Vitamin D Receptor Polymorphism in Chronic Kidney Disease Patients With Complicated Cardiovascular Disease
Several studies indicate a relationship between vitamin D and cardiovascular disease. Pleiotropic actions of vitamin D and its analogs are mediated by vitamin D receptor (VDR). VDRs have been identified in almost all tissues, including vascular smooth muscle cells, cardiomyocytes, and endothelial cells. The FokI and BsmI polymorphisms of the VDR gene are regarded as strong markers of disturbed vitamin D signaling pathway. Studies investigating the relationship between VDR genotypes and left ventricular hypertrophy revealed a highly significant association with the BsmI Bb heterozygous genotype. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - December 12, 2014 Category: Urology & Nephrology Authors: Domenico Santoro, Silvia Lucisano, Giorgia Gagliostro, Angela Alibrandi, Salvatore Benvenga, Riccardo Ientile, Guido Bellinghieri, Michele Buemi, Daniela Caccamo Tags: Icurt Proceedings Source Type: research

Clinical Trials in Uremia—Time to Reappraise
The construct of any road map of the progress of medical knowledge reveals a long and tortuous road, full of errors, misapprehensions, blind alleys, and a perpetual shuffling between authority, heresy, and reason; but one of continuous growth and steady progress, albeit at variable pace and achievement at different periods of history. Numerous factors account for this cumulative progress, notable among which are the transmission, scientification, and mathematization of medical knowledge that ultimately account for the progressive evolution of medical care over time, from its primitive beginnings in antiquity to its present...
Source: Journal of Renal Nutrition - December 10, 2014 Category: Urology & Nephrology Authors: Garabed Eknoyan Tags: ICURT PROCEEDINGS Source Type: research

Correlation Between Nutritional Markers and Appetite Self-Assessments in Hemodialysis Patients
Protein–energy malnutrition is among the comorbidities that most strongly affect the prognosis of patients with chronic kidney disease. Anorexia, defined as a loss of desire to eat, is one cause of such malnutrition. Tools that evaluate appetite and the correlation between appetite and nutritional parameters require further study. To evaluate the appetite status in patients from 2 hemodialysis clinics in Fortaleza, Brazil and the correlations between appetite (evaluated in the past week and in the past 4 weeks) and demographic, laboratory, and nutritional parameters. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - December 9, 2014 Category: Urology & Nephrology Authors: Claudia M.C. Oliveira, Marcos Kubrusly, André. T. Lima, Danielle M. Torres, Natasha M.R. Cavalcante, Antônio L.C. Jerônimo, Thiago. C.B. Oliveira Tags: Original Research Source Type: research

Vitamin E Intake and Risk of Renal Cell Carcinoma: A Meta-Analysis of 7 Case–Control Studies
Vitamin E intake may reduce the risk of renal cell carcinoma, but the results were inconsistent. Hence, we conducted a meta-analysis to assess the association between dietary vitamin E intake and the risk of renal cell carcinoma. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - November 25, 2014 Category: Urology & Nephrology Authors: Yonggang Shang, Shanhong Yi, Dong Cui, Guangwei Han, Chengcheng Liu Tags: Original Research Source Type: research

The Nutritional Status of Patients Starting Specialized Predialysis Care
To examine the prevalence of and risk factors for malnutrition at the start of specialized predialysis care. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - November 25, 2014 Category: Urology & Nephrology Authors: Gjalt J. Westland, Diana C. Grootendorst, Nynke Halbesma, Friedo W. Dekker, Cornelis A. Verburgh Tags: Original Research Source Type: research

Intradialytic Protein Supplementation Reduces Inflammation and Improves Physical Function in Maintenance Hemodialysis Patients
This study sought to determine if oral supplementation with soy or whey protein during dialysis treatment reduces inflammation and improves physical function and body composition in MHD patients. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - November 25, 2014 Category: Urology & Nephrology Authors: Emily J. Tomayko, Brandon M. Kistler, Peter J. Fitschen, Kenneth R. Wilund Tags: Original Research Source Type: research

Metabolic Acidosis Components in Advanced Chronic Kidney Disease: Association With Serum Albumin and Parathyroid Hormone
To investigate the associations between the 2 main components of metabolic acidosis (unmeasured anions [UA] and hyperchloremia) with serum albumin and intact parathormone (iPTH) in patients with advanced chronic kidney disease. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - November 21, 2014 Category: Urology & Nephrology Authors: Daniele Pinto Vasconcelos, Rafaela Elizabeth Bayas de Queiroz, Tandara Maria Ponte Costa, Monique Queiroz Rocha Guerreiro, Maria Alessandra Oliveira Leitão, Larissa Chagas Corrêa, Alexandre Braga Libório Tags: Clinical Brief Source Type: research

The Importance of Vitamin K Monitoring With Warfarin (Coumadin) Use in Chronic Kidney Disease Patients
Warfarin (Coumadin) is most commonly prescribed for individuals with increased risk of blood clots associated with coronary heart disease. Many patients who have chronic kidney disease (CKD) may also be prescribed warfarin (Coumadin) related to the coronary heart disease risk factors. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - November 13, 2014 Category: Urology & Nephrology Authors: Haewook Han Tags: Patient Education Source Type: research

Plasma Ascorbic Acid Concentrations in Prevalent Patients With End-Stage Renal Disease on Hemodialysis
To determine the prevalence of vitamin C (ascorbic acid [AA]) deficiency in patients with end-stage renal disease, the effect of supplemental AA on plasma AA concentrations, and the extrinsic and intrinsic factors that affect plasma AA concentrations in this patient population. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - November 6, 2014 Category: Urology & Nephrology Authors: William D. Sirover, Yuguan Liu, Amanda Logan, Krystal Hunter, Robert L. Benz, Deepali Prasad, Jose Avila, Thaliga Venkatchalam, Lawrence S. Weisberg, Garry J. Handelman Tags: Original Research Source Type: research

Effect of a Symbiotic Gel ( + + Inulin) on Presence and Severity of Gastrointestinal Symptoms in Hemodialysis Patients
The study aimed to assess the effect of a symbiotic gel on presence and severity of gastrointestinal symptoms (GIS) in hemodialysis patients. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - November 6, 2014 Category: Urology & Nephrology Authors: Daniela Viramontes-Hörner, Fabiola Márquez-Sandoval, Fabiola Martín-del-Campo, Barbara Vizmanos-Lamotte, Ana Sandoval-Rodríguez, Juan Armendáriz-Borunda, Héctor García-Bejarano, Karina Renoirte-López, Guillermo García-García Tags: Original Research Source Type: research

Fiber Supplementation Lowers Plasma -Cresol in Chronic Kidney Disease Patients
To determine the effects of supplemental fiber on plasma p-cresol, stool frequency, and quality of life (QoL) in chronic kidney disease (CKD) patients. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - November 4, 2014 Category: Urology & Nephrology Authors: Younis A. Salmean, Mark S. Segal, Sergiu P. Palii, Wendy J. Dahl Tags: Research Brief Source Type: research

Subjective Global Assessment Remains an Important Nutrition Assessment Tool: Response to Marcelli, DiBenedetto, Ciotola, Grassmann, and Canaud
We thank Drs. Marcelli, DiBenedetto, Ciotola, Grassmann, and Canaud for their response1 to our article titled “Subjective Global Assessment Scores Have Poor Correlation with Serum Albumin in Obese Patients.”2 We agree with these authors and attempted to point out in our analysis that while albumin is not pure nutrition marker, it is highly prognostic of morbidity3 and is considered a key quality indicator by the Centers for Medicare and Medicaid Services,4 the main payer for dialysis in the United States. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - November 1, 2014 Category: Urology & Nephrology Authors: Rosa K. Hand, Alison L. Steiber Tags: Letter to the Editor Source Type: research

Is Routine Multivitamin Supplementation Necessary in US Chronic Adult Hemodialysis Patients? A Systematic Review
Because of concern that United States (US) chronic hemodialysis patients are at high risk for the development of vitamin deficiencies, the great majority of such patients are routinely supplemented with a multivitamin. This policy is supported by major US dialysis providers and nonprofit organizations. Yet routine multivitamin supplementation expands hemodialysis patients' already large pill burden, probably accounts for many millions of dollars in annual costs, and in light of previous reports may even carry with it the possibility of increased risk of adverse outcomes. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - October 29, 2014 Category: Urology & Nephrology Authors: Bryan M. Tucker, Sami Safadi, Allon N. Friedman Tags: Review Article Source Type: research

The Importance of Exercise for Chronic Kidney Disease Patients
Due to fatigue and muscle weakness, patients with chronic kidney disease (CKD) have low levels of physical activity.1 The decline in physical capacity in this patient cohort is noteworthy as it is associated with deconditioning and muscle wasting, declining kidney function, and an increased risk of comorbidities such as cardiovascular disease.2 Thus, a downward spiral between disease, disuse, and deconditioning exists leading to a reduced quality of life, increased hospitalization rates, and mortality. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - October 26, 2014 Category: Urology & Nephrology Authors: Danielle L. Kirkman, Shannon Lennon-Edwards, David G. Edwards Tags: Patient Education Source Type: research

The National Kidney Foundation Council on Renal Nutrition Addresses the Food and Drug Administration
On July 24, 2014, the Food and Drug Administration (FDA) held an open forum to review proposed changes to the Nutrition Facts Label and to allow for public comment on these changes. Lisa Gutekunst, MSEd, RD, CSR, CDN, Chair of the National Kidney Foundation Council on Renal Nutrition, lobbied the FDA to add phosphorus to the Nutrition Facts Label. This is her address to the FDA. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - October 26, 2014 Category: Urology & Nephrology Authors: Lisa Gutekunst Tags: Special Report Source Type: research

Addressing the FDA
On July 24, 2014, I had the opportunity to address the Food and Drug Administration (FDA) about adding phosphorus to the nutrition facts label. My statement is included in this edition of the Journal. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - October 26, 2014 Category: Urology & Nephrology Authors: Lisa Gutekunst Tags: Message From the Chairperson Source Type: research

November Meeting Announcements
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - October 26, 2014 Category: Urology & Nephrology Source Type: research

To Eat or Not to Eat—International Experiences With Eating During Hemodialysis Treatment
Providing food or nutrition supplements during hemodialysis (HD) may be associated with improved nutritional status and reduced mortality; however, despite these potential benefits, eating practices vary across countries, regions, and clinics. Understanding present clinic practices and clinician experiences with eating during HD may help outline best practices in this controversial area. Therefore, the objective of this study was to examine clinical practices and experiences related to eating during HD treatment. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - October 26, 2014 Category: Urology & Nephrology Authors: Brandon Kistler, Deborah Benner, Mary Burgess, Maria Stasios, Kamyar Kalantar-Zadeh, Kenneth R. Wilund Tags: ISRNM Proceedings Source Type: research

Probiotic Use in Chronic Kidney Disease Patients
Probiotic use in chronic kidney disease (CKD) patients continues to be an area of interest among renal health care professionals. It is becoming more widely accepted that people with CKD have altered gut flora.1-3 This is an area of interest because altered gut flora impacts the patient in a myriad of ways. In the forefront is gastrointestinal (GI) health and uremic toxins. Restoring balance to intestinal flora favorably impacts the CKD patient as it would any individual and improves any GI issues such as constipation or diarrhea as well as promotes healthy digestion and improved immunity. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - October 26, 2014 Category: Urology & Nephrology Authors: Lindsey Zirker Tags: Product Update Source Type: research

Chronic Kidney Disease, Frailty, and Unsuccessful Aging: A Review
The global prevalence of chronic kidney disease (CKD) is rising, particularly among the elderly population. Defining aging as successful or unsuccessful has become clinically relevant in the last 15 years, with an increased recognition of the frail phenotype. Frailty has been shown to be associated with CKD and poorer outcomes, such as death or dialysis. It is likely that the mechanisms of disease in CKD such as altered protein metabolism, inflammation, oxidative stress, and anemia accelerate normal aging and lead to worsening frailty in elderly patients with CKD. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - October 26, 2014 Category: Urology & Nephrology Authors: Simon R. Walker, Martin Wagner, Navdeep Tangri Tags: ISRNM Proceedings Source Type: research

Masthead
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - October 26, 2014 Category: Urology & Nephrology Source Type: research

Editorial Board
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - October 26, 2014 Category: Urology & Nephrology Source Type: research

Table of Contents
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - October 26, 2014 Category: Urology & Nephrology Source Type: research

Words of Caution Regarding Research Design When Using the Nutrition Care Process Model
The Nutrition Care Process (NCP), first introduced in 2003, provides a well-defined framework and a standardized terminology to guide Registered Dietitian Nutritionists (RDNs) in planning nutrition care.1 It has become the central component of standards of practice for the profession of nutrition and dietetics, as presented in Standards of Practice for Nutrition Care and Standards of Professional Performance for Registered Dietitians.2 The most recent update of the Standards of Practice for Nutrition Care and Standards of Professional Performance for Nephrology Nutrition, published jointly by the National Kidney Foundation...
Source: Journal of Renal Nutrition - October 25, 2014 Category: Urology & Nephrology Authors: Maureen P. McCarthy Tags: Editorial Source Type: research

Rethinking the Restriction on Nutrition During Hemodialysis Treatment
The annual mortality rate for patients undergoing maintenance hemodialysis (MHD) treatment in the United States is 20%, a rate higher than most other countries in the world. Poor nutrition status in MHD patients contributes to this adverse outcome as well as poor quality of life. Providing oral nutrition to MHD patients, especially during hemodialysis (HD) treatment has many potential benefits including improvements in nutrition status and attenuating HD-related muscle wasting. However, this practice is generally restricted in the United States presumably because of concerns that include worsening hemodynamic instability, ...
Source: Journal of Renal Nutrition - October 18, 2014 Category: Urology & Nephrology Authors: Brandon M. Kistler, Peter J. Fitschen, T. Alp Ikizler, Kenneth R. Wilund Tags: Review Article Source Type: research

Effect of Lemongrass Tea Consumption on Estimated Glomerular Filtration Rate and Creatinine Clearance Rate
The existing research findings regarding the effects of lemongrass (Cymbopogon citratus) tea on renal function indices are conflicting and inconclusive. In the present study, we investigated the effects of infusions prepared from C citratus leaves on creatinine clearance rate (CCr) and estimated glomerular filtration rate (eGFR) in humans. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - October 16, 2014 Category: Urology & Nephrology Authors: Christopher E. Ekpenyong, Nyebuk E. Daniel, Atim B. Antai Tags: Original Research Source Type: research

Body Composition in Dialysis Patients: A Functional Assessment of Bioimpedance Using Different Prediction Models
The assessment of body composition (BC) in dialysis patients is of clinical importance given its role in the diagnosis of malnutrition and sarcopenia. Bioimpedance techniques routinely express BC as a 2-compartment (2-C) model distinguishing fat mass (FM) and fat-free mass (FFM), which may be influenced by the hydration of adipose tissue and fluid overload (OH). Recently, the BC monitor was introduced which applies a 3-compartment (3-C) model, distinguishing OH, adipose tissue mass, and lean tissue mass. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - October 16, 2014 Category: Urology & Nephrology Authors: Natascha J.H. Broers, Remy J.H. Martens, Tom Cornelis, Nanda M.P. Diederen, Peter Wabel, Frank M. van der Sande, Karel M.L. Leunissen, Jeroen P. Kooman Tags: Original Research Source Type: research

Phenotypes Influencing Low Physical Activity in Maintenance Dialysis
The “Pas à Pas” initiative aimed at evaluating the weekly physical activity (PA) and its determinants in a large cohort of dialysis patients. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - October 8, 2014 Category: Urology & Nephrology Authors: Marine Panaye, Anne Kolko-Labadens, Catherine Lasseur, Jean-Louis Paillasseur, Marie Paule Guillodo, Martial Levannier, Daniel Teta, Denis Fouque Tags: Original Research Source Type: research

Understanding the Associations Between Modifying Factors, Individual Health Beliefs, and Hemodialysis Patients' Adherence to a Low-Phosphorus Diet
Hyperphosphatemia in end-stage renal disease is associated with significant morbidity and mortality. Because phosphorus is not effectively dialyzed, dietary adherence remains a significant problem. Previous studies have examined the health belief model, but none have looked at stages of change and dietary adherence in patients undergoing hemodialysis (HD). (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - October 1, 2014 Category: Urology & Nephrology Authors: John O. Elliott, Carl Ortman, Salem Almaani, Yun Hui Lee, Kim Jordan Tags: Original Research Source Type: research

The Relationship Between the Level of Serum 25-Hydroxyvitamin D and Renal Function in Patients Without Chronic Kidney Disease: A Cross-Sectional Study
Low level of vitamin D has been suggested as a risk factor for chronic kidney disease (CKD). However, little is known about the effect of vitamin D on renal function in healthy subjects. Our aim was to investigate the question of whether vitamin D status is associated with renal function in subjects without CKD. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - September 17, 2014 Category: Urology & Nephrology Authors: Young Jin Tak, Jeong Gyu Lee, Sang Heon Song, Yun Jin Kim, Sangyeoup Lee, Dong Wook Jung, Yu Hyeon Yi, Young Hye Cho, Eun Jung Choi, Hye Rim Hwang Tags: Original Research Source Type: research

Dietary Habits, Poverty, and Chronic Kidney Disease in an Urban Population
Poverty is associated with chronic kidney disease (CKD) in the United States and worldwide. Poor dietary habits may contribute to this disparity. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - September 17, 2014 Category: Urology & Nephrology Authors: Deidra C. Crews, Marie Fanelli Kuczmarski, Edgar R. Miller, Alan B. Zonderman, Michele K. Evans, Neil R. Powe Tags: Original Research Source Type: research

The Short-Term Effects of Olive Oil and Flaxseed Oil for the Treatment of Constipation in Hemodialysis Patients
To evaluate the effects of olive oil and flaxseed oil compared with mineral oil for the treatment of constipation in patients undergoing hemodialysis. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - September 17, 2014 Category: Urology & Nephrology Authors: Christiane Ishikawa Ramos, Aline Fátima Andrade de Lima, Daniela Gimenes Grilli, Lilian Cuppari Tags: Original Research Source Type: research

Advantage of Insulin Glulisine Over Regular Insulin in Patients With Type 2 Diabetes and Severe Renal Insufficiency
To compare the efficacy and safety of insulin glulisine over regular insulin in patients with type 2 diabetes and severe renal insufficiency. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - September 17, 2014 Category: Urology & Nephrology Authors: Hiromi Urata, Katsuhito Mori, Masanori Emoto, Yuko Yamazaki, Koka Motoyama, Tomoaki Morioka, Shinya Fukumoto, Hidenori Koyama, Tetsuo Shoji, Eiji Ishimura, Masaaki Inaba Tags: Original Research Source Type: research

Periodontal Status, Inflammation, and Malnutrition in Hemodialysis Patients – Is There a Link?
Periodontal disease (PDD) was associated with inflammation, malnutrition, and higher mortality in hemodialysis (HD) patients. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - September 13, 2014 Category: Urology & Nephrology Authors: Liliana Garneata, Oana Slusanschi, Elena Preoteasa, Alexandra Corbu-Stancu, Gabriel Mircescu Tags: Original Research Source Type: research

Urine Creatinine–Based Estimates of Fat-Free Mass in Community-Dwelling Older Persons: The Rancho Bernardo Study
To determine whether a previously developed and externally validated equation using common variables (demographics and weight) that are important determinants of muscle mass to estimate 24-hour urine creatinine excretion rate (eCER) is associated with muscle mass and whether spot urine creatinine (UCr) provides similar estimates of muscle mass. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - September 13, 2014 Category: Urology & Nephrology Authors: Simerjot K. Jassal, Christina L. Wassel, Gail A. Laughlin, Elizabeth Barrett-Connor, Dena E. Rifkin, Joachim H. Ix Tags: Original Research Source Type: research

A Pilot Randomized Crossover Trial Assessing the Safety and Short-Term Effects of Pomegranate Supplementation in Hemodialysis Patients
This study examined whether short-term supplementation with pomegranate juice and extract is safe and well tolerated by MHD patients. The secondary aim was to assess the effect of pomegranate supplementation on oxidative stress, systemic inflammation, monocyte function, and blood pressure. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - September 13, 2014 Category: Urology & Nephrology Authors: Matthew B. Rivara, Rajnish Mehrotra, Lori Linke, John Ruzinski, T. Alp Ikizler, Jonathan Himmelfarb Tags: Original Research Source Type: research

Characterization of Physical Activity and Sitting Time Among Patients on Hemodialysis Using a New Physical Activity Instrument
Physical activity questionnaires usually focus on moderate to vigorous activities and may not accurately capture physical activity or variation in levels of activity among extremely inactive groups like dialysis patients. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - September 9, 2014 Category: Urology & Nephrology Authors: Kirsten L. Johansen, Patricia Painter, Cynthia Delgado, Julie Doyle Tags: Original Research Source Type: research

Use of a Standard Urine Assay for Measuring the Phosphate Content of Beverages
Hyperphosphatemia is strongly associated with cardiovascular morbidity and mortality in patients with chronic kidney disease. Phosphate in beverages is readily absorbed and could have a significant impact on serum phosphate levels. Patients are routinely warned about the phosphoric acid in colas, but information on the phosphate content of other beverages is difficult to find. We have shown that the phosphomolybdate method, which is used in the vast majority of hospital laboratories for measuring phosphate in urine, can give an accurate measurement of the phosphate content of beer, cider, wine, and soft drinks. (Source: Jo...
Source: Journal of Renal Nutrition - September 9, 2014 Category: Urology & Nephrology Authors: Elizabeth Lindley, Seán Costelloe, Mike Bosomworth, Denis Fouque, Julienne Freeman, David Keane, Douglas Thompson Tags: ISRNM Proceedings Source Type: research

Using a Web-Based Nutrition Algorithm in Hemodialysis Patients
The purpose of this study was to test the ability of a newly developed nutrition algorithm on (1) clinical utility and (2) ability to capture patient outcomes. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - September 4, 2014 Category: Urology & Nephrology Authors: Alison L. Steiber, Janeen B. León, Rosa K. Hand, William J. Murphy, Denis Fouque, J. Scott Parrott, Kamyar Kalantar-Zadeh, Lilian Cuppari Tags: Original Research Source Type: research

Educational Intervention for Metabolic Bone Disease in Patients With Chronic Kidney Disease: A Systematic Review and Meta-Analysis
Metabolic bone disease (MBD) is a common complication of chronic kidney disease (CKD). The currently accepted international guidelines for treatment of CKD-MBD has been published, unfortunately adequate control of serum markers of disorder, especially hyperphosphatemia, is poorly achieved. Whether educational intervention is an effective way for improving CKD-MBD remains controversial. A systematic review of educational intervention versus routine care to improve patients with CKD-MBD was conducted. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - September 4, 2014 Category: Urology & Nephrology Authors: Yuexian Shi, Yinning Zhao, Junduo Liu, Yahong Hou, Yue Zhao Tags: Review Article Source Type: research

A Simple Protein–Energy Wasting Score Predicts Survival in Maintenance Hemodialysis Patients
Nutritional status is a powerful predictor of survival in maintenance hemodialysis patients but remains challenging to assess. We defined a new Protein Energy Wasting (PEW) score based on the nomenclature proposed by the International Society of Renal Nutrition and Metabolism in 2008. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - September 4, 2014 Category: Urology & Nephrology Authors: Xavier Moreau-Gaudry, Guillaume Jean, Leslie Genet, Dominique Lataillade, Eric Legrand, François Kuentz, Denis Fouque Tags: Original Research Source Type: research

In Chronic Kidney Disease, Serum α-Klotho is Related to Serum Bicarbonate and Proteinuria
Klotho is an “aging-suppressor” gene and encodes a single-pass transmembrane protein predominantly expressed in renal tubules. Whether chronic kidney disease (CKD) affects serum Klotho is poorly documented. We aimed to measure the relationship of serum α-Klotho with renal function, acid–base status, bone biomarkers, and proteinuria in CKD patients. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - September 4, 2014 Category: Urology & Nephrology Authors: Valerie Hage, Solenne Pelletier, Laurence Dubourg, Jocelyne Drai, Charlotte Cuerq, Sandrine Lemoine, Aoumeur Hadj-Aissa, Maurice Laville, Denis Fouque Tags: Original Research Source Type: research

Effect of Chair Stand Exercise on Activity of Daily Living: A Randomized Controlled Trial in Hemodialysis Patients
We examined whether chair stand exercise can improve ADL of hemodialysis patients. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - September 4, 2014 Category: Urology & Nephrology Authors: Shota Matsufuji, Tetsuo Shoji, Yoshiaki Yano, Yoshihiro Tsujimoto, Hiroshi Kishimoto, Tsutomu Tabata, Masanori Emoto, Masaaki Inaba Tags: Original Research Source Type: research

Accelerated or Out of Control: The Final Months on Dialysis
Mortality rates in dialysis patients are as high as 20% per year. Recent epidemiologic evidence indicates common patterns in biological and clinical indicators before death. Blood pressure, serum albumin levels, C-reactive protein, body weight, and other indicators change, at a population level, at an accelerated rate of change months before death. The escalation of inflammation (as indicated by a surge of C-reactive protein) appears to be a central event. The etiology of blood pressure decline before death is unclear. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - September 4, 2014 Category: Urology & Nephrology Authors: Peter Kotanko, Jeroen Kooman, Frank van der Sande, Franz Kappel, Len Usvyat Tags: ISRNM Proceedings Source Type: research

Total Nutrition Therapy Renal: A Clinical Nutrition Education Program for Nephrologists and Other Renal Health Care Professionals
In May 2014, the renal nutrition community gathered in Wurzburg, Germany for the 17th International Congress on Nutrition and Metabolism in Renal Disease. This meeting was highlighted by outstanding scientific content, excellent attendance, and remarkable social and cultural experiences. This successful meeting was also notable for the implementation of the inaugural “Total Nutrition Therapy (TNT™) Renal”, a clinical nutrition course developed by and for nephrologists and other renal health care professionals who treat patients with acute and chronic kidney disease (CKD). (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - September 1, 2014 Category: Urology & Nephrology Authors: T. Alp Ikizler, Christoph Wanner Tags: ISRNM Proceedings Source Type: research

Highlights From the 2014 National Kidney Foundation Clinical Meetings
I always look forward to the National Kidney Foundation (NKF) Clinical Meetings. It is such a fun and productive event. I always walk away feeling both exhausted and refreshed at the same time. This was true of this year's event in Las Vegas, NV. Yes, I will be sharing what happened in Vegas! (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - August 25, 2014 Category: Urology & Nephrology Authors: Lisa Gutekunst Tags: Message From the Chairperson Source Type: research

Economic Effects of Treatment of Chronic Kidney Disease With Low-Protein Diet
The most recent literature has shown extensively that a low-protein diet in patients with chronic kidney disease (CKD) delays the natural progression of end-stage renal disease and the necessary treatment of chronic dialysis. The aim of this study was to estimate the cost-effectiveness of a very low-protein diet compared with a moderate low-protein diet. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - August 25, 2014 Category: Urology & Nephrology Authors: Francesco S. Mennini, Simone Russo, Andrea Marcellusi, Giuseppe Quintaliani, Denis Fouque Tags: Original Research Source Type: research

Mortality Predictive Role of Serum Uric Acid in Diabetic Hemodialysis Patients
It is controversial to what extent serum uric acid (SUA) is associated with mortality in patients with chronic kidney disease undergoing hemodialysis (HD). We analyzed the predictive role of SUA in the mortality of diabetic and nondiabetic chronic kidney disease patients starting on maintenance HD therapy. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - August 25, 2014 Category: Urology & Nephrology Authors: Jin Seok Jeon, Sung Hee Chung, Dong Cheol Han, Hyunjin Noh, Soon Hyo Kwon, Bengt Lindholm, Hi Bahl Lee Tags: Original Research Source Type: research

Academy of Nutrition and Dietetics and National Kidney Foundation: Revised 2014 Standards of Practice and Standards of Professional Performance for Registered Dietitian Nutritionists (Competent, Proficient, and Expert) in Nephrology Nutrition
Compelling evidence indicates that the incidence of chronic kidney disease (CKD) is increasing because of an aging population and a higher prevalence of cardiovascular disease, diabetes, and hypertension. Nutrition management of patients with CKD requires early disease recognition, appropriate interpretation of the markers and stages of CKD, and collaboration with other health care practitioners. Better management of CKD can slow its progression, prevent metabolic complications, and reduce cardiovascular related outcomes. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - August 25, 2014 Category: Urology & Nephrology Authors: Pamela S. Kent, Maureen P. McCarthy, Jerrilynn D. Burrowes, Linda McCann, Jessie Pavlinac, Catherine M. Goeddeke-Merickel, Karen Wiesen, Sarah Kruger, Laura Byham-Gray, Rory C. Pace, Valarie Hannahs, Debbie Benner Tags: Special Report Source Type: research

Hemodialysis and Bariatric Surgery: A Guide for Adequate Protein Intake
Over the past decade, the number of obese and morbidly obese kidney transplant recipients has been on the rise. In the 90's, less than 20% of all transplant patients had a body mass index (BMI) that was greater than 30 kg/m2. More recently, however, 23% of all transplant recipients were considered obese with a BMI of 30 kg/m2 or greater, and 11.5% were considered either morbidly obese or very morbidly obese (BMI> 35 kg/m2).1 At present, a BMI of less than 35 kg/m2 is the most commonly used selection criterion in renal transplant centers and an increasing number of patients with end-stage renal diseas...
Source: Journal of Renal Nutrition - August 25, 2014 Category: Urology & Nephrology Authors: Elaine McCall, Crystal Hazzard Tags: Patient Education Source Type: research