Features of the diet in patients with IgA nephropathy and celiac antibodies in the blood

Background. This article highlights the most important nutritional issues for patients with IgA nephropathy associated with a high titer of celiac antibodies in the blood. The importance of therapeutic nutrition, which is part of the nephroprotective strategy as an integral part of the therapy of ne...

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Main Authors: Mariya E. Mantsaeva, Alexey G. Borisov, Sergey V. Chernavsky, Anatoly A. Stremoukhov
Format: Article
Language:Russian
Published: Open Systems Publication 2024-03-01
Series:Лечащий Врач
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Online Access:https://journal.lvrach.ru/jour/article/view/1193
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author Mariya E. Mantsaeva
Alexey G. Borisov
Sergey V. Chernavsky
Anatoly A. Stremoukhov
author_facet Mariya E. Mantsaeva
Alexey G. Borisov
Sergey V. Chernavsky
Anatoly A. Stremoukhov
author_sort Mariya E. Mantsaeva
collection DOAJ
description Background. This article highlights the most important nutritional issues for patients with IgA nephropathy associated with a high titer of celiac antibodies in the blood. The importance of therapeutic nutrition, which is part of the nephroprotective strategy as an integral part of the therapy of nephrological patients, is emphasized. The release of certain clinical practical recommendations of KDOQI (2020) once again emphasized the great importance of non-drug exposure for effective therapy of kidney diseases of various etiologies.Objective. To adapt therapeutic nutrition as a component of a nephroprotective strategy for patients with IgA nephropathy associated with a high titer of celiac antibodies in the blood.Results. Based on convincing data from the world literature, which are consistent with the results of our own research confirming the association of the above conditions (even in the absence of clinical manifestations of enteropathy), the effectiveness of the gluten-free diet in the complex treatment of IgA nephropathy, the therapeutic diet for this category of patients has been adapted according to the necessary chemical composition and energy value.Conclusion. Nutrition modification is an essential element of the complex therapy of nephrological patients. An individual approach to the selection of dietary therapy, including gluten elimination, will not only reduce the immunological activity of the main glomerular disease, but also, possibly, slow down the rate of progression of chronic kidney disease, delaying the development of terminal renal failure and increasing the reserve capacity of the kidneys.
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publishDate 2024-03-01
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spelling doaj-art-482f232512744dfa91c159ea32b29cb62025-08-20T02:49:02ZrusOpen Systems PublicationЛечащий Врач1560-51752687-11812024-03-0102434710.51793/OS.2024.27.2.0081181Features of the diet in patients with IgA nephropathy and celiac antibodies in the bloodMariya E. Mantsaeva0Alexey G. Borisov1Sergey V. Chernavsky2Anatoly A. Stremoukhov3Branch Clinical and Diagnostic Center of Gazprom Public Joint Stock CompanyFederal State Budgetary Educational Institution of Additional Professional Education Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian Federation; State Budgetary Healthcare Institution City Polyclinic No. 11 of the Moscow Department of HealthFederal State Budgetary Educational Institution of Additional Professional Education Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian Federation; Federal State Budgetary Institution The Main Military Clinical Hospital named after Academician N. N. Burdenko of the Ministry of Defense of the Russian FederationNon-profit Organization Association of Primary Care Physicians SIRANOBackground. This article highlights the most important nutritional issues for patients with IgA nephropathy associated with a high titer of celiac antibodies in the blood. The importance of therapeutic nutrition, which is part of the nephroprotective strategy as an integral part of the therapy of nephrological patients, is emphasized. The release of certain clinical practical recommendations of KDOQI (2020) once again emphasized the great importance of non-drug exposure for effective therapy of kidney diseases of various etiologies.Objective. To adapt therapeutic nutrition as a component of a nephroprotective strategy for patients with IgA nephropathy associated with a high titer of celiac antibodies in the blood.Results. Based on convincing data from the world literature, which are consistent with the results of our own research confirming the association of the above conditions (even in the absence of clinical manifestations of enteropathy), the effectiveness of the gluten-free diet in the complex treatment of IgA nephropathy, the therapeutic diet for this category of patients has been adapted according to the necessary chemical composition and energy value.Conclusion. Nutrition modification is an essential element of the complex therapy of nephrological patients. An individual approach to the selection of dietary therapy, including gluten elimination, will not only reduce the immunological activity of the main glomerular disease, but also, possibly, slow down the rate of progression of chronic kidney disease, delaying the development of terminal renal failure and increasing the reserve capacity of the kidneys.https://journal.lvrach.ru/jour/article/view/1193mesangioproliferative glomerulonephritisiga nephropathyberger's diseaseglutengluten-free dietceliac disease
spellingShingle Mariya E. Mantsaeva
Alexey G. Borisov
Sergey V. Chernavsky
Anatoly A. Stremoukhov
Features of the diet in patients with IgA nephropathy and celiac antibodies in the blood
Лечащий Врач
mesangioproliferative glomerulonephritis
iga nephropathy
berger's disease
gluten
gluten-free diet
celiac disease
title Features of the diet in patients with IgA nephropathy and celiac antibodies in the blood
title_full Features of the diet in patients with IgA nephropathy and celiac antibodies in the blood
title_fullStr Features of the diet in patients with IgA nephropathy and celiac antibodies in the blood
title_full_unstemmed Features of the diet in patients with IgA nephropathy and celiac antibodies in the blood
title_short Features of the diet in patients with IgA nephropathy and celiac antibodies in the blood
title_sort features of the diet in patients with iga nephropathy and celiac antibodies in the blood
topic mesangioproliferative glomerulonephritis
iga nephropathy
berger's disease
gluten
gluten-free diet
celiac disease
url https://journal.lvrach.ru/jour/article/view/1193
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AT sergeyvchernavsky featuresofthedietinpatientswithiganephropathyandceliacantibodiesintheblood
AT anatolyastremoukhov featuresofthedietinpatientswithiganephropathyandceliacantibodiesintheblood