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中华肾病研究电子杂志 ›› 2017, Vol. 06 ›› Issue (03) : 109 -113. doi: 10.3877/cma.j.issn.2095-3216.2017.03.004

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慢性肾脏病患者的健康生活方式
毛永辉1()   
  1. 1. 100005 北京医院肾内科
  • 收稿日期:2017-03-01 出版日期:2017-06-28
  • 通信作者: 毛永辉

The lifestyle beneficial to patients with chronic kidney disease

Yonghui Mao1,()   

  1. 1. Department of Nephrology, Beijing Hospital, Beijing 100005, China
  • Received:2017-03-01 Published:2017-06-28
  • Corresponding author: Yonghui Mao
  • About author:
    Corresponding author: Mao Yonghui, Email:
引用本文:

毛永辉. 慢性肾脏病患者的健康生活方式[J/OL]. 中华肾病研究电子杂志, 2017, 06(03): 109-113.

Yonghui Mao. The lifestyle beneficial to patients with chronic kidney disease[J/OL]. Chinese Journal of Kidney Disease Investigation(Electronic Edition), 2017, 06(03): 109-113.

慢性肾脏病(CKD)已成为全球关注的重要公共卫生问题之一。多种CKD最终会进展到终末期肾病(ESRD),严重影响患者生存及质量。CKD的进展很大程度上是继发性因素所致,其中包括高血压、高尿酸血症、肥胖、高脂血症等,而这些继发因素又在一定程度上与不良生活方式有关,即不良生活方式直接或间接地导致了肾脏损伤。早期认识并纠正不良生活方式,可避免或者减轻进一步的肾损伤,改善生活质量。本文重点阐述以合理膳食、适量运动、戒烟限酒、心理平衡等为基石的对肾脏有益的生活方式。

Chronic kidney disease (CKD) has become one of the most important public health concerns of the world. A variety of CKD eventually progress to end-stage renal disease (ESRD), seriously affecting the survival and quality of the patients. CKD progression is largely attributed to secondary factors, in which, hypertension, hyperuricemia, obesity, and hyperlipidemia, etc, are related to poor lifestyle directly or indirectly resulting in kidney injury. Early understanding and improving the poor lifestyle can avoid or delay the progression of kidney injury and improve the quality of life. This article focused on the lifestyle beneficial to patients with CKD, which is based on reasonable diet, appropriate exercise, smoking cessation, alcohol limiting, and psychological balance.

[1]
Levey AS, Stevens LA, Schmid CH, et al. A new equation to estimate glomerular filtration rate [J]. Ann Intern Med, 2009, 150(9): 604-612.
[2]
Zhang L, Wang F, Wang L, et al. Prevalence of chronic kidney disease in China: a cross-sectional survey [J]. Lancet, 2012, 379(9818): 815-822.
[3]
United States Renal Data System. USRDS 2009 Annual Data Report: Atlas of Chronic Kidney Disease and End-Stage Renal Disease in the United States (DB/OL). National Institutes of Health; National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD 2009.
[4]
Yu HT. Progression of chronic renal failure [J].Arch Intern Med, 2003, 163(12): 1417-1429.
[5]
胡学民,范爱武,宋宏.浅析生活方式与生活质量[J].南京理工大学学报,2001,14(3): 63-65.
[6]
Swift PA, Markandu ND, Sagnella GA, et al. Modest salt reduction reduces blood pressure and urine protein excretionin black hypertensives: a randomized control trial [J]. Hypertension, 2005, 46(2): 308-312.
[7]
Tzemos N, Lim PO, Wong S, et al. Adverse cardiovascular effects of acute salt loading in young normotensiveindividuals [J]. Hypertension, 2008, 51(6): 1525-1530.
[8]
Carlstrom M, Sallstrom J, Skott O, et al. Uninephrectomy in young age or chronic salt loading causes salt-sensitive hypertension in adult rats [J]. Hypertension, 2007, 49(6): 1342-1350.
[9]
Ritz E, Koleganova N, Piecha G. Role of sodium Intake in the progression of chronic kidney disease [J]. J Ren Nutr, 2009, 19(1): 61-62.
[10]
刘治全.中国人群饮食盐摄入量时代变迁及与高血压患病率的关系[J]. 中华高血压杂志,2009,17(6): 482-485.
[11]
He FJ, Marrero NM, Macgregor GA. Salt intake is related to soft drink consumption in children and adolescents: a link to obesity? [J]. Hypertension, 2008, 51(3): 629-634.
[12]
Kawano Y, Tsuchihashi T, Matsuura H, et al. Report of the working group for dietary salt reduction of the Japanese Society of Hypertension: assessment of salt intake in the management of hypertension[J]. Hypertens Res, 2007, 30(10): 887-893.
[13]
Knight EL, Stampfer MJ, Hankinson SE, et al. The impact of protein intake on renal function decline in women with normal renal function or mild renal insufficiency [J]. Ann Intern Med,2003, 138(6): 460-467.
[14]
Wrone EM, Carnethon MR, Palaniappan L, et al. Association of dietary protein intake and microalbuminuria in healthy adult: Third National Health and Nutrition Examination Survey [J].Am J Kidney Dis,2003, 41(3): 580-587.
[15]
KDOQI.KDOQI clinical practice guidelines and clinical practice recommendations for diabetes and chronic kidney disease[J].Am J Kidney Dis,2007,49(2 Suppl 2): S12-S154.
[16]
解东莉,郭瑞兰.痛风的预防与生活方式管理[J].中国中医急症,2009, 18(8): 1383-1384.
[17]
Douketis JD, Macie C, Thabane L, et al. Systematic review of long-term weight loss studies in obese adults: clinical significance and applicability to clinical practice [J]. Int J Obes (Lond), 2005, 29(10): 1153-1167.
[18]
Knowler WC, Barrett-Connor E, Fowler SE, et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin [J]. N Engl J Med, 2002, 346(6): 393-403.
[19]
Alhassan S, Kim S, Bersamin A, et al. Dietary adherence and weight loss success among overweight women: results from the A TO Z weight loss study [J]. Int J Obes (Lond), 2008, 32(6): 985-991.
[20]
Pagoto SL, Appelhans BM. A call for an end to the diet debates [J]. JAMA, 2013, 310(7): 687-688.
[21]
Villareal DT, Chode S, Parimi N, et al. Weight loss, exercise, or both and physical function in obese older adults [J]. N Engl J Med, 2011, 364(13): 1218-1229.
[22]
McCullough PA, Bakris GL, Owen WF Jr, et al.Slowing the progression of diabetic nephropathy and its cardiovascular consequences [J].Am Heart J,2004,148(2): 243-251.
[23]
Jacob JJ, Isaac R.Behavioral therapy for management ofobesity [J].Indian J Endocrinol Metab,2012,16(1): 28-32.
[24]
Wadén J, Forsblom C, Thorn LM, et al.Physical activity and diabetes complications in patients with type l diabetes:the Finnish Diabetic Nephropathy (FinnDiane) Study [J]. Diabetes Care, 2008, 31(2): 230-232.
[25]
American Diabetes Association.Standards of medical care in diabetes 2013 [J]. Diabetes Care,2013,36 (Suppl 1): S11-S66.
[26]
Orth SR, Schroeder T, Ritz E, et al.Effects of smoking on renal function in patients with type 1 and type 2 diabetes mellitus [J].Nephrol Dial Transplant,2005,20(11): 2414-2419.
[27]
Fox CS, Larson MG, Leip EP, et al. Predictors of new-onset kidney disease in a community-based population [J]. JAMA, 2004, 291(7): 844-850.
[28]
施勇.吸烟对初诊高血压患者血液流变学的影响[J].重庆医学,2010,39(18): 2504-2506.
[29]
Leslie WS, Koshy PR, Mackenzie M, et al. Changes in body weight and food choice in those attempting smoking cessation: a cluster randomised controlled trial [J]. BMC Public Health, 2012, 12: 389.
[30]
Parsons AC, Shraim M, Inglis J, et al. Interventions for preventing weight gain after smoking cessation [J]. Cochrane Database Syst Rev, 2009, 21(1): CD006219.
[31]
Arima H, Kiyobara Y, Kato I, et al.Alcohol reduces insulin hypertension relationship in a general population: the Hisayama study [J]. J Clin Epiderniol, 2002, 55(9): 863-869.
[32]
Sabanayagam C, Shankar A.Sleep duration and cardiovascular disease:results from the National Health Interview Survey [J].Sleep,2010,33(8): 1037-1042.
[33]
Gangwisch JE, Heymsfield SB, Boden-Albala B, et al.Short sleep duration as a risk factor for hypertension:analyses of the first National Health and Nutrition Examination Survey [J].Hypertension,2006,47(5): 833-839.
[34]
Gottlieb DJ, Punjabi NM, Newman AB, et al.Association of sleep time with diabetes mellitus and impaired glucose tolerance [J].Arch Intern Med,2005,165(8): 863-867.
[35]
Stranges S, Cappuccio FP, Kandala NB, et al..Cross-sectional versus prospective associations of sleep duration with changes in relative weight and body fat distribution:the white hall II Study [J].Am J Epidemiol,2008,167(3): 321-329.
[36]
Charloux A, Piquard F, Ehrhart J, et al.Time-courses in renin and blood pressure during sleep in humans [J].J Sleep Res,2002,11(1): 73-79.
[37]
Masuo K, Lambert GW, Esler MD, et al.The role of sympathetic nervous activity in renal injury and end-stage renal disease [J].Hypertens Res,2010,33(6): 521-528.
[38]
Plantinga L, Lee K, Inker LA, et al.Association of sleep-related problems with CKD in the United States,2005-2008 [J].Am J Kidney Dis,2011,58(4): 554-564.
[39]
章月蟾,刘足云,邓晚,等.泰州地区中年人群睡眠时间与慢性肾脏疾病的相关性分析[J].复旦学报(医学版),2016,43(4): 435-452.
[40]
Institute of Medicine (US) Committee on Sleep Medicine and Research, Colten HR, Altevogt BM, et al.Sleep disorders and sleep deprivation:an unmet public health problem [M/OL].Washington (DC):National Academies Press (US).

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