Pica en enfermedad renal crónica avanzada: revisión de la literatura
2019
Pica is an individual entity in the patient with chronic kidney disease (CKD), which phenomenon
has not been widely studied despite the high reported prevalence. Moreover, pica
complications (anemia, altered electrolytes, poor absorption of micro and macronutrients
and malnutrition) could be exacerbated in CKD and limit the quality of renal replacement
therapy. The intake of non-caloric and non-nutritional substances could be harmful and cause
effects on satiety and metabolic / electrolyte imbalance and modify the biocompatibility of
micronutrients, toxins and pathogens worsening health status.
In daily practice, pica could be under-reported because patient’s shame to recognize it, or
fear that such behavior influences their treatment. Additionally, clinicians who not investigate
the presence of pica or its complications contribute to the lack of information about
the magnitude and relevance of this problem in CKD.
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