Serum and urine electrolyte and nitrogenous waste product changes during the renal functional reserve test

datacite.rightshttp://purl.org/coar/access_right/c_abf2
dc.contributor.authorMusso, Carlos
dc.contributor.authorJuarez, Rossina
dc.contributor.authorGonzález-Torres, Henry Joseth
dc.contributor.authorCapotondo, Mercedes
dc.contributor.authorTerrasa, Sergio
dc.contributor.authorAroca-Martinez, Gustavo
dc.date.accessioned2026-02-13T15:07:30Z
dc.date.available2026-02-13T15:07:30Z
dc.date.issued2026
dc.description.abstractContext: Renal functional reserve (RFR) refers to the kidney’s capability to increase its basal glomerular filtration rate (GFR) by at least 20 % after an adequate stimulus, such as a protein overload. As far as we know, no studies have yet reported the behavior of electrolyte excretion during the renal functional reserve test. Material and methods: A prospective study to evaluate serum and urinary changes in electrolytes, nitrogenous waste products, glucose, protein, and albumin during the renal functional reserve test in healthy young adults, evaluating their cimetidine-aided creatinine clearance and renal functional reserve test (Hellerstein). Results: There was a statistically significant increase in glomerular filtration rate (positive renal functional reserve) and serum glucose, as well as a significant reduction in serum values of nitrogen derivatives and electrolytes in 46 healthy young adult volunteers during the renal functional reserve test. Regarding the urinary fractional excretion of these substances, significant increases were observed for nitrogenous waste products and electrolytes, except for phosphorus, glucose, protein, and albumin urinary excretion, which suffered no change. Conclusion: The renal functional reserve significantly modified not only glomerular filtration rate but also nitrogenous waste products and electrolyte serum levels, as well as their urinary fractional excretion values in healthy young adults (mean age: 35 years).spa
dc.description.abstractContexto: la reserva funcional renal (RFR) es la capacidad del riñón para aumentar su tasa de filtración glomerular basal (TFG) hasta al menos un 20 % tras un estímulo adecuado, como una sobrecarga proteica. Hasta donde sabemos, aún no se ha descrito qué ocurre con la excreción de electrolitos durante la prueba de reserva funcional renal. Material y métodos: estudio prospectivo para evaluar los cambios en los electrolitos séricos y urinarios, productos de desecho nitrogenados, glucosa, proteínas y albúmina durante la prueba de reserva funcional renal en adultos jóvenes sanos, evaluando su aclaramiento de creatinina con cimetidina y la prueba de reserva funcional renal (Hellerstein). Resultados: se observó un aumento estadísticamente significativo de la tasa de filtración glomerular (reserva funcional renal positiva) y de la glucosa sérica, así como una reducción significativa de los valores séricos de derivados nitrogenados y electrolitos en 46 voluntarios adultos jóvenes sanos durante la prueba de reserva funcional renal. En cuanto a la excreción fraccional urinaria de estas sustancias, se observó un aumento significativo de los productos de desecho nitrogenados y de los electrolitos, con excepción de la excreción urinaria del fósforo, la glucosa, las proteínas y la albúmina, la cual no presentó cambios. Conclusión: la reserva renal modificó significativamente no solo la tasa de filtración glomerular, sino también los niveles séricos de los productos de desecho nitrogenados y de los electrolitos, así como sus valores de excreción fraccional urinaria, en adultos jóvenes sanos (edad media: 35 años).eng
dc.format.mimetypepdf
dc.identifier.citationMusso CG, Juarez R, Gonzalez-Torres H, Capotondo M, Terrasa S, Aroca-Martinez G. Serum and urine electrolyte and nitrogenous waste product changes during the renal functio- nal reserve test. Rev. Colomb. Nefrol. 2026; 13(1), e818. https://doi.org/10.22265/acnef.13.1.818
dc.identifier.doihttp://doi.org/10.22265/acnef.13.1.818
dc.identifier.issn2500-5006 (Electrónico)
dc.identifier.issn2389-7708 (Impreso)
dc.identifier.urihttps://hdl.handle.net/20.500.12442/17357
dc.identifier.urlhttps://revistanefrologia.org/index.php/rcn/article/view/818/1282
dc.language.isoeng
dc.publisherAsociación Colombiana de Nefrología e Hipertensión Arterialspa
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internationaleng
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.sourceRevista Colombiana de Nefrologíaspa
dc.source Rev. Colomb. Nefrol.spa
dc.sourceVol. 13 No. 1 Año 2026spa
dc.subjectReserva renalspa
dc.subjectElectrolitosspa
dc.subjectFisiología renalspa
dc.subjectRiñónspa
dc.subjectTasa de filtración glomerularspa
dc.subjectEstudios prospectivosspa
dc.subject.keywordsRenal reserveeng
dc.subject.keywordsElectrolyteseng
dc.subject.keywordsRenal physiologyeng
dc.subject.keywordsKidneyeng
dc.subject.keywordsGlomerular filtration rateeng
dc.subject.keywordsProspective studieseng
dc.titleSerum and urine electrolyte and nitrogenous waste product changes during the renal functional reserve testeng
dc.title.translatedCambios en los electrolitos séricos y urinarios y en los productos de desecho nitrogenados durante la prueba de reserva funcional renalspa
dc.type.driverinfo:eu-repo/semantics/article
dc.type.spaArtículo científico
dcterms.referencesBosch JP, Lew S, Glabman S, Lauer A. Renal hemodynamic changes in humans. Response to protein loading in normal and diseased kidneys. Am J Med. 1986;81(5):809–815. https:// doi.org/10.1016/0002-9343(86)90350-5eng
dcterms.referencesMusso CG, Reynaldi J, Martinez B, Pierángelo A, Vilas M, Algranati L. Renal reserve in the oldest old. Int Urol Nephrol. 2011;43(1):253-256. https://doi.org/10.1007/s11255-010-9769-9eng
dcterms.referencesBosch JP, Saccaggi A, Lauer A, Ronco C, Belledonne M, Glabman S. Renal functional reserve in humans. Effect of protein intake on glomerular filtration rate. Am J Med. 1983;75(6):943–950. https://doi.org/10.1016/0002-9343(83)90873-2eng
dcterms.referencesvan Acker BA, Koomen GC, Koopman MG, de Waart DR, Arisz L. Creatinine clearance during cimetidine administration for measurement of glomerular filtration rate. Lancet. 1992;340(28):1326–1329. https://doi.org/10.1016/0140-6736(92)92502-7eng
dcterms.referencesMusso CG, Vilas M. Water, electrolyte, and acid-base disorders in the elderly. In: Macias- Nunez JF, Jauregui J, Covic A, Musso CG, eds. Clinical Nephrogeriatrics. Springer. Cham;2019:43-62. https://doi.org/10.1007/978-3-030-18711-8 4eng
dcterms.referencesHellerstein S, Berenbom M, Erwin P, Wilson N, DiMaggio S. Measurement of renal functional reserve in children. Pediatr Nephrol. 2004;19:1132-1136. https://doi.org/10.1007/ s00467-004-1550-9eng
dcterms.referencesMusso CG. Renal reserve test: Its methodology and significance. Saudi J Kidney Dis Transpl. 2011;22(5):990-993.eng
dcterms.referencesRodríguez-Iturbe B. The renal response to an acute protein load in man: Clinical perspective. Nephrol Dial Transplant. 1990;5(1):1–9. https://doi.org/10.1093/ndt/5.1.1eng
dcterms.referencesWoods LL. Intrarenal mechanisms of renal reserve. Semin Nephrol. 1995;15(5):386–395.eng
dcterms.referencesCapasso G, Mollica F, Saviano C, De Santo NG. Tubule effects of glomerular hyperfiltration: An integrated view. Semin Nephrol. 1995;15(5):419–425.eng
dcterms.referencesKing AJ. Nitric oxide and the renal hemodynamic response to proteins. Semin Nephrol. 1995;15(5):405–414.eng
dcterms.referencester Wee PM, Tegzess AM, Donker Ab JM. Renal effects of intravenous amino acid administration in humans with and without renal disease: Hormonal correlates. Semin Nephrol. 1995;15(5):426–432.eng
dcterms.referencesMusso CG, Fainstein I, Kaplan R, Macías-Núñez JF. Renal tubular function in the oldest old. Rev Esp Geriatr Gerontol. 2004;39(5):314-319. https://doi.org/10.1016/S0211-139X(04) 74980-Xeng
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