{"id":35768,"date":"2022-03-09T09:52:18","date_gmt":"2022-03-09T13:52:18","guid":{"rendered":"https:\/\/vivesanobrasil.org\/?p=35768"},"modified":"2022-04-27T12:53:16","modified_gmt":"2022-04-27T16:53:16","slug":"qual-o-papel-da-nutricao-no-tratamento-das-doencas-renais-cronicas","status":"publish","type":"post","link":"https:\/\/vivesanobrasil.org\/pb\/qual-o-papel-da-nutricao-no-tratamento-das-doencas-renais-cronicas\/","title":{"rendered":"Qual o papel da nutri\u00e7\u00e3o no tratamento das doen\u00e7as renais cr\u00f4nicas?"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"35768\" class=\"elementor elementor-35768\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0500111 elementor-section-full_width elementor-section-stretched elementor-section-height-default elementor-section-height-default\" data-id=\"0500111\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-220cd29\" data-id=\"220cd29\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-231ac30 elementor-widget elementor-widget-image\" data-id=\"231ac30\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/01\/7.png?fit=1800%2C500&#038;ssl=1\" title=\"7\" alt=\"7\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-54a9ab6 elementor-section-full_width elementor-section-stretched elementor-section-height-default elementor-section-height-default\" data-id=\"54a9ab6\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7d9f6d8\" data-id=\"7d9f6d8\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f15e679 elementor-widget elementor-widget-spacer\" data-id=\"f15e679\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1157be2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1157be2\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d584fc8\" data-id=\"d584fc8\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-30c4401 elementor-widget elementor-widget-heading\" data-id=\"30c4401\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Qual o papel da nutri\u00e7\u00e3o no tratamento das doen\u00e7as renais cr\u00f4nicas?\n<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0297ca9 elementor-widget elementor-widget-text-editor\" data-id=\"0297ca9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">O papel da nutri\u00e7\u00e3o \u00e9 fundamental no tratamento das doen\u00e7as renais cr\u00f4nicas, uma vez que uma boa pr\u00e1tica nutricional vai facilitar o trabalho vital que os rins exercem para o organismo humano.\u00a0<\/span><\/p><p><span style=\"font-weight: 400;\">Dentre as fun\u00e7\u00f5es desempenhadas pelos rins, podemos destacar:\u00a0<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">a remo\u00e7\u00e3o de subst\u00e2ncias nocivas resultantes do metabolismo (como ur\u00e9ia, am\u00f4nia, \u00e1cido \u00farico etc.);<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">a manuten\u00e7\u00e3o do equil\u00edbrio hidroeletrol\u00edtico (eliminando o excesso de \u00e1gua, sais e eletr\u00f3litos, evitando edemas e altera\u00e7\u00f5es da press\u00e3o arterial);<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">a produ\u00e7\u00e3o de horm\u00f4nios (como eritropoietina, vitamina D, aldosterona, renina, etc.);<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">a regula\u00e7\u00e3o do equil\u00edbrio \u00e1cido b\u00e1sico, mantendo constante o pH sangu\u00edneo. (<\/span><i><span style=\"font-weight: 400;\">Kidney Disease Outcomes Quality Initiative <\/span><\/i><span style=\"font-weight: 400;\">(KDOQI), 2000).<\/span><i><span style=\"font-weight: 400;\">\u00a0<\/span><\/i><\/li><\/ul><p><span style=\"font-weight: 400;\">A doen\u00e7a renal cr\u00f4nica (DRC) consiste, geralmente, na perda lenta, progressiva e irrevers\u00edvel da fun\u00e7\u00e3o renal, de tal forma que, em sua fase mais avan\u00e7ada, os rins n\u00e3o conseguem manter a normalidade do meio interno do paciente, que necessita, portanto, de procedimento dial\u00edtico ou transplante renal<\/span> <span style=\"font-weight: 400;\">(KDOQI, 2000).<\/span><i><span style=\"font-weight: 400;\">\u00a0<\/span><\/i><\/p><p><span style=\"font-weight: 400;\">A DRC \u00e9 classificada em cinco est\u00e1gios, de acordo com a evolu\u00e7\u00e3o e gravidade da doen\u00e7a, conforme tabela abaixo. Interven\u00e7\u00f5es nutricionais devem ser iniciadas a partir do est\u00e1gio 2.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8c4ab87 elementor-widget elementor-widget-image\" data-id=\"8c4ab87\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" data-attachment-id=\"35771\" data-permalink=\"https:\/\/vivesanobrasil.org\/pb\/qual-o-papel-da-nutricao-no-tratamento-das-doencas-renais-cronicas\/imagen_2-2\/\" data-orig-file=\"https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/03\/imagen_2.png?fit=1800%2C900&amp;ssl=1\" data-orig-size=\"1800,900\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"doen\u00e7a renal cr\u00f4nica\" data-image-description=\"&lt;p&gt;doen\u00e7a renal cr\u00f4nica&lt;\/p&gt;\n\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/03\/imagen_2.png?fit=1024%2C512&amp;ssl=1\" width=\"1800\" height=\"900\" src=\"https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/03\/imagen_2.png?fit=1800%2C900&amp;ssl=1\" class=\"attachment-full size-full wp-image-35771\" alt=\"\" srcset=\"https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/03\/imagen_2.png?w=1800&amp;ssl=1 1800w, https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/03\/imagen_2.png?resize=300%2C150&amp;ssl=1 300w, https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/03\/imagen_2.png?resize=1024%2C512&amp;ssl=1 1024w, https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/03\/imagen_2.png?resize=768%2C384&amp;ssl=1 768w, https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/03\/imagen_2.png?resize=1536%2C768&amp;ssl=1 1536w, https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/03\/imagen_2.png?resize=120%2C60&amp;ssl=1 120w, https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/03\/imagen_2.png?resize=1320%2C660&amp;ssl=1 1320w, https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/03\/imagen_2.png?resize=350%2C175&amp;ssl=1 350w, https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/03\/imagen_2.png?resize=500%2C250&amp;ssl=1 500w, https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/03\/imagen_2.png?resize=700%2C350&amp;ssl=1 700w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" data-attachment-id=\"35771\" data-permalink=\"https:\/\/vivesanobrasil.org\/pb\/qual-o-papel-da-nutricao-no-tratamento-das-doencas-renais-cronicas\/imagen_2-2\/\" data-orig-file=\"https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/03\/imagen_2.png?fit=1800%2C900&amp;ssl=1\" data-orig-size=\"1800,900\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"doen\u00e7a renal cr\u00f4nica\" data-image-description=\"&lt;p&gt;doen\u00e7a renal cr\u00f4nica&lt;\/p&gt;\n\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/03\/imagen_2.png?fit=1024%2C512&amp;ssl=1\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b2345fb elementor-widget elementor-widget-text-editor\" data-id=\"b2345fb\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Os principais fatores de risco para DRC incluem diabetes mellitus n\u00e3o controlada (constantes epis\u00f3dios de hiperglicemia) e hipertens\u00e3o n\u00e3o controlada, portanto, o controle da glicemia e da ingest\u00e3o de s\u00f3dio nunca devem ser negligenciados no atendimento nutricional para que, entre outros desfechos, o quadro n\u00e3o leve a perda da fun\u00e7\u00e3o renal (KDOQI, 2000).<\/span> <span style=\"font-weight: 400;\">\u00a0<\/span><\/p><p><span style=\"font-weight: 400;\">\u00a0<\/span><span style=\"font-weight: 400;\">Quando a DRC \u00e9 diagnosticada, outros fatores devem ser levados em considera\u00e7\u00e3o j\u00e1 que estes pacientes apresentam risco aumentado para dist\u00farbios nutricionais e metab\u00f3licos que incluem: desnutri\u00e7\u00e3o energ\u00e9tico-proteica, obesidade, hipovitaminose, ac\u00famulo indesej\u00e1vel de eletr\u00f3litos e de res\u00edduos metab\u00f3licos (Ikizler TA &amp; Cuppari, 2021).<\/span><\/p><p><span style=\"font-weight: 400;\">\u00a0<\/span><span style=\"font-weight: 400;\">Assim, a promo\u00e7\u00e3o de cuidados nutricionais adequados para estes pacientes \u00e9 fundamental para prevenir e\/ou minimizar tais complica\u00e7\u00f5es, al\u00e9m de controlar riscos para desfechos desfavor\u00e1veis (Ikizler TA, 2020).<\/span><\/p><p><span style=\"font-weight: 400;\">\u00a0<\/span><span style=\"font-weight: 400;\">Depois de 20 anos da publica\u00e7\u00e3o do KDOQI pelo National Kidney Foundation (NKF), foi recentemente publicada a nova vers\u00e3o desta diretriz, com atualiza\u00e7\u00f5es para o tratamento nutricional de pacientes com DRC.\u00a0<\/span><\/p><p><span style=\"font-weight: 400;\">\u00a0<\/span><span style=\"font-weight: 400;\">A nova diretriz traz atualiza\u00e7\u00f5es quanto a avalia\u00e7\u00e3o nutricional, terapia nutricional, recomenda\u00e7\u00f5es de macronutrientes, suplementa\u00e7\u00e3o nutricional, micronutrientes e de eletr\u00f3litos (Ikizler TA, 2020).\u00a0<\/span><\/p><p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a38382e elementor-widget elementor-widget-heading\" data-id=\"a38382e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Cuidado com o controle do pot\u00e1ssio<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f14c2f6 elementor-widget elementor-widget-image\" data-id=\"f14c2f6\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" data-attachment-id=\"35773\" data-permalink=\"https:\/\/vivesanobrasil.org\/pb\/qual-o-papel-da-nutricao-no-tratamento-das-doencas-renais-cronicas\/imagen_3-2\/\" data-orig-file=\"https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/03\/imagen_3.png?fit=1800%2C900&amp;ssl=1\" data-orig-size=\"1800,900\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Lilian Cuppari\" data-image-description=\"&lt;p&gt;Lilian Cuppari&lt;\/p&gt;\n\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/03\/imagen_3.png?fit=1024%2C512&amp;ssl=1\" width=\"1800\" height=\"900\" src=\"https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/03\/imagen_3.png?fit=1800%2C900&amp;ssl=1\" class=\"attachment-full size-full wp-image-35773\" alt=\"\" srcset=\"https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/03\/imagen_3.png?w=1800&amp;ssl=1 1800w, https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/03\/imagen_3.png?resize=300%2C150&amp;ssl=1 300w, https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/03\/imagen_3.png?resize=1024%2C512&amp;ssl=1 1024w, https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/03\/imagen_3.png?resize=768%2C384&amp;ssl=1 768w, https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/03\/imagen_3.png?resize=1536%2C768&amp;ssl=1 1536w, https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/03\/imagen_3.png?resize=120%2C60&amp;ssl=1 120w, https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/03\/imagen_3.png?resize=1320%2C660&amp;ssl=1 1320w, https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/03\/imagen_3.png?resize=350%2C175&amp;ssl=1 350w, https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/03\/imagen_3.png?resize=500%2C250&amp;ssl=1 500w, https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/03\/imagen_3.png?resize=700%2C350&amp;ssl=1 700w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" data-attachment-id=\"35773\" data-permalink=\"https:\/\/vivesanobrasil.org\/pb\/qual-o-papel-da-nutricao-no-tratamento-das-doencas-renais-cronicas\/imagen_3-2\/\" data-orig-file=\"https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/03\/imagen_3.png?fit=1800%2C900&amp;ssl=1\" data-orig-size=\"1800,900\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Lilian Cuppari\" data-image-description=\"&lt;p&gt;Lilian Cuppari&lt;\/p&gt;\n\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/03\/imagen_3.png?fit=1024%2C512&amp;ssl=1\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d3a7f14 elementor-widget elementor-widget-text-editor\" data-id=\"d3a7f14\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/vivesanobrasil.org\/pb\/desafios-no-atendimento-nutricional-de-pacientes-com-doenca-renal-cronica\/\">https:\/\/vivesanobrasil.org\/pb\/desafios-no-atendimento-nutricional-de-pacientes-com-doenca-renal-cronica\/<\/a>Pacientes com perda de fun\u00e7\u00e3o renal tendem a n\u00e3o excretar de forma adequada o pot\u00e1ssio. Por este motivo, em muitos casos, o consumo de alimentos fonte de pot\u00e1ssio \u00e9 restringido na dieta, com o intuito de n\u00e3o elevar os n\u00edveis deste mineral no sangue.<\/span><\/p><p><span style=\"font-weight: 400;\">O pot\u00e1ssio aumentado, ou a hipercalemia, pode trazer problemas graves aos pacientes, como arritmias, descontrole neuromuscular e inclusive a parada card\u00edaca (Pun et al, 2011).<\/span><\/p><p><span style=\"font-weight: 400;\">\u00a0<\/span><span style=\"font-weight: 400;\">Diferente do que muitos pensam, as fontes de pot\u00e1ssio na dieta n\u00e3o se resumem \u00e0s frutas e hortali\u00e7as, sendo que alimentos como as carnes vermelhas, brancas, frutos do mar, entre outros alimentos, tamb\u00e9m cont\u00eam grande quantidade de pot\u00e1ssio (Cupisti et al, 2018).<\/span><\/p><p><span style=\"font-weight: 400;\">\u00a0<\/span><span style=\"font-weight: 400;\">Ainda, nem todas as frutas ou hortali\u00e7as s\u00e3o consideradas ricas em pot\u00e1ssio, e as verduras e legumes podem ser cozidas em \u00e1gua para auxiliar na redu\u00e7\u00e3o de pot\u00e1ssio do alimento (Yeung et al, 2019).<\/span><\/p><p><span style=\"font-weight: 400;\">\u00a0<\/span><span style=\"font-weight: 400;\">Nos \u00faltimos anos pesquisadores v\u00eam observando que, em muitos casos, a restri\u00e7\u00e3o de frutas e hortali\u00e7as em pacientes com doen\u00e7a renal cr\u00f4nica (DRC) s\u00e3o mais elevadas do que o necess\u00e1rio, e a quest\u00e3o que surge \u00e9 se seria realmente necess\u00e1rio restringir de forma t\u00e3o expressiva alimentos saud\u00e1veis como frutas, verduras e legumes (Ramos et al, 2021; Yeung et al, 2019).<\/span><\/p><p><span style=\"font-weight: 400;\">\u00a0<\/span><span style=\"font-weight: 400;\">Importante ressaltar que n\u00e3o s\u00f3 a dieta pode causar hipercalemia, constipa\u00e7\u00e3o, diabetes mellitus e acidose metab\u00f3lica, tamb\u00e9m s\u00e3o alguns dos fatores que podem aumentar o pot\u00e1ssio s\u00e9rico de pacientes com DRC e, portanto, sempre devem ser levados em considera\u00e7\u00e3o antes de restringir o pot\u00e1ssio na dieta (Ramos et al, 2021; Yeung et al, 2019).<\/span><\/p><p><strong>Autora: Dra. Maria Fernanda Naufel\u00a0<\/strong><\/p><p><span style=\"font-weight: 400;\">Quer aprender mais sobre esse assunto onde a interven\u00e7\u00e3o nutricional faz toda a diferen\u00e7a no progn\u00f3stico do paciente?<\/span><\/p><p><span style=\"font-weight: 400;\">N\u00e3o perca nosso <\/span><a href=\"https:\/\/vivesanobrasil.org\/pb\/desafios-no-atendimento-nutricional-de-pacientes-com-doenca-renal-cronica\/\"><span style=\"font-weight: 400;\">Workshop Desafios no atendimento nutricional de pacientes com doen\u00e7a renal cr\u00f4nica<\/span><\/a><span style=\"font-weight: 400;\">, com a Prof<\/span><span style=\"font-weight: 400;\">a<\/span> <span style=\"font-weight: 400;\">Dra. Lilian Cuppari, uma das maiores autoridades mundiais no assunto!\u00a0<\/span><\/p><p><span style=\"font-weight: 400;\">Data: 19\/03\/2022<\/span><\/p><p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7e3751e elementor-widget elementor-widget-text-editor\" data-id=\"7e3751e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p dir=\"ltr\" style=\"line-height: 1.2; margin-top: 0pt; margin-bottom: 12pt;\"><span style=\"font-size: 8pt; font-family: Arial; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Refer\u00eancias<\/span><\/p><p dir=\"ltr\" style=\"line-height: 1.2; margin-top: 0pt; margin-bottom: 0pt;\"><span style=\"font-size: 8pt;\"><span style=\"font-family: Arial; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Ikizler TA &amp; Cuppari. <\/span><span style=\"font-family: Arial; color: #212121; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">The 2020 Updated KDOQI Clinical Practice Guidelines for Nutrition in Chronic Kidney Disease. Blood Purif. 2021;50(4-5):667-71.<\/span><\/span><\/p><p dir=\"ltr\" style=\"line-height: 1.2; margin-top: 0pt; margin-bottom: 0pt;\"><span style=\"font-size: 8pt; font-family: Arial; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">K\/DOQI Clinical Practice Guidelines for Nutrition in Chronic Renal Failure. Am J Kidney Dis 35:S17-S104, 2000.\u00a0<\/span><\/p><p dir=\"ltr\" style=\"line-height: 1.2; margin-top: 0pt; margin-bottom: 0pt;\"><span style=\"font-size: 8pt;\"><span style=\"font-family: Arial; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Ikizler TA, <\/span><span style=\"font-family: Arial; color: #000000; background-color: #ffffff; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Burrowes J, Byham-Gray L, Campbell KL, Carrero JJ, Chan W, <\/span><span style=\"font-family: Arial; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">et al. The 2020 Updated KDOQI Clinical Practice Guidelines for Nutrition in Chronic Kidney Disease. 2020;76(3):S1-S107.<\/span><\/span><\/p><p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\"><span style=\"font-size: 8pt;\"><span style=\"font-family: 'Times New Roman'; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Cupisti A, Kovesdy CP, D\u2019Alessandro CD, Zadeh KK. Dietary Approach to Recurrent or Chronic Hyperkalaemia in Patients with Decreased Kidney Function. Nutrients. 25;10(3):261. 2018.<\/span> <span style=\"font-family: 'Times New Roman'; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">DOI: <\/span><a style=\"text-decoration: none;\" href=\"https:\/\/doi.org\/10.3390\/nu10030261\"><span style=\"font-family: 'Times New Roman'; color: #0071bc; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">10.3390\/nu10030261<\/span><\/a><\/span><\/p><p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\"><span style=\"font-size: 8pt; font-family: 'Times New Roman'; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">\u00a0<\/span><span style=\"font-size: 8pt;\"><span style=\"font-family: 'Times New Roman'; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Pun PH, Lehrich RW, Honeycutt EF, Herzog CA, Middleton JP.<\/span><span style=\"font-family: 'Times New Roman'; color: #000000; background-color: #ffffff; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\"> Modifiable risk factors associated with sudden cardiac arrest within hemodialysis clinics. <\/span><span style=\"font-family: 'Times New Roman'; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Kidney Int<\/span><span style=\"font-family: 'Times New Roman'; color: #000000; background-color: transparent; font-weight: 400; font-style: italic; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">. <\/span><span style=\"font-family: 'Times New Roman'; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">79(2):218-27. 2011. <\/span><span style=\"font-family: 'Times New Roman'; color: #212121; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">DOI: <\/span><a style=\"text-decoration: none;\" href=\"https:\/\/doi.org\/10.1038\/ki.2010.315\"><span style=\"font-family: 'Times New Roman'; color: #0071bc; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: underline; text-decoration-skip-ink: none; vertical-align: baseline; white-space: pre-wrap;\">10.1038\/ki.2010.315<\/span><\/a><\/span><\/p><p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\"><span style=\"font-size: 8pt; font-family: 'Times New Roman'; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">\u00a0<\/span><span style=\"font-size: 8pt;\"><span style=\"font-family: 'Times New Roman'; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Ramos C, Gonz\u00e1lez-Ortis A, Espinosa-Cuevas A, Avesani CM, Carrero JJ, Cuppari L. <\/span><span style=\"font-family: 'Times New Roman'; color: #212121; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Does dietary potassium intake associate with hyperkalemia in patients with chronic kidney disease? Nephrol Dial Transplant. 9;36(11):2049-2057. 2021.<\/span> <span style=\"font-family: 'Times New Roman'; color: #212121; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">DOI: <\/span><a style=\"text-decoration: none;\" href=\"https:\/\/doi.org\/10.1093\/ndt\/gfaa232\"><span style=\"font-family: 'Times New Roman'; color: #0071bc; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: underline; text-decoration-skip-ink: none; vertical-align: baseline; white-space: pre-wrap;\">10.1093\/ndt\/gfaa232<\/span><\/a><\/span><\/p><p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\"><span style=\"font-size: 8pt; font-family: 'Times New Roman'; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">\u00a0<\/span><span style=\"font-size: 8pt;\"><span style=\"font-family: 'Times New Roman'; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Yeung SMH, Vogt L, Rotmans JI, Hoorn EJ, Borst MH. Potassium: poison or panacea in chronic kidney disease? Nephrol Dial Transplant. 1;34(2): 175:180. 2019 DOI: <\/span><a style=\"text-decoration: none;\" href=\"https:\/\/doi.org\/10.1093\/ndt\/gfy329\"><span style=\"font-family: 'Times New Roman'; color: #0071bc; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">10.1093\/ndt\/gfy329<\/span><\/a><\/span><\/p><p>\u00a0<\/p><div>\u00a0<\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bab7c4f elementor-align-center elementor-widget elementor-widget-button\" data-id=\"bab7c4f\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/docs.google.com\/forms\/d\/e\/1FAIpQLSfObxNLeTWp5ENITUVx99j0oQbQzaf133eOWoI5dGfc4K5CKA\/viewform\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Inscreva-se aqui <\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t<div class='cb-post-url-qr-code'><br><img src='https:\/\/api.qrserver.com\/v1\/create-qr-code\/?size=185x185&ecc=L&qzone=1&data=https%3A%2F%2Fvivesanobrasil.org%2Fpb%2Fqual-o-papel-da-nutricao-no-tratamento-das-doencas-renais-cronicas%2F' alt='Qual o papel da nutri\u00e7\u00e3o no tratamento das doen\u00e7as renais cr\u00f4nicas?'\/><\/div>","protected":false},"excerpt":{"rendered":"<p>Qual o papel da nutri\u00e7\u00e3o no tratamento das doen\u00e7as renais cr\u00f4nicas? O papel da nutri\u00e7\u00e3o \u00e9 fundamental no tratamento das doen\u00e7as renais cr\u00f4nicas, uma vez que uma boa pr\u00e1tica nutricional vai facilitar o trabalho vital que os rins exercem para o organismo humano.\u00a0 Dentre as fun\u00e7\u00f5es desempenhadas pelos rins, podemos destacar:\u00a0 a remo\u00e7\u00e3o de subst\u00e2ncias [&hellip;]<\/p>\n","protected":false},"author":135836161,"featured_media":35777,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","_crdt_document":"","om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[675839603],"tags":[],"class_list":["post-35768","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-publicacoes"],"acf":[],"aioseo_notices":[],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/vivesanobrasil.org\/wp-content\/uploads\/2022\/03\/portada_renal.png?fit=1080%2C1350&ssl=1","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p9Ia6I-9iU","_links":{"self":[{"href":"https:\/\/vivesanobrasil.org\/pb\/wp-json\/wp\/v2\/posts\/35768","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vivesanobrasil.org\/pb\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vivesanobrasil.org\/pb\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vivesanobrasil.org\/pb\/wp-json\/wp\/v2\/users\/135836161"}],"replies":[{"embeddable":true,"href":"https:\/\/vivesanobrasil.org\/pb\/wp-json\/wp\/v2\/comments?post=35768"}],"version-history":[{"count":0,"href":"https:\/\/vivesanobrasil.org\/pb\/wp-json\/wp\/v2\/posts\/35768\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vivesanobrasil.org\/pb\/wp-json\/wp\/v2\/media\/35777"}],"wp:attachment":[{"href":"https:\/\/vivesanobrasil.org\/pb\/wp-json\/wp\/v2\/media?parent=35768"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vivesanobrasil.org\/pb\/wp-json\/wp\/v2\/categories?post=35768"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vivesanobrasil.org\/pb\/wp-json\/wp\/v2\/tags?post=35768"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}