• 제목/요약/키워드: feed restriction

검색결과 77건 처리시간 0.024초

식이 제한 급여가 OLETF 횐쥐의 혈청 지질량에 미치는 영향 (Effects of Dietary Restriction on the Serum Lipid Level in OLETF Rats)

  • 이병래;차종희;박재윤;배학연;고춘남;박평심
    • 한국식품영양과학회지
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    • 제30권6호
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    • pp.1210-1214
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    • 2001
  • 본 실험은 식이 제한 급여에 따른 비만형 당뇨병 환자의 체중 및 혈중 지질량의 변화에 대한 연구의 일환으로 사람의 비만형 당뇨병과 유사한 병리소견을 나타내는 OLETF 횐쥐를 이용하여 자유급식군, 식이 급여량 20% 제한군과 식이 급여량 40% 제한군으로 나누어 12주간 사육한 후 체중과 혈당, 혈청 콜레스테롤 및 중성지질량을 측정하여 식이 제한 급여 에 따른 혈청 지질량의 변화를 관찰하였다. LETO 횐쥐에서 자유급식군은 12주 후 체중이 41% 증가되었으나 식이 급여량 20% 제한군은 22%, 식이 급여량 40% 제한군은 10%의 체중 증가를 나타냈고, OLETF 횐쥐에서 자유급식군은 24%, 식이 급여량 20% 제한군은 10%, 식이 급여량 40% 제한군은 -2%의 체중 증가를 나타냈다. 혈당량은 LETO 흰쥐에서 식이 급여량 20% 제한군은 혈당량이 감소되지 않았으나, 식이 급여량 40% 제한군은 12% 감소되고, OLETF 횐쥐 혈당량은 식이 급여량 20% 제한군은 15%, 식이 급여량 40% 제한군은 20%가 감소되었다. 혈청 중성지질량은 LETO흰쥐에서 식이 급여량 20% 제한군은 24%, 식이 급여량 40% 제한군은 27%가 감소되었고, OLETF 횐쥐에서는 식이 급여량 20% 제한군은 32%, 식이 급여량 40% 제한군은 37% 정도가 각각 감소되었다. 혈청 총 콜레스테롤량은 LETO 횐쥐에서는 자유급식군, 식이 급여량 20% 제한군과 식이 급여량 40% 제한군에서 모두 차이를 나타내지 않았고, OLETF 횐쥐에서는 식이 급여량 20% 제한군은 15%, 식이 급여량 40% 제한군은 23% 정도가 감소되었다. HDL-콜레스테롤량은 LETO 흰쥐에서 식이 급여량 20% 제한군은 34%, 식이 급여량 40% 제한군은 43%가 증가되었다. 이상의 실험결과로서 식이 제한 급여에 의한 체중, 혈당, 혈청 지질량의 변화가 OLETF 횐쥐에서 LETO 횐쥐에서 보다 더 유의한 것으로 나타나서, 식이 제한 급여에 의한 혈청 중성지질량과 혈청 총콜레스테롤 및 HDL-콜레스테롤량의 변화는 당뇨병에서 더 큰 변화가 유발되는 것으로 추측된다.

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Management of Excretion of Phosphorus, Nitrogen and Pharmacological Level Minerals to Reduce Environmental Pollution from Animal Production - Review -

  • Paik, I.K.
    • Asian-Australasian Journal of Animal Sciences
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    • 제14권3호
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    • pp.384-394
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    • 2001
  • In order to prevent pollution from animal waste, P, N and pharmacological level minerals should be properly managed. Microbial phytase has been used successfully to control P excretion. Activity of natural phytase in certain plant feedstuffs is high enough to be considered in feed formulation. Nitrogen control can be achieved through amino acid supplementation and protein restriction in the diet. Supplementation with carbohydrases reduces output of excreta as well as N. Ammonia release from the manure could be reduced by using a low crude protein diet along with the supplementation with probiotics products. Excretion of minerals used at pharmacological level can be reduced by using chelated forms. Cu and Zn in the form of methionine chelate have been successfully used in the broiler and pig diets.

Influence of Age at Weaning on Caecal Content Characteristics and Post-weaning Performance and Health of Rabbits

  • Taranto, S.;Di Meo, C.;Stanco, G.;Piccolo, G.;Gazaneo, M.P.;Nizza, A.
    • Asian-Australasian Journal of Animal Sciences
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    • 제16권10호
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    • pp.1540-1544
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    • 2003
  • This study chiefly aimed to ascertain the effect of age at weaning on caecal content characteristics, post-weaning performance and health of rabbits. A secondary aim was to study the effect of dietary restriction on performance and health of rabbits. After delivery, 30 litters of 8 pups each, were housed in separate cages. Fifteen litters were weaned 24 days from birth (group W 24) while the other 15 were weaned at 28 days (group W28). After weaning, 53 rabbits of group W24 and 56 of group W28 were fed ad libitum (group LIB), while 53 rabbits of group W24 and 57 of group W28 were restricted (group RES). All the rabbits were kept in individual cages. Fourteen other rabbits of groups W24 (7 fed ad libitum and 7 restricted) and 7 of group W28 were sacrificed to obtain data regarding caecum weight and caecal content. Age at weaning affected neither the state of health nor the final live weight. In comparison with those of group W28, the rabbits weaned at 24 days had a lower daily gain until 35 days of age but gain was higher subsequently. From the 28th day, however, the feed intake and the feed conversion ratio of the group W24 rabbits were always better than those of W28. The restricted diet until 42 days resulted in a lower weight both at 42 days (1,078 vs. 1,164 g) and at 70 days (2,192 vs. 2,294 g). Indeed, from the 42nd day, despite receiving feed ad libitum the rabbits of the restricted group continued to ingest less feed (120.8 vs. 127.2 g) than those of the ad libitum group, and had a slightly lower daily gain (39.8 vs. 40.3 g). The measurements carried out on the caecum highlighted significant differences among the groups in caecal content (33.1 vs. 31.7 vs. 25.3 g respectively for groups W24LIB, W28 and W24RES), for total volatile fatty acids (53.2 vs. 50.6 vs. 44.5 mmol/l respectively for groups W24LIB, W28and W24RES) for ammonia (7.0 vs. 7.2vs 8.8 mmol/l respectively for groups W24LIB, W28 and W24RES), for propionate (5.7 vs. 6.3 vs. 8.1% respectively for groups W24LIB, W28 and W24RES) and for propionate/butyrate (0.33 vs. 0.36 vs. 0.49 respectively for groups W24LIB, W28 and W24RES).

Effect of Restricted Feed Intake on Early Reproductive Development in Large White Gilts

  • Gaughan, John B.
    • Asian-Australasian Journal of Animal Sciences
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    • 제14권11호
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    • pp.1534-1541
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    • 2001
  • Forty-five Large White gilts were used to study the effect of energy intake from 28 to 176 d of age on body composition and reproductive development. From 28 to 60 d, the gilts were fed ad libitum a 16.6 MJ DE/kg, 24% crude protein and 1.3% total lysine diet. From 61 d of age three dietary treatments were used; 1) ad libitum access to feed (15.6 MJ DE/kg, 21% crude protein and 1.07% total lysine) (H), 2) feed offered at 75% (M) of the previous days intake of H, and 3) feed offered at 60% (L) of the previous days intake of H. ADG from 61 to 176 d of age was (p<0.05) affected by treatment. Although live weight at 176 d of age did not differ (p>0.1) the H gilts had higher (p<0.08) carcass weights than the M or L gilts. Back fat depths were similar (p>0.1) for all treatments at 115 d of age, however by 176 d of age M and H gilts were fatter (p<0.1) than L gilts. The mean lipid deposition (LD) from 115 to 176 d of age for L gilts (78.9 g/d) was less (p<0.05) than for M gilts (143.6 g/d) and H gilts (135.6 g/d). There were no differences between treatments for protein deposition (PD) over the same period. More (p<0.05) H gilts (n=8) attained puberty (first observed estrus) than either M gilts or L gilts (n=4 for both). Follicle numbers were similar (p>0.1) across treatments. For gilts that attained puberty, H gilts had fewer (p<0.05) follicles (13.5) than M gilts (19.7) and L gilts (21.3). For gilts with follicular development, H gilts had the heaviest (458.7 g) reproductive tract weight (RTW). However, for those that attained puberty, L gilts had the heaviest RTW. RTW were lowest for those with no follicular development. Energy restriction had a negative impact on puberty attainment, i.e. it took longer to reach puberty. However, for gilts that attained puberty, the number of follicles was greater for those on r feed intakes. It would appear that rate of fat deposition, but not necessarily the total amount of fat, plays an important role in puberty attainment.

Branched-chain Amino Acids Reverse the Growth of Intrauterine Growth Retardation Rats in a Malnutrition Model

  • Zheng, Chuan;Huang, Chengfei;Cao, Yunhe;Wang, Junjun;Dong, Bing
    • Asian-Australasian Journal of Animal Sciences
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    • 제22권11호
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    • pp.1495-1503
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    • 2009
  • This experiment was conducted to determine the effect of dietary supplementation with BCAA (branched-chain amino acids: leucine, isoleucine and valine) on improving the growth of rats in a malnutritional IUGR (Intrauterine Growth Retardation) model, which was established by feeding restriction. In the experimental treatment, rats were fed purified diets supplemented with BCAA (mixed) during the whole gestation period, while arginine and alanine supplementation were set as the positive and negative control group, respectively. The results showed that, compared to the effect of alanine, BCAA reversed IUGR by increasing the fetus weights by 18.4% and placental weights by 18.0% while fetal numbers were statistically increased. Analysis of gene and protein expression revealed that BCAA treatment increased embryonic liver IGF-I expression; the uterus expressed higher levels of estrogen receptor-$\alpha$ (ER-$\alpha$) and progesterone receptor (PR), and the placenta expressed higher levels of IGF-II. Amino acid analysis of dam plasma revealed that BCAA supplementation effectively enhanced the plasma BCAA levels caused by the feed restriction. BCAA also enhanced the embryonic liver gluconeogenesis by augmenting the expression of two key enzymes, namely fructose-1,6-biphosphatase (FBP) and phosphoenolpyruvate carboxykinase (PEPCK). In conclusion, supplementation of BCAA increased litter size, embryonic weight and litter embryonic weight by improving the dam uterus and placental functions as well as increasing gluconeogenesis in the embryonic liver, which further provided energy to enhance the embryonic growth.

절식, 스트레스 및 냉각속도가 돼지도체의 사후 대사속도와 등심근의 육질에 미치는 영향 (Effects of Practical Variations in Fasting, Stress and Chilling Regime on Post-slaughter Metabolic Rate and Meat Quality of Pork Loin)

  • 황인호;박범영;조수현;김진형;이종문
    • Journal of Animal Science and Technology
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    • 제46권1호
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    • pp.97-106
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    • 2004
  • 본 실험은 현장에서 발생할 수 있는 도축 전개체 관리와 도축 후 냉각온도의 편차가 숙성기간동안 육질에 미치는 영향을 관찰하기 위해 설계되었다. 총 20 두 랜드레이스를 도축 하루 전날부터 절식(n = 10)한 처리구와 도축일 아침까지 급여(n = 10)한 처리구 중에 각각 5마리씩을 무작위 선발하여 도축 전 스트레스(n = 10)와 무 스트레스(n = 10) 처리하엿다. 분할 후 좌도체는 $6^{\circ}C$에 우도체는 -$3^{\circ}C$의 도체 냉각실에서 24시간 냉각하였다. 사후 강직기와 도축 후 24시간의 pH, 온도, 유리 칼슘이온, 단백질 분해도를 측정하였으며, 1일째 근절길이, $1^{\circ}C$에서 3일 및 7일째 드립량, 1, 3, 7일째 육색, 전단력 및 가열 감량을 측정하였다. 본 실험 조건에서 도축 직전 15분 동안 몰이스트레스는 유리 칼슘량을 제외한 대사속도 및 육질 특성에 영향을 주지 않았다. 절식하지 않은 구는 절식한 처리구와 비교하여 1시간과 24시간에 빠른 pH 하강을 보였고 (P < 0.1), - $3^{\circ}C$ 냉각 조건에서는 $6^{\circ}C$에서 냉각한 처리구와 비교하여 도축후 3시간부터 완만한 pH 강하속도(P < 00.1)을 보였으나 최종 pH가 5.7 ${\sim}$ 5.8로 처리 구간에 큰 차이가 없었다. pH 6.2에서 절식과 냉각방법간에 상호 작용이 있었는데, 절식하지 않은 도체를 $6^{\circ}C$에서 냉각했을 경우 온도가 $33.3^{\circ}C$로 절식시킨 처리구를 - $3^{\circ}C$에서 냉각한 처리구와 비교하여($22.2^{\circ}C$) 11$^{\circ}C$ 더 낮은 온도를 보였다. 근절길이는 1.7 ${\sim}$ 1.8 ${\mu}m$로 처리간에 큰 차이를 보이지 않았으나, 24시간째 전단력은 절식처리구에서 약 2kg 높았다(P < 0.05) 영향을 받았는데, 절식시킨 시험구에서 낮은 값을 보였다. 냉각실 온도는 전단력과 육색에 영향을 미치지 않았으나, -$3^{\circ}C$ 냉각이 가열 감량을 유의적으로 감소시켰다(P < 0.05), 숙성기간 동안 전단력은 사료 급여를 하지 않은 도체에서 도축 후 1일에 약 6.5 kg으로 도축전까지 급여한 구보다 높았는데( P <0.05), 이 결과는 빠른 pH 하강과 유리 칼슘이온의 방출로 높은 도체 온도에서 단백질 분해 효소의 높은 활성과 관련된 것으로 판단되었고, 이것은 빠른 Desmin 분해 속도가 뒷받침하였다. 하지만 숙성 7일째에는 처리간의 전단력 차이는 관찰되지 않았다. 가열 감량 숙성기간동안 가열 감량을 크게 증가시켜 숙성 7일째에는 유의적으로 높은(P < 0.01) 가열 감량을 유발하였다. 이러한 결과는 육색과도 연관 되었는데, 육색은 결과는 육색과도 연관 되었는데, 육색은 진공포장 후 7일 동안 $1^{\circ}C$에서 숙성한 결과 절식시킨 시험구와 지교하여 도축 전 급여가 더 밝고 붉은색(P < 0.05)을 나타냈다. 명도는 숙성 7일째에 유의적으로 증가하였고, 적색도는 3일째에 증가하였으나 7일째에는 변화가 없었다. 이러한 변화는 통계적으로는 유의성이 관찰되었으나 그 차이점은 미미했다. 본 실험결과는 도축 전날까지 급여 또는 절식 여부는 숙성 3일 이상일 경우 연도에는 영향을 미치지 않으나, 도축일 아침까지 급여가 보수력을 감소시키므로 도축 하루 전날부터 절식하는 것이 육질을 증가시킨다는 것을 시사하고 있다.

Maternal nutrition altered embryonic MYOD1, MYF5, and MYF6 gene expression in genetically fat and lean lines of chickens

  • Li, Feng;Yang, Chunxu;Xie, Yingjie;Gao, Xiang;Zhang, Yuanyuan;Ning, Hangyi;Liu, Guangtao;Chen, Zhihui;Shan, Anshan
    • Animal Bioscience
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    • 제35권8호
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    • pp.1223-1234
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    • 2022
  • Objective: The objectives of this study were to evaluate the effects of daily feed intake during the laying period on embryonic myogenic differentiation 1 (MYOD1), myogenic factor 5 (MYF5), and myogenic factor 6 (MYF6) gene expression in genetically fat and lean lines of chickens. Methods: An experiment in a 2×2 factorial design was conducted with two dietary intake levels (100% and 75% of nutrition recommendation) and two broiler chicken lines (fat and lean). Two lines of hens (n = 384 for each line) at 23th week of age were randomly divided into 4 treatments with 12 replicates of 16 birds. The experiment started at 27th week of age (5% egg rate) and ended at 54th week of age. Hatched eggs from the medium laying period were collected. Real time polymerase chain reaction analysis was used to analyse the MYOD1, MYF5, and MYF6 mRNA levels of E7, E9, E11, E13, and E15 body tissues and E17, E19, and E21 chest and thigh muscle samples. Results: The results indicated that there were significant effects of line, dietary intake, and interactions between them on MYOD1, MYF5, and MYF6 gene mRNA expression levels in embryonic tissues. Low daily feed intake did not change the expression trend of MYOD1 mRNA in either line, but changed the peak values, especially in lean line. Low daily feed intake altered the trend in MYF5 mRNA expression level in both lines and apparently delayed its onset. There was no apparent effect of low daily feed intake on the trends of MYF6 mRNA expression levels in either line, but it significantly changed the values on many embryonic days. Conclusion: Maternal nutrient restriction affects myogenesis and is manifested in the expression of embryonic MYOD1, MYF5, and MYF6 genes. Long term selection for fat deposition in broiler chickens changes the pattern and intensity of myogenesis.

Energy Requirements for Maintenance and Growth of Male Saanen Goat Kids

  • Medeiros, A.N.;Resende, K.T.;Teixeira, I.A.M.A.;Araujo, M.J.;Yanez, E.A.;Ferreira, A.C.D.
    • Asian-Australasian Journal of Animal Sciences
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    • 제27권9호
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    • pp.1293-1302
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    • 2014
  • The aim of study was to determine the energy requirements for maintenance and growth of forty-one Saanen, intact male kids with initial body weight (BW) of $5.12{\pm}0.19$ kg. The baseline (BL) group consisted of eight kids averaging $5.46{\pm}0.18$ kg BW. An intermediate group consisted of six kids, fed for ad libitum intake, that were slaughtered when they reached an average BW of $12.9{\pm}0.29$ kg. The remaining kids (n = 27) were randomly allocated into nine slaughter groups (blocks) of three animals distributed among three amounts of dry matter intake (DMI; ad libitum and restricted to 70% or 40% of ad libitum intake). Animals in a group were slaughtered when the ad libitum-treatment kid in the group reached 20 kg BW. In a digestibility trial, 21 kids (same animals of the comparative slaughter) were housed in metabolic cages and used in a completely randomized design to evaluate the energetic value of the diet at different feed intake levels. The net energy for maintenance ($NE_m$) was $417kJ/kg^{0.75}$ of empty BW (EBW)/d, while the metabolizable energy for maintenance ($ME_m$) was $657kJ/kg^{0.75}$ of EBW/d. The efficiency of ME use for NE maintenance ($k_m$) was 0.64. Body fat content varied from 59.91 to 92.02 g/kg of EBW while body energy content varied from 6.37 to 7.76 MJ/kg of EBW, respectively, for 5 and 20 kg of EBW. The net energy for growth ($NE_g$) ranged from 7.4 to 9.0 MJ/kg of empty weight gain by day at 5 and 20 kg BW, respectively. This study indicated that the energy requirements in goats were lower than previously published requirements for growing dairy goats.

Effects of Heat Exposure and Restricted Feeding on Behavior, Digestibility and Growth Hormone Secretion in Goats

  • Hirayama, Takuji;Katoh, Kazuo
    • Asian-Australasian Journal of Animal Sciences
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    • 제17권5호
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    • pp.655-658
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    • 2004
  • Heat stress is known to affect physiological systems in goats. This study investigated changes in nutrient digestibility, behavior and growth hormone secretion among goats in a hot environment (H; 35${\pm}$ 1.2$^{\circ}C$, [RH] 80${\pm}$7.2%, 13 d), and in a thermoneutral environment (T; 20${\pm}$0.6$^{\circ}C$, [RH] 80${\pm}$3.4%, 20 d), and accompanied by the same restricted diet as provided in the hot environment. The following results were obtained: rectal temperature and water intake were higher in the H treatment than in the T treatment or TR treatment, while hay consumption was lower. CP, NDF and ADF digestibility was highest in H treatment. Time spent eating in the H treatment was also the highest, followed in order by T treatment and TR treatment. Ruminating time was lower in H treatment than in T treatment or TR treatment, and reposing time was highest in the TR treatment. Growth hormone concentrations in T increased 4.5 h after feeding. In H, growth hormone concentrations increased 0.5 h after feeding. However, growth hormone concentrations were not changed following TR feeding. In conclusion, heat exposure in goats decreased feed intake, but increased digestibility. However, when goats in a thermoneutral environment received the same restricted feeding as they received in the hot environment, digestibility increased. Between the H treatment and TR treatment, the changes in digestibility were accomplished by coordinate changes in hormone secretion in order to maintain body homeostasis. To maintain energy balance under a hot temperature or a restricted feeding condition, goats may control their metabolism by changing growth hormone release.

저단백식이의 투여가 만성신부전증의 진행에 미치는 영향에 관한 실험적 연구 (Effects of Dietary Protein on the Progression of Early Chronic Renal Failure in Subtotally Nephrectomizid Rats)

  • 김교순;김기혁;김상윤;강용주;맹원재
    • Childhood Kidney Diseases
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    • 제3권1호
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    • pp.64-71
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    • 1999
  • 목 적 : 초기만성신부전증에서 저단백식이의 투여가 만성신부전의 진행속도 및 혈압조절에 어떠한 영향을 미치는 지를 알기 위함이다. 방 법 : 5/6 신절제술로 만성 신부전을 유발시킨 백서를 수술 제 7일부터 무작위로 enalapril을 투여하지 않은 군과 enalapril 투여군 (식수 1L 당 50 mg)으로 나누고 각군을 정상단백식이군 ($18.5\%$ 단백식이), 저단백식이군($6\%$단백식이)으로 나누어 비교하여 보았다. 신절제술후 4주, 12주, 16주에 단백뇨의 변화, 잔여 신장무게, 신 조직의 mesangial matrix expansion score 및 morphometric analysis로 분석한 사구체용적의 변화를 비교 분석하여 다음과 같은 결과를 얻었다. 결 과 : 1) 정상단백식이군 및 저단백식이군은 신절제술후 혈압이 올라가기 시작하여 지속적인 고혈압소견을 보였다 (정상단백식이군; 4주 $147{\pm}6$mmHg, 8주 $175{\pm}11$mmHg, 12주 $180{\pm}6$mmHg, 16주 $200{\pm}6$ mmHg: 저단백식이군; 4주 $140{\pm}8$mmHg, 8주 $162{\pm}5$mmHg, 12주 $171{\pm}6$mmHg, 16주 $184{\pm}11$mmHg). Enalapril 투여군은 식이의 단백량과 관계없이 신절제술후 8주부터 혈압이 조절되기 시작하였다. 2) 16주째 저단백식이군의 24시간 뇨단백은 $74{\pm}15$mg으로 정상단백식이군 ($101{\pm}15$mg)보다 의의있게 적었다. (P<0.05). Enalapril 투여군도 저단백식이의 경우 $42{\pm}12$mg 으로. 정상단백식이($67{\pm}15$mg) 보다 의의있게 적었다. (P<0.05). 3) 신절제술후 16주째 크레아티닌 청소율은 정상단백식이군 $1.40{\pm}0.13$ ml/min, 저단백식이군은 $1.57{\pm}0.11$ml/min, enalapril 정상단백식이군은 $1.10{\pm}0.17$ml/min, enalapril 저단백식이군은 $1.37{\pm}0.14$ml/min 이었다. (P=NS). 4) 저단백식이군의 잔여 신장무게의 증가는 정상단백시이군의 신장 무게의 증가에 비해 의의있게 낮았다. (저단백식이군; 4주 $1.33{\pm}0.04g$, 12주 $1.45{\pm}0.05g$, 16주 $1.44{\pm}0.16g$: 정상단백이군; 4주 $1.58{\pm}0.19g$, 12 주$1.79{\pm}0.15g$, 16주 $1.99{\pm}0.12g$, P<0.05). 16주에 관찰한 enalapril 투여군의 신장무게를 보면 저단백식이, 정상단백식이에 따른 차이는 없었다. 5) 12주, 16주째 저단백식이군의 mesangial matrix expansion score은 정상단백식이군보다 의의있게 감소되었다. (저단백식이군; 12주 $1.91{\pm}0.02$, 16주 $1.90{\pm}0.02$; 정상단백식이군 ; 12주 $2.29{\pm}0.09$, 16주 $2.55{\pm}0.16$, P<0.05). Enalapril 투여군의 mesangial matrix expansion score는 식이의 단백량에 따른 차이는 없었다. 6) 16주째 저단백식이군의 사구체용적은 정상단백식이군보다 의의있게 감소되었다 (16주, 저단백식이군; $1.17{\pm}0.19{\times}10^6{\mu}m^3$ ; 정상단백식이군; $1.98{\pm}0.16{\times}10^6{\mu}m^3$, P<0.05). Enalapril 투여군의 사구체용적은 저단백식이의 경우 정상식이 때 보다 의의있는 감소를 보였다 (16주, 저단백식이군; $1.19{\pm}0.17{\times}10^6{\mu}m^3$: 정상단백식이군; $1.81{\pm}0.22{\times}10^6{\mi}m^3$, P<0.05). 결 론 : 항고현압제를 쓰지 않은 군에서의 저단백식이의 효과는 매우 현저하였고 항고혈압제를 쓴 군에서는 저단백식이와 정상단백식이의 차이가 없었다. 따라서 저단백식이와 항고혈압제는 각각 신조직 손상의 진행을 확실히 지연시키나 두가지를 같이 병용하면 각각 지연시키는 것에 비하여는 additional effect가 미미하였다. 그러나 혈압 조절은 저단백식이로는 만족할만하지 못하고 항고혈압제에 의한 혈압조절이 도움이 되므로_ 만성신부전 환자에서 저단백식이와 항고혈압제의 병용요법이 필요한 것으로 사료된다.

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