Hurdles in the Management of Protein-Energy Wasting in Renal Patients
Protein-energy wasting (PEW) and personalized nutritional support for renal patients are a relatively under-recognized area in renal practice for clinical nephrologists, while their impacts on quality of life and survival can never be overemphasized. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - July 25, 2016 Category: Urology & Nephrology Authors: Josa Yuk-yi Wong Tags: Letter to the Editor Source Type: research

Malnutrition Assessment in Hemodialysis Patients: Role of Bioelectrical Impedance Analysis Phase Angle
To determine the most potent bioelectrical impedance analysis (BIA) marker of malnutrition and to adjust its application to hemodialysis (HD) patients. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - July 20, 2016 Category: Urology & Nephrology Authors: Laurynas Rimsevicius, Alvita Gincaite, Vaidas Vicka, Diana Sukackiene, Jelena Pavinic, Marius Miglinas Tags: Original Research Source Type: research

Exercise Guidelines for Chronic Kidney Disease Patients
Chronic kidney disease (CKD) patients are often overlooked when it comes to exercise programs.1 Although the medical community, specifically, a majority of nephrologists are of the opinion that their patients should engage in regular exercise to improve overall health.2 Physical inactivity contributes to a reduction in activities of daily living and reduced quality of life.3 By enhancing the strength of their muscles, bones, and joints through exercising, people with CKD can improve their balance and coordination. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - July 1, 2016 Category: Urology & Nephrology Authors: Rita Huie Milam Tags: Patient Education Source Type: research

July Meeting Announcements
July 27-30, 2016 Organization for Transplant Professionals (NATCO) 41th Annual Meeting, Orlando, FL. Visit www.natco1.org/Education/annual-meeting.asp or call 901-603-9295. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - July 1, 2016 Category: Urology & Nephrology Tags: Announcements Source Type: research

NKF/CRN Message From Chairperson Welcome Summer
Welcome summer! As I enjoy the summer fun, I want to assure you that I am continuing my focus on communication from the NKF/CRN Executive Committee to all regional and local council members. I am also working on more communication options to reach CRN members that do not have a local council in their area. If you are a CRN member who this applies to please contact me with what communication modalities would be best for you. In 2015, we began working on some large projects: the KDOQI Evidence Analysis Project and the National Renal Diet revision. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - July 1, 2016 Category: Urology & Nephrology Authors: Judy Kirk Tags: Message From the Chairperson Source Type: research

Rice With a Hawaiian Touch
As a dietitian for the National Kidney Foundation of Hawaii, I have seen how rice is accompanied with almost any dish from breakfast to dinner and snacks. Rice is at the core of the local culture reflecting the many peoples that call Hawaii home. In the dietary treatment of kidney disease, white rice is favored as it is low in sodium, potassium, and phosphorus; in addition, it is a good source of energy, inexpensive, and versatile for meal planning. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - July 1, 2016 Category: Urology & Nephrology Authors: Melissa Guzman Tags: Product Update Source Type: research

Masthead
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - July 1, 2016 Category: Urology & Nephrology Source Type: research

Editorial Board
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - July 1, 2016 Category: Urology & Nephrology Source Type: research

Table of Contents
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - July 1, 2016 Category: Urology & Nephrology Source Type: research

Dietary Advanced Glycation End Products and Risk of Chronic Kidney Disease
To evaluate the longitudinal association between dietary advanced glycation end products (AGEs) and risk of chronic kidney disease (CKD) in a population-based study. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - June 30, 2016 Category: Urology & Nephrology Authors: Hanieh-Sadat Ejtahed, Pooneh Angoorani, Golaleh Asghari, Parvin Mirmiran, Fereidoun Azizi Tags: Original Research Source Type: research

Exercise Guidelines for Chronic Kidney Disease Patients
Chronic kidney disease (CKD) patients are often overlooked when it comes to exercise programs.1 Although the medical community, specifically, a majority of nephrologists are of the opinion that their patients should engage in regular exercise to improve overall health.2 Physical inactivity contributes to a reduction in activities of daily living and reduced quality of life.3 By enhancing the strength of their muscles, bones, and joints through exercising, people with CKD can improve their balance and coordination. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - June 16, 2016 Category: Urology & Nephrology Authors: Rita Huie Milam Tags: Patient Education Source Type: research

July Meeting Announcements
July 27-30, 2016 Organization for Transplant Professionals (NATCO) 41th Annual Meeting, Orlando, FL. Visit www.natco1.org/Education/annual-meeting.asp or call 901-603-9295. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - June 16, 2016 Category: Urology & Nephrology Tags: Announcements Source Type: research

NKF/CRN Message From Chairperson Welcome Summer
Welcome summer! As I enjoy the summer fun, I want to assure you that I am continuing my focus on communication from the NKF/CRN Executive Committee to all regional and local council members. I am also working on more communication options to reach CRN members that do not have a local council in their area. If you are a CRN member who this applies to please contact me with what communication modalities would be best for you. In 2015, we began working on some large projects: the KDOQI Evidence Analysis Project and the National Renal Diet revision. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - June 16, 2016 Category: Urology & Nephrology Authors: Judy Kirk Tags: Message From the Chairperson Source Type: research

Rice With a Hawaiian Touch
As a dietitian for the National Kidney Foundation of Hawaii, I have seen how rice is accompanied with almost any dish from breakfast to dinner and snacks. Rice is at the core of the local culture reflecting the many peoples that call Hawaii home. In the dietary treatment of kidney disease, white rice is favored as it is low in sodium, potassium, and phosphorus; in addition, it is a good source of energy, inexpensive, and versatile for meal planning. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - June 16, 2016 Category: Urology & Nephrology Authors: Melissa Guzman Tags: Product Update Source Type: research

Masthead
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - June 16, 2016 Category: Urology & Nephrology Source Type: research

Editorial Board
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - June 16, 2016 Category: Urology & Nephrology Source Type: research

Table of Contents
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - June 16, 2016 Category: Urology & Nephrology Source Type: research

Association Between Body Mass Index and Mildly Decreased Estimated Glomerular Filtration Rate in Chinese Adults With Early Chronic Kidney Disease
The magnitude of the influence that obesity contributes to the early stage of chronic kidney disease, especially among Asian population with higher obesity-related health risk, is unclear. The aim of this study was to investigate the association between body mass index (BMI) and mildly decreased estimated glomerular filtration rate (eGFR) among Chinese population. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - June 7, 2016 Category: Urology & Nephrology Authors: Yuan He, Dujia Liu, Wenbing Tan, Xu Ma, Fuzhi Lian, Xianrong Xu Tags: Original Research Source Type: research

Historical Study (1986-2014): Improvements in Nutritional Status of Dialysis Patients
Malnutrition is common in dialysis patients and is associated with adverse clinical outcomes. Despite an increased focus on improved nutrition in dialysis patients, it is claimed that the prevalence of malnutrition in this group of patients has not changed during the last decades. Direct historical comparisons of the nutritional status of dialysis patients have never been published. To directly compare the nutritional status of past and current dialysis patients, we implemented the methodology of a study from 1986 on a population of dialysis patients in  2014. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - June 4, 2016 Category: Urology & Nephrology Authors: Mette Koefoed, Charles Boy Kromann, Danni Hvidtfeldt, Sophie Ryberg Juliussen, Jens Rikardt Andersen, Peter Marckmann Tags: Original Research Source Type: research

Historical Study (1986-2014): Improvements in Nutritional Status of Dialysis Patients
Malnutrition is common in dialysis patients and is associated with adverse clinical outcomes. Despite an increased focus on improved nutrition in dialysis patients, it is claimed that the prevalence of malnutrition in this group of patients has not changed during the last decades. Direct historical comparisons of the nutritional status of dialysis patients have never been published. To directly compare the nutritional status of past and current dialysis patients, we implemented the methodology of a study from 1986 on a population of dialysis patients in 2014. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - June 4, 2016 Category: Urology & Nephrology Authors: Mette Koefoed, Charles Boy Kromann, Danni Hvidtfeldt, Sophie Ryberg Juliussen, Jens Rikardt Andersen, Peter Marckmann Tags: Original Research Source Type: research

Body Fat Analysis in Predialysis Chronic Kidney Disease: Multifrequency Bioimpedance Assay and Anthropometry Compared With Dual-Energy X-Ray Absorptiometry
Body composition analysis is required for accurate assessment of nutritional status in patients with predialysis chronic kidney disease (CKD). The reference method for assessing body fat is dual-energy X-ray absorptiometry (DXA), but it is relatively expensive and often not available for widespread clinical use. There is only limited data on the utility of less expensive and easily available alternatives such as multifrequency bioimpedance assay (BIA) and skinfold thickness (SFT) measurements for assessing body fat in predialysis CKD. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - May 27, 2016 Category: Urology & Nephrology Authors: Jayasurya Ravindranath, Priyamvada P. Sivan Pillai, Sreejith Parameswaran, Sadish Kumar Kamalanathan, Gopal Krushna Pal Tags: Original Research Source Type: research

Developing and Validating a Renal Nutrition Screening Tool to Effectively Identify Undernutrition Risk Among Renal Inpatients
To develop and validate a nutrition screening tool that is effective to recognize renal inpatients at risk of undernutrition. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - May 24, 2016 Category: Urology & Nephrology Authors: Yizhou Andrew Xia, Alayne Healy, Rozanne Kruger Tags: Original Research Source Type: research

Gingival Bleeding and Bloody Dialysate: A  Case Report of Scurvy in a Child With End-Stage Renal Disease Receiving Peritoneal Dialysis
We reported a case of scurvy presenting with gingival bleeding and blood dialysate in a 6-year-old girl with end-stage renal disease who was on continuous ambulatory peritoneal dialysis. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 22, 2016 Category: Urology & Nephrology Authors: Kulnipa Kittisakmontri, Napatsayod Swangtrakul, Wiralpatch Padungmaneesub, Pimlak Charoenkwan Tags: Case Study Source Type: research

Gingival Bleeding and Bloody Dialysate: A Case Report of Scurvy in a Child With End-Stage Renal Disease Receiving Peritoneal Dialysis
We reported a case of scurvy presenting with gingival bleeding and blood dialysate in a 6-year-old girl with end-stage renal disease who was on continuous ambulatory peritoneal dialysis. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 22, 2016 Category: Urology & Nephrology Authors: Kulnipa Kittisakmontri, Napatsayod Swangtrakul, Wiralpatch Padungmaneesub, Pimlak Charoenkwan Tags: Case Study Source Type: research

May Meeting Announcements
May 1-4, 2016 American Nephrology Nurses' Association (ANNA) 47th National Symposium, Marriott Louisville, Kentucky International Convention Center, Louisville, KY. Visit www.annanurse.org or call 888-600-2662. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 21, 2016 Category: Urology & Nephrology Tags: Announcements Source Type: research

Kidney-Friendly Frozen Meals Update: Quick and Convenient Options for Chronic Kidney Disease Patients
Educating patients with kidney disease can be quite challenging due to the many nutrition limitations and modifications that are required to effectively manage chronic kidney disease. Other factors such as the patient's cooking skills, budget, and lifestyle should also be taken into account when providing a patient with appropriate and individualized nutrition recommendations. Dialysis patients often complain of lack of time and energy to prepare meals and express a need for quick and convenient meal options. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 21, 2016 Category: Urology & Nephrology Authors: Laura Arentz Tags: Patient Education Source Type: research

CRN Message From the Chairperson
Spring is a time anew to appreciate the beauty of nature. At our spring clinical meeting last month, I had the opportunity to appreciate the National Kidney Foundation/Council on Renal Nutrition (NKF/CRN) Award recipients that you, our membership, nominated. I will introduce these recipients now to you. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 21, 2016 Category: Urology & Nephrology Authors: Judy Kirk Tags: Message From the Chairperson Source Type: research

Breakfast in the Fast Lane
For a morning meal that fits in your hands, fuels your day, and gets you going with little time, consider a breakfast sandwich. Breakfast sandwiches meet the needs of the American lifestyle: the desire to eat breakfast and being too busy to prepare it. Long before the fast-food restaurants became part of the American landscape, breakfast sandwiches were part of early morning routines. No matter where it came from, the breakfast sandwich is here to stay. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 21, 2016 Category: Urology & Nephrology Authors: Janice Powers Tags: Product Update Source Type: research

A Long Road to Travel: Adherence to Dietary Recommendations and Adequate Dietary Phosphorus Control
Dietary counseling and nutritional interventions are cornerstone components in the management of patients undergoing dialysis. Dietitians and nephrologists recommend a number of dietary restrictions related to phosphorus, potassium, sodium, fluid intake, and select macronutrients. They also emphasize the importance of high energy and dietary protein intake to maintain adequate nutritional status. Notwithstanding the clinical importance of these practices, the adherence to such recommendations is difficult and challenging for most patients. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 21, 2016 Category: Urology & Nephrology Authors: Juan Jesús Carrero, Jerrilynn Burrowes, Christoph Wanner Tags: Editorial Source Type: research

Masthead
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 21, 2016 Category: Urology & Nephrology Source Type: research

Editorial Board
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 21, 2016 Category: Urology & Nephrology Source Type: research

Table of Contents
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 21, 2016 Category: Urology & Nephrology Source Type: research

ISRNM Membership Award Announcement
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 21, 2016 Category: Urology & Nephrology Source Type: research

In Hemodialysis Patients, Intradialytic Resistance Exercise Improves Osteoblast Function: A Pilot Study
Abnormalities in mineral and bone metabolism are frequent in chronic kidney disease patients. Physical exercise can improve many indicators of physical functioning, and recent studies showed beneficial effects on bone mineral density in the general population. The aim of this study was to evaluate the effects of resistance exercise training on bone markers and body composition in hemodialysis (HD) patients. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 21, 2016 Category: Urology & Nephrology Authors: Sandra Mara S. de A. Marinho, Denise Mafra, Solenne Pelletier, Valerie Hage, C écile Teuma, Maurice Laville, José Carlos Carraro Eduardo, Denis Fouque Tags: Original Research Source Type: research

Evaluation of the Validity of a Novel CKD Assessment Checklist Used in the Frontier of Renal Outcome Modifications in Japan Study
This study aimed to assess the validity of a novel chronic kidney disease (CKD) evaluation checklist method used in the Frontier of Renal Outcome Modifications in Japan study. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 13, 2016 Category: Urology & Nephrology Authors: Hirayasu Kai, Mariko Doi, Masafumi Okada, Kohsuke Yamada, Hiroko Iwabe, Chie Saito, Kunihiro Yamagata Tags: Original Research Source Type: research

Successful Conversion From Parenteral Paricalcitol to Pulse Oral Calcitriol for the Management of Secondary Hyperparathyroidism in Hemodialysis Patients
The management of hyperparathyroidism in hemodialysis patients involves the administration of phosphate binders, vitamin D receptor activators, and calcimimetics. Intravenous paricalcitol has been preferred over oral calcitriol as it may cause less hypercalcemia and hyperphosphatemia. However, there is little data looking at the efficacy and tolerability of oral calcitriol in the calcimimetic era particularly in a real practice-based experience. The University of California, Irvine free-standing dialysis center converted from routine intravenous paricalcitol to oral calcitriol due to pharmacy purchasing preferences. (Sourc...
Source: Journal of Renal Nutrition - March 30, 2016 Category: Urology & Nephrology Authors: Jennifer Kumar, Ngoc-Tram Gia Tran, John Schomberg, Elani Streja, Kamyar Kalantar-Zadeh, Madeleine Pahl Tags: Original Research Source Type: research

Association of Abdominal Circumference, Body Mass Index, and Inflammation in Kidney Transplant Recipients
Increased abdominal circumference is a marker of obesity, and it is associated with increased mortality in renal transplant recipients. Recent findings suggest that increased visceral fat deposition is a modifier of inflammation. However, little is known about the association of inflammation with abdominal circumference in kidney transplant recipients. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - March 30, 2016 Category: Urology & Nephrology Authors: Kristof Nagy, Akos Ujszaszi, Adam Remport, Csaba P. Kovesdy, Istvan Mucsi, Miklos Z. Molnar, Zoltan Mathe Tags: Original Research Source Type: research

Successful Conversion From Parenteral Paricalcitol to Pulse Oral Calcitriol for the Management of Secondary Hyperparathyroidism in Hemodialysis Patients
The management of hyperparathyroidism in hemodialysis patients involves the administration of phosphate binders, vitamin D receptor activators, and calcimimetics. Intravenous paricalcitol has been preferred over oral calcitriol as it may cause less hypercalcemia and hyperphosphatemia. However, there is little data looking at the efficacy and tolerability of oral calcitriol in the calcimimetic era particularly in a real practice-based experience. The University of California, Irvine free-standing dialysis center converted from routine intravenous paricalcitol to oral calcitriol due to pharmacy purchasing preferences. (Sourc...
Source: Journal of Renal Nutrition - March 30, 2016 Category: Urology & Nephrology Authors: Jennifer Kumar, Ngoc-Tram Gia Tran, John Schomberg, Elani Streja, Kamyar Kalantar-Zadeh, Madeleine Pahl Tags: Research Brief Source Type: research

Association of Abdominal Circumference, Body Mass Index, and Inflammation in Kidney Transplant Recipients
Increased abdominal circumference is a marker of obesity, and it is associated with increased mortality in renal transplant recipients. Recent findings suggest that increased visceral fat deposition is a modifier of inflammation. However, little is known about the association of inflammation with abdominal circumference in kidney transplant recipients. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - March 30, 2016 Category: Urology & Nephrology Authors: Kristof Nagy, Akos Ujszaszi, Adam Remport, Csaba P. Kovesdy, Istvan Mucsi, Miklos Z. Molnar, Zoltan Mathe Tags: Original Research Source Type: research

Psoas Muscle Cross-sectional Area as a Measure of Whole-body Lean Muscle Mass in Maintenance Hemodialysis Patients
We investigate whether psoas or paraspinous muscle area measured on a single L4-L5 image is a useful measure of whole lean body mass (LBM) compared to dedicated midthigh magnetic resonance imaging (MRI). (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - March 16, 2016 Category: Urology & Nephrology Authors: Glen R. Morrell, Talat A. Ikizler, Xiaorui Chen, Marta E. Heilbrun, Guo Wei, Robert Boucher, Srinivasan Beddhu Tags: Original Research Source Type: research

Psoas Muscle Cross-sectional Area as a Measure  of Whole-body Lean Muscle Mass in Maintenance Hemodialysis Patients
We investigate whether psoas or paraspinous muscle area measured on a single L4-L5 image is a useful measure of whole lean body mass (LBM) compared to dedicated midthigh magnetic resonance imaging (MRI). (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - March 16, 2016 Category: Urology & Nephrology Authors: Glen R. Morrell, Talat A. Ikizler, Xiaorui Chen, Marta E. Heilbrun, Guo Wei, Robert Boucher, Srinivasan Beddhu Tags: Original Research Source Type: research