Böbrek Sağlığı: Posa Alımı Yararlı mı?

Yıl 2024, Cilt: 4 Sayı: 2, 223 - 234, 31.05.2024

Nisa Nur Ayhanci , Yasemin Beyhan

https://doi.org/10.52369/togusagbilderg.1273492

Öz

Öz
Diyet kısıtlamaları nedeniyle kronik böbrek hastalarının posa tüketimi oldukça düşük olmaktadır. Bununla birlikte çalışmalar yüksek miktarda posa tüketiminin böbrek sağlığını koruduğunu, kronik böbrek hastalığının ilerlemesi ve hastalık ile ilişkili komplikasyonları önleyebileceğini göstermektedir. Mevcut kanıtlar yeterli miktar ve çeşitlilikte tüketilen posanın dışkılamayı iyileştirerek, mikrobiyatayı olumlu yönde modüle ederek ve bağırsak bütünlüğünü iyleştirerek üremik toksinlerin serum seviyelerini ve inflamasyonu düşürebildiğini böylelikle böbrek sağlığını ve genel sağlığı olumlu yönde etkileyebildiğini göstermektedir. Bu derleme, konu ile ilgili mevcut kanıtları özetlemeyi ve kronik böbrek hastalığı olan hastalarda böbrek sağlığı ve hastalık komplikasyonlarını iyileştirmek için diyet posası alımını artırma olanaklarını tartışmaktadır. Mevcut kanıtlara dayanarak, kronik böbrek hastalığı olan hastalarda yeterli miktar ve çeşitlilikte posa tüketimi önerilmektedir. Bu tür hastaların böbrek sağlığı alanında uzmanlaşmış bir diyetisyene yönlendirilmesi hastalığın tıbbi beslenme tedavisi açısından önemlidir.

Anahtar Kelimeler: Kronik böbrek hastalığı, posa, mikrobiyata.
Abstract

Due to dietary restrictions, the fiber consumption of chronic kidney patients is very low. However, studies show that high fiber consumption protects kidney health and can prevent progression of chronic kidney disease and disease-related complications. Current evidence shows that fiber consumed in sufficient quantity and variety can reduce serum levels of uremic toxins and inflammation by improving defecation, positively modulating the microbiota, and improving gut integrity, thereby positively affecting kidney health and overall health. This review summarizes the available evidence on the subject and discusses the possibilities of increasing dietary fiber intake to improve kidney health and disease complications in patients with chronic kidney disease. Based on the available evidence, adequate and varied fiber consumption is recommended in patients with chronic kidney disease. Referring such patients to a dietitian specialized in kidney health is important in terms of medical nutrition therapy of the disease.

Keywords: Chronic kidney disease, fiber, microbiota.

Anahtar Kelimeler

kronik böbrek yetmezliği, posa, mikrobiyota

Kaynakça

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