Advancing Exercise Science for Better Health Outcomes Across the Spectrum of Chronic Kidney Disease
Despite over 30  years of evidence for improvements in physical function, physical fitness, and health-related quality of life with exercise training in individuals with chronic kidney disease, access to dedicated exercise training programs remains outside the realm of standard of care for most kidney care program s. In this review, we explore possible reasons for this by comparing approaches in other chronic diseases where exercise rehabilitation has become the standard of care, identifying enablers and factors that need to be addressed for continued growth in this area, and discussing knowledge gaps for fut ure research...
Source: Journal of Renal Nutrition - August 25, 2023 Category: Urology & Nephrology Authors: Clara Bohm, Paul Bennett, Kelly Lambert, Ken Wilund, Nancy Verdin, Kevin Fowler, Keiichi Sumida, Angela Yee-Moon Wang, Navdeep Tangri, Jennifer M. MacRae, Stephanie Thompson Tags: Review Article Source Type: research

Targeting the Gut Microbiota in Kidney Disease: The Future in Renal Nutrition and Metabolism
This article aims to briefly describe what is known about the gut microbiome in patients with CKD, factors contributing to gut dysb iosis, and outline important evidence gaps. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - August 25, 2023 Category: Urology & Nephrology Authors: Kelly Lambert, Emanuele Rinninella, Annabel Biruete, Keiichi Sumida, Jordan Stanford, Pauline Raoul, Maria Cristina Mele, Angela Yee-Moon Wang, Denise Mafra Tags: 45th Anniversary of ISRNM special supplement Source Type: research

COVID-19 and Nutrition: Focus on Chronic Kidney Disease
Some chronic diseases, including chronic kidney disease (CKD), may be associated with poor outcomes, including a high rate of hospitalization and death after COVID-19 infection. In addition to the vaccination program, diet intervention is essential for boosting immunity and preventing complications. A healthy diet containing bioactive compounds may help mitigate inflammatory responses and oxidative stress caused by COVID-19. In this review, we discuss dietary interventions for mitigating COVID-19 complications, including in persons with CKD, which can worsen COVID-19 symptoms and its clinical outcomes, while diet may help ...
Source: Journal of Renal Nutrition - August 25, 2023 Category: Urology & Nephrology Authors: Denise Mafra, Julie A. Kemp, Ludmila F.M.F. Cardozo, Nat ália A. Borges, Fabiana B. Nerbass, Lívia Alvarenga, Kamyar Kalantar-Zadeh Tags: Review Article Source Type: research

Protect the kidneys and save the heart using the concept of food as medicine
Chronic kidney disease (CKD) is a significant risk factor for cardiovascular disease (CVD). In addition to traditional risk factors, such as hypertension, dyslipidemia, diabetes and smoking, patients with CKD have a uremic phenotype marked by premature ageing, mitochondrial dysfunction, persistent low-grade inflammation, gut dysbiosis and oxidative stress. These complications contribute to abnormal vascular and myocardial remodelling processes, resulting in accelerated vascular calcification, cellular and organ senescence and a high risk of CVD. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - August 25, 2023 Category: Urology & Nephrology Authors: Ludmila FMF. Cardozo, Nat ália A. Borges, Marcia Ribeiro, Angela Yee-Moon Wang, Denise Mafra Source Type: research

Protein Consumption and Dialysis
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - August 24, 2023 Category: Urology & Nephrology Authors: Jeanette M. Andrade, Jennifer R. Parker Tags: Patient Education Source Type: research

New Insights Into Dietary Approaches to Potassium Management in Chronic Kidney Disease
Potassium disorders are one of the most common electrolyte abnormalities in patients with chronic kidney disease (CKD), contributing to poor clinical outcomes. Maintaining serum potassium levels within the physiologically normal range is critically important in these patients. Dietary potassium restriction has long been considered a core strategy for the management of chronic hyperkalemia in patients with CKD. However, this has been challenged by recent evidence suggesting a paradigm shift toward fostering more liberalized, plant-based dietary patterns. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - August 22, 2023 Category: Urology & Nephrology Authors: Keiichi Sumida, Annabel Biruete, Brandon M. Kistler, Ban-Hock Khor, Zarina Ebrahim, Rossella Giannini, Elizabeth J. Sussman-Dabach, Carla Maria Avesani, Maria Chan, Kelly Lambert, Angela Yee-Moon Wang, Deborah J. Clegg, Jerrilynn D. Burrowes, Biff F. Palm Tags: 45th Anniversary ISRNM Source Type: research

Sulforaphane supplementation did not modulate NRF2 and NF-kB mRNA expressions in hemodialysis patients
Patients with chronic kidney disease (CKD) have reduced expression of erythroid nuclear factor-related factor 2 (NRF2) and increased nuclear factor κB (NF-κB). “Food as Medicine” has been proposed as an adjuvant therapeutic alternative in modulating these factors. No studies have investigated the effects of sulforaphane (SFN) in cruciferous vegetables on the expression of these genes in patients with CKD. Objective: The study aimed to eva luate the effects of SFN on the expression of NRF2 and NF-κB in patients on hemodialysis (HD). (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - August 22, 2023 Category: Urology & Nephrology Authors: Marcia Ribeiro, Ludmila FMF. Cardozo, Bruna R. Paiva, Beatriz Germer Baptista, Susane Fanton, Livia Alvarenga, Ligia Soares Lima, Isadora B. Kopke, Lia S. Nakao, Denis Fouque, Marcelo Ribeiro-Alves, Denise Mafra Tags: Research Brief Source Type: research

September Meeting Announcements
October 7-10, 2023, Academy of Nutrition and Dietetics, Food and Nutrition Conference and Expo (FNCE) 2023, Colorado Convention Center, Denver, CO. www.eatright.org/FNCE or call 800-877-1600 ext.  4862. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - August 19, 2023 Category: Urology & Nephrology Authors: Mary Kay Hensley Tags: Announcements Source Type: research

Nutritional Considerations for Patients With Renal Failure Undergoing Sleeve Gastrectomy
Obesity is highly prevalent in patients with renal disease, as it contributes to or accelerates the progression of kidney disease and is frequently a barrier to kidney transplantation. Patients with renal disease have unique dietary needs due to various metabolic disturbances resulting from altered processing and clearance of nutrients. They also frequently present with physical disability, resulting in difficulty achieving adequate weight loss through lifestyle modifications. Therefore, kidney transplant candidates may benefit from bariatric surgery, particularly sleeve gastrectomy (SG), as the safest, most effective, and...
Source: Journal of Renal Nutrition - August 18, 2023 Category: Urology & Nephrology Authors: Rachael R. Majorowicz, Abdallah Attia, Heather M. Bamlet, Deborah J. Clegg, Tayyab Diwan, Avery E. Erickson, Yogish C. Kudva, Shauna Levy, Anil S. Paramesh, Danielle Tatum, Aleksandra Kukla, Collaborative on Obesity Research in Transplantation (CORT) Tags: Practical Aspects Source Type: research

Whey Protein, Vitamins C and E Decrease Interleukin-10 in Chronic Hemodialysis Patients: A Pioneer, Randomized, Double-Blind Pilot Trial
To evaluate the effects of supplementation with whey protein combined with vitamins C and E on inflammatory markers in hemodialysis (HD) patients. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - August 18, 2023 Category: Urology & Nephrology Authors: Angela Teod ósio da Silva, Roberta Pieri Machado, Mayara Lopes Martins, Luís Eduardo Gomes Dorneles, Eduardo Monguilhott Dalmarco, Edson Luiz da Silva, Patrícia de Fragas Hinnig, Elisabeth Wazlawik Tags: Original Research Source Type: research

Nutritional Considerations for Patients with End Stage Renal Disease Undergoing Metabolic Surgery
Obesity is highly prevalent in patients with chronic kidney disease (CKD), as it contributes to or accelerates the progression of kidney disease in this at-risk population and is frequently a barrier to kidney transplantation. Patients with renal failure have unique dietary needs due to various metabolic disturbances resulting from altered processing and clearance of nutrients. They also frequently present with physical disability, resulting in difficulty achieving adequate weight loss through lifestyle modifications. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - August 18, 2023 Category: Urology & Nephrology Authors: Rachael R. Majorowicz, Abdallah Attia, Heather M. Bamlet, Deborah J. Clegg, Tayyab Diwan, Avery E. Erickson, Yogish C. Kudva, Shauna Levy, Anil S. Paramesh, Danielle Tatum, Aleksandra Kukla, On Behalf of the Collaborative on Obesity Research in Transplant Tags: Practical Aspects Source Type: research

Whey protein, vitamins c and e decrease il-10 in chronic hemodialysis patients: a pioneer, randomized, double-blind pilot trial
To evaluate the effects of supplementation with whey protein combined with vitamins C and E on inflammatory markers in hemodialysis (HD) patients. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - August 18, 2023 Category: Urology & Nephrology Authors: Angela Teod ósio da Silva, Roberta Pieri Machado, Mayara Lopes Martins, Luís Eduardo Gomes Dorneles, Eduardo Monguilhott Dalmarco, Edson Luiz da Silva, Patrícia de Fragas Hinnig, Elisabeth Wazlawik Tags: Original Research Source Type: research

Identifying Challenges and Potential Solutions for Sustainable Kidney Nutrition Care Delivery in Selected Asian Countries
Recent surveys highlight gross workforce shortage of dietitians in global kidney health and significant gaps in renal nutrition care, with disparities greater in low/low-middle income countries. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - August 17, 2023 Category: Urology & Nephrology Authors: Tilakavati Karupaiah, Zulfitri Azuan Mat Daud, Pramod Khosla, Ban-Hock Khor, Sharmela Sahathevan, Deepinder Kaur, Dina A. Tallman, Harun-Ur Rashid, Tanjina Rahman, Anita Saxena, Sanjeev Gulati, Pratim Sengupta, Susetyowati Susetyowati Tags: Review Article Source Type: research

Identifying challenges and potential solutions for sustainable kidney care delivery in selected Asian Countries
Recent surveys highlight gross workforce shortage of dietitians in global kidney health and significant gaps in renal nutrition care, with disparities greater in low/low-middle income countries. This paper narrates ground experiences gained through the Palm Tocotrienols in Chronic Hemodialysis (PaTCH) project on kidney nutrition care scenarios and some Asian low-to-middle-income countries (LMICs) namely Bangladesh, India and Malaysia. Core PaTCH investigators from 3 universities (USA and Malaysia) were supported by their postgraduate students (n=17) with capacity skills in kidney nutrition care methodology and processes. (...
Source: Journal of Renal Nutrition - August 17, 2023 Category: Urology & Nephrology Authors: Tilakavati Karupaiah, Zulfitri Azuan Mat Daud, Pramod Khosla, Ban-Hock Khor, Sharmela Sahathevan, Deepinder Kaur, Dina A. Tallman, Harun-Ur Rashid, Tanjina Rahman, Anita Saxena, Sanjeev Gulati, Pratim Sengupta, Susetyowati Susetyowati Source Type: research

Adaptive nutrition intervention stabilizes serum phosphorus levels in hemodialysis patients: a multi-center decentralized clinical trial using real-world data
This study aims to evaluate the effect of an adaptive nutritional and educational intervention for patients on hemodialysis in a routine care setting, using real-world data from electronic health records. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - August 14, 2023 Category: Urology & Nephrology Authors: Moon Kyung Chung, Do Hyoung Kim, Ji In Park, Sunhwa Lee, Hayne Cho Park, Kyungmin Kim, Young Sun Kang, Kangji Ko, Jieun Kim, Hoseok Koo, Hyeon Ji Kim, Jin Joo Cha, Young Eun Kwon, Ju Han Kim Source Type: research