Nutritional strategies for the control of brain-renal interactions due to the impacts of uremic toxins on chronic kidney disease: an integrative review

Abstract

Objective: To analyze nutritional strategies for the control of uremic encephalopathy in Chronic Kidney Disease. Methods: This is an integrative review, carried out in the SciELO, PubMed and ScienceDirect databases, using the following descriptors: ''Uremia", "Chronic Kidney Disease", "Uremic Toxins" and "Nutrition" that made up the corpus of this investigation with a final sample of 20 scientific articles, published in the last 10 years. Results: For the correct management of uremic toxins, several nutritional strategies for cognitive control must be used, whether they are low-protein diets with essential amino acid ketoanalogues , adoption of dietary patterns: Mediterranean, Plant Based, Dietary Approach to Stop Hypertension (DASH) and vegetarian/vegan, use of probiotics and prebiotics and even functional foods, in which with association in lifestyle modification and eating behavior, promotes a deceleration of the rate of disease progression, control of signs and symptoms of uremia, decrease of inflammatory markers and adequacy of the st nutritional taste. Final considerations: Therefore, nutritional strategies are effective in controlling the reduction of uremic toxins, having an impact on the quality of life and longevity of patients with chronic kidney disease.