18. O’Seaghdha CM, Hwang SJ, Muntner P, Melamed ML, Fox CS. Gel phosphorus forecasts experience persistent renal situation and you will end-phase kidney condition. Nephrol Switch Transplant. 2011;26(9):2885-2890. (PubMed)
19. Foley Rn, Collins AJ, Herzog Ca, Ishani Good, Kalra PA. Gel phosphate and you may left ventricular hypertrophy for the young adults: the fresh new coronary artery risk development in teenagers data. Kidney Bloodstream Force Res. 2009;32(1):37-forty-two. (PubMed)
20. Shuto E, Taketani Y, Tanaka Roentgen, ainsi que al. Dieting phosphorus excessively impairs endothelial form. J Are Soc Nephrol. 2009;20(7):1504-1512. (PubMed)
twenty two. de Boer IH, Rue TC, Kestenbaum B. Solution phosphorus levels regarding 3rd Federal Health insurance and Nutrients Test Questionnaire (NHANES III). Am J Renal Dis. 2009;53(3):399-407. (PubMed)
23. Isakova T, Wahl P, Vargas GS, mais aussi al. Fibroblast progress grounds 23 is actually increased before parathyroid hormones and you can phosphate in the persistent kidney situation. Kidney Int. 2011;79(12):1370-1378. (PubMed)
twenty four. Isakova T, Xie H, Yang W, et al. Fibroblast development foundation 23 and you may dangers of mortality and you will prevent-stage kidney problem in the patients with persistent renal situation. JAMA. 2011;305(23):2432-2439. (PubMed)
twenty five. Palmer Sc, Hayen A, Macaskill P, et al. Serum amounts of phosphorus, parathyroid hormonal, and you will calcium supplements and dangers of death and you may cardiovascular disease inside the anybody having persistent kidney situation: a logical comment and meta-study. JAMA. 2011;305(11):1119-1127. (PubMed)
27. Hruska KA, Mathew S, Lund Roentgen, Qiu P, Pratt R. Hyperphosphatemia off chronic kidney condition. Renal Int. 2008;74(2):148-157. (PubMed)
twenty eight. Jono S, McKee MD, Murry Ce, mais aussi al. Phosphate controls of vascular smooth muscle tissue phone calcification. Circ Res. 2000;87(7):E10-17. (PubMed)
31. Rennenberg RJ, Kessels AG, Schurgers LJ, van Engelshoven JM, de- Leeuw PW, Kroon AA. Vascular calcifications as an excellent marker from enhanced cardiovascular exposure: an excellent meta-study. Vasc Health Risk Manag. 2009;5(1):185-197. (PubMed)
31. Chang AR, Lazo M, Appel LJ, Gutierrez OM, Grams Myself. Highest weight loss phosphorus consumption was of the most of the-trigger mortality: is a result of NHANES III. Are J Clin Nutr. 2014;99(2):320-327. (PubMed)
30. Calvo MS, Park YK. Changing phosphorus content of your Us eating plan: potential for adverse effects towards bone. J Nutr. 1996;126(4 Suppl):1168S-1180S. (PubMed)
33. Kemi VE, Karkkainen MU, Rita HJ, Laaksonen MM, Outila TA, Lamberg-Allardt CJ. Lower calcium supplements:phosphorus proportion during the habitual diet influences solution parathyroid hormone attention and calcium kcalorie burning during the healthy female that have enough calcium supplements intake. Br J Nutr. 2010;103(4):561-568. (PubMed)
34. Grimm Yards, Muller A beneficial, Hein Grams, Funfstuck R, Jahreis Grams. Highest phosphorus intake just slightly has an effect on solution nutrition, urinary pyridinium crosslinks and you will kidney form when you look at the young women. Eur J Clin Nutr. 2001;55(3):153-161. (PubMed)
35. Pinheiro MM, Schuch Nj, Genaro PS, Ciconelli RM, Ferraz MB, Martini La. Nutrient consumption related to osteoporotic splits inside the someone–this new Brazilian Weakening of bones Studies (BRAZOS). Nutr J. 2009;8:6. (PubMed)
Results of gender and you may postmenopausal estrogen explore into the solution phosphorus profile: a corner-sectional examination of the new National Health and Nourishment Examination Questionnaire (NHANES) 2003-2006
36. Calvo MS, Tucker KL. Try phosphorus consumption you to definitely is higher than weight-loss standards a threat cause for bones fitness? Ann N Y Acad Sci. 2013; -thirty-five. (PubMed)
38. Cervelli MJ, Shaman A good, Meade A great, Carroll Roentgen, McDonald SP. Aftereffect of stomach acid suppression which have pantoprazole into efficacy off calcium carbonate because the an effective phosphate binder into the haemodialysis patients. Nephrology (Carlton). 2012;17(5):458-465. (PubMed)
40. Bansal Letter, Katz R, de- Boer IH, ainsi que al. Influence off estrogen treatment into the calcium supplements, phosphorus, and other regulating hormones during the postmenopausal girls: the latest MESA study. J Clin Endocrinol Metab. 2013;98(12):4890-4898. (PubMed)
Supplies
Phosphorus homeostasis are tightly regulated because of the PTH/nutritional D/FGF-23 axis inside those with typical renal means (come across Control). Enhanced secretion of PTH and you may FGF-23 assists in maintaining phosphorus solution density throughout the typical variety (dos.5-4.5 mg/dL) even yet in the background of large phosphorus consumption (9). That it contributes to solution phosphorus being only weakly correlated in order to phosphorus consumption (22). From mention, sustained grows when you look at the FGF-23 and you will PTH can be noticed during CKD so you’re able to care for normal escort service McKinney serum phosphorus levels even after a decrease in urinary phosphorus removal (23). Elevated FGF-23, as opposed to serum phosphorus, seems to be an early marker out-of disordered phosphorus homeostasis and a good predictor out-of unfavorable wellness effects in customers which have very early-phase CKD (23, 24). Thus, it is practical to visualize one to computing gel phosphorus from inside the some body with typical kidney mode never effectively reflect early disturbances when you look at the phosphorus metabolic process due to high phosphorus usage.
A mix-sectional data held in 2,344 Brazilian individuals (average years, 58 years) displayed an association between high phosphorus consumption and you can enhanced chance of crack. Yet, intakes from most other nutrients strongly related to limbs health, such as for instance calcium, magnesium, and you will vitamin D, have been beneath the RDA contained in this populace, whereas phosphorus consumption had been nearby the RDA (35). While it appears that hormone and calcium conditions would-be stopped because of the a sufficient calcium-to-phosphorus intake proportion, there is absolutely no persuading evidence your diet phosphorus profile knowledgeable in america negatively affect bone nutrient density. Nonetheless, the substitution off phosphate-which has soft drinks and snack foods to have whole milk or other calcium-rich dining may show a life threatening chance so you can bones health (comprehend the breakdown of Calcium supplements) (36).
17. Tonelli M, Sacks F, Pfeffer M, mais aussi al. Family relations anywhere between solution phosphate peak and you will cardiovascular feel rates in the people with heart disease. Movement. 2005;112(17):2627-2633. (PubMed)
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