/d)                           less than 0.8                              0.8

 

            potassium                                              2000 mg/d                              yield by

                                                                                                              Canada’s food guide

 

            phosphorous                                         1 serving of                             yield by

                                                                  high phosphorous                 Canada’s food guide

                                                                        foods per day

 

            calcium                                           reduce milk product                     yield by

                                                                   servings to tolerated         Canada’s food guide

                                                                            levels

 

sodium                                                  reduce food                                yield by

                                                           servings to tolerated             Canada’s food guide

                                                                       sodium levels

           

All values are fasting and in mg/dl unless otherwise specified.

 

Unless otherwise specified all values are significantly different

     on the same measure

 


Introduction

Hypothesis

Objective

Methods

Results

Discussion- compare suggested dietary intakes for ESRD with dietary intake measures for preventing ESRD

Conclusions