Oral Versus Intravenous Iron Supplementation for the Treatment of Iron Deficiency Anemia in Patients on Maintenance Hemodialysis —Effect on Fibroblast Growth Factor-23 Metabolism
The objective of this study was to compare the effect of oral or intravenous iron administration on serum levels of I-FGF23 and C-FGF23 in iron-deficient patients on MHD. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 24, 2018 Category: Urology & Nephrology Authors: Wataru Fukao, Yukiko Hasuike, Tomo Yamakawa, Kazuhiro Toyoda, Makoto Aichi, Satoko Masachika, Mari Kantou, Shoko (Ikeda) Takahishi, Takahide Iwasaki, Mana Yahiro, Masatoshi Nanami, Yasuyuki Nagasawa, Takahiro Kuragano, Takeshi Nakanishi Tags: Original Research Source Type: research

Plasma n-6 Polyunsaturated Fatty Acid Levels and Survival in Renal Transplantation
The major n-6 polyunsaturated fatty acids linoleic acid (LA) and arachidonic acid (AA) play a role in inflammation and glucose metabolism, which could affect patient and renal transplant survival. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 24, 2018 Category: Urology & Nephrology Authors: Helga Skaare, My Svensson, Trond Jenssen, Anders Åsberg, Erik Berg Schmidt, Anupam Chandra, Thor Ueland, Tom Eirik Mollnes, Anders Hartmann, Ivar Anders Eide Tags: Original Research Source Type: research

Oral Versus Intravenous Iron Supplementation for the Treatment of Iron Deficiency Anemia in Patients on Maintenance Hemodialysis —Effect on Fibroblast Growth Factor-23 Metabolism
The objective of this study was to compare the effect of oral or intravenous iron administration on serum levels of I-FGF23 and C-FGF23 in iron-deficient patients on MHD. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 24, 2018 Category: Urology & Nephrology Authors: Wataru Fukao, Yukiko Hasuike, Tomo Yamakawa, Kazuhiro Toyoda, Makoto Aichi, Satoko Masachika, Mari Kantou, Shoko (Ikeda) Takahishi, Takahide Iwasaki, Mana Yahiro, Masatoshi Nanami, Yasuyuki Nagasawa, Takahiro Kuragano, Takeshi Nakanishi Tags: Original Research Source Type: research

Plasma n-6 Polyunsaturated Fatty Acid Levels and Survival in Renal Transplantation
The major n-6 polyunsaturated fatty acids linoleic acid (LA) and arachidonic acid (AA) play a role in inflammation and glucose metabolism, which could affect patient and renal transplant survival. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 24, 2018 Category: Urology & Nephrology Authors: Helga Skaare, My Svensson, Trond Jenssen, Anders Åsberg, Erik Berg Schmidt, Anupam Chandra, Thor Ueland, Tom Eirik Mollnes, Anders Hartmann, Ivar Anders Eide Tags: Original Research Source Type: research

The Frustrating Attempt to Limit the Interdialytic Weight Gain in Patients on Chronic Hemodialysis: New Insights Into an Old Problem
A significant percentage of patients on chronic hemodialysis have an interdialytic weight gain (IDWG) above the recommended values. High IDWG has detrimental effects on survival, cardiovascular outcomes, and quality of life. High IDWG is secondary to poor adherence to fluid restriction and to excessive intake of fluids, due to thirst and xerostomia. Various strategies have been proposed to limit IDWG such as the reduction of dietary salt intake, behavioral interventions aimed at improving the adherence to fluid restriction, the improvement of xerostomia, and the use of lower dialysate sodium concentration. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 21, 2018 Category: Urology & Nephrology Authors: Maurizio Bossola, Gilda Pepe, Carlo Vulpio Tags: Review Article Source Type: research

Bioimpedance Spectroscopy as a Practical Tool for the Early Detection and Prevention of Protein-Energy Wasting in Hemodialysis Patients
To evaluate whether body composition monitor (BCM) could be a practical instrument for nephrologists to assess nutritional status in patients on hemodialysis (HD) and whether it is more effective in identifying patients at highest risk of developing protein-energy wasting (PEW) alone or in combination with other tools currently used for that purpose. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 21, 2018 Category: Urology & Nephrology Authors: Marta Arias-Guill én, Eduardo Perez, Patricia Herrera, Bárbara Romano, Raquel Ojeda, Manel Vera, José Ríos, Néstor Fontseré, Francisco Maduell Tags: Original Research Source Type: research

Experiences and Perspectives of Dietary Management Among Patients on Hemodialysis: An Interview Study
Diet and fluid management can reduce mortality, serious comorbidities, and debilitating symptoms in patients on hemodialysis, but restrictions may also be a major burden, and nonadherence remains high. We aimed to describe the perspectives and experiences of patients on hemodialysis regarding their dietary management to understand both facilitators and barriers to adherence and to identify strategies to improve care. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 21, 2018 Category: Urology & Nephrology Authors: Jessica Stevenson, Allison Tong, Talia Gutman, Katrina L. Campbell, Jonathan C. Craig, Mark A. Brown, Vincent W. Lee Tags: Original Research Source Type: research

The Frustrating Attempt to Limit the Interdialytic Weight Gain in Patients on Chronic Hemodialysis: New Insights Into an Old Problem
A significant percentage of patients on chronic hemodialysis have an interdialytic weight gain (IDWG) above the recommended values. High IDWG has detrimental effects on survival, cardiovascular outcomes, and quality of life. High IDWG is secondary to poor adherence to fluid restriction and to excessive intake of fluids, due to thirst and xerostomia. Various strategies have been proposed to limit IDWG such as the reduction of dietary salt intake, behavioral interventions aimed at improving the adherence to fluid restriction, the improvement of xerostomia, and the use of lower dialysate sodium concentration. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 21, 2018 Category: Urology & Nephrology Authors: Maurizio Bossola, Gilda Pepe, Carlo Vulpio Tags: Review Article Source Type: research

Bioimpedance Spectroscopy as a Practical Tool for the Early Detection and Prevention of Protein-Energy Wasting in Hemodialysis Patients
To evaluate whether body composition monitor (BCM) could be a practical instrument for nephrologists to assess nutritional status in patients on hemodialysis (HD) and whether it is more effective in identifying patients at highest risk of developing protein-energy wasting (PEW) alone or in combination with other tools currently used for that purpose. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 21, 2018 Category: Urology & Nephrology Authors: Marta Arias-Guill én, Eduardo Perez, Patricia Herrera, Bárbara Romano, Raquel Ojeda, Manel Vera, José Ríos, Néstor Fontseré, Francisco Maduell Tags: Original Research Source Type: research

Experiences and Perspectives of Dietary Management Among Patients on Hemodialysis: An Interview Study
Diet and fluid management can reduce mortality, serious comorbidities, and debilitating symptoms in patients on hemodialysis, but restrictions may also be a major burden, and nonadherence remains high. We aimed to describe the perspectives and experiences of patients on hemodialysis regarding their dietary management to understand both facilitators and barriers to adherence and to identify strategies to improve care. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 21, 2018 Category: Urology & Nephrology Authors: Jessica Stevenson, Allison Tong, Talia Gutman, Katrina L. Campbell, Jonathan C. Craig, Mark A. Brown, Vincent W. Lee Tags: Original Research Source Type: research

Association of Sarcopenia With Nutritional Parameters, Quality of Life, Hospitalization, and Mortality Rates of Elderly Patients on Hemodialysis
This study aimed to assess whether diminished muscle mass, diminished muscle strength, or both conditions (sarcopenia) are associated with worse nutritional status, poor quality of life (QoL), and hard outcomes, such as hospitalization and mortality, in elderly patients on maintenance hemodialysis (MHD). (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 17, 2018 Category: Urology & Nephrology Authors: Juliana Giglio, Maria Ayako Kamimura, Fernando Lamarca, Juliana Rodrigues, Fernanda Santin, Carla Maria Avesani Tags: Original Research Source Type: research

Nutritional Considerations for Dialysis Vegetarian Patients, Part Two
This is the second piece of a 2-part series on educating practitioners and patients on how to successfully follow a vegetarian diet while on dialysis. The first piece focused on education for the practitioner. This summary and handout will provide education tips for use with the vegetarian dialysis patient. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 17, 2018 Category: Urology & Nephrology Authors: Brittany Sparks Tags: Patient Education Source Type: research

May Meeting Announcements
May 5-8, 2018 17th Congress of the International Society of Peritoneal Dialysis (ISPD). Vancouver, Canada. Visit http://ispd-2018-vancouver.launchrock.com/ or call 567-251-4018. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 17, 2018 Category: Urology & Nephrology Tags: Announcements Source Type: research

Is There Room for More Than White Rice in the Renal Diet? A New Look at Ancient Grains
This article weighs in on ancient grains by looking at their nutrient content and potential health benefits. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 17, 2018 Category: Urology & Nephrology Authors: Brittany Sparks Tags: Product Update Source Type: research

CRN Message From the Chair
As I sit here thinking about what to write for my first message as the chair of the Council on Renal Nutrition (CRN), I find myself reflecting on how I got here. I have been in nephrology care for 10  years now, which seems a little surreal to me. I remember my first day like it was yesterday. Walking into the dialysis unit, which was located in an economically disadvantaged neighborhood in South Atlanta, I remember being nervous. This was only my second job as a dietitian. I can recall all the smells, sounds, and bustling as I walked into the unit. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 17, 2018 Category: Urology & Nephrology Authors: Christine Benedetti Tags: Message From the Chairperson Source Type: research

Masthead
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 17, 2018 Category: Urology & Nephrology Source Type: research

Editorial Board
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 17, 2018 Category: Urology & Nephrology Source Type: research

Table of Contents
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 17, 2018 Category: Urology & Nephrology Source Type: research

Combined Contribution of Reduced Functional Mobility, Muscle Weakness, and Low Serum Albumin in Prediction of All-Cause Mortality in Hemodialysis Patients: A Retrospective Cohort Study
The combined effects of reduced functional mobility, muscle weakness, and low serum albumin on mortality in hemodialysis patients have not been clarified. Here, we examined the associations of reduced functional mobility, muscle weakness, and low serum albumin —both alone and in combination—with all-cause mortality in hemodialysis patients. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 13, 2018 Category: Urology & Nephrology Authors: Takahiro Shimoda, Ryota Matsuzawa, Kei Yoneki, Manae Harada, Takaaki Watanabe, Atsushi Yoshida, Yasuo Takeuchi, Atsuhiko Matsunaga Tags: Original Research Source Type: research

Is Nutrition Specific Quality of Life Associated With Nutritional Status?
The study purpose was to explore the relationship between nutritional status, as measured by Subjective Global Assessment (SGA), and Health Related Quality of Life measured using the Nutrition Specific Quality of Life (NS-QoL), tool among participants on maintenance hemodialysis (MHD). The study aim was to determine if NS-QoL may be an adjuvant tool for detecting changes in nutritional status among patients on MHD. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - April 6, 2018 Category: Urology & Nephrology Authors: Sarah Feasel-Aklilu, Andrea Marcus, J. Scott Parrott, Emily Peters, Laura Byham-Gray Tags: Original Research Source Type: research

Structural Equation Modeling to Explore Patient to Staff Ratios as an Explanatory Factor for Variation in Dialysis Facility Outcomes
Patient to staff ratios vary based on facility characteristics, and therefore have been proposed as an explanatory factor for the variation in dialysis facility outcomes. This analysis tested that hypothesis. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - March 31, 2018 Category: Urology & Nephrology Authors: Rosa K. Hand, Jeffrey M. Albert, Ashwini R. Sehgal Tags: Original Research Source Type: research

Fibroblast Growth Factor 23 is Associated With Adiposity in Patients Receiving Hemodialysis: Possible Cross Talk Between Bone and Adipose Tissue
Fibroblast growth factor 23 (FGF-23) may be involved in signaling between bone and adipose tissue in dialysis patients, but its role is uncertain. We sought to examine the association between FGF-23 and adiposity and whether this association is mediated in part by leptin. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - March 29, 2018 Category: Urology & Nephrology Authors: Janet M. Chiang, George A. Kaysen, Anne L. Schafer, Cynthia Delgado, Kirsten L. Johansen Tags: Original Research Source Type: research

The Relationship Between Intradialytic Nutrition and Gastrointestinal Symptoms Using a Modified Version of the Gastrointestinal Symptom Rating Scale
Intradialytic nutrition has been shown to improve nutritional status in maintenance hemodialysis (HD) patients but remains controversial due in part to concerns over hemodynamic stability and gastrointestinal (GI) distress. There are limited data on the relationship between intradialytic nutrition and GI symptoms, possibly due to the lack of a validated tool. Therefore, we intended to validate a questionnaire to measure GI symptoms associated with a single HD treatment and determine the relationship between intradialytic nutrition and GI symptoms. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 20, 2018 Category: Urology & Nephrology Authors: Brandon M. Kistler, Annabel Biruete, Karen Chapman-Novakofski, Kenneth R. Wilund Tags: Research Brief Source Type: research

March Meeting Announcements
March 6-9, 2018 AKI& CRRT 2017 – The 23rd International Conference on Advances in Critical Care Nephrology, Manchester Grand Hyatt, San Diego, CA. Visit www.crrtonline.com/conference/ or call 858-272-1018. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 20, 2018 Category: Urology & Nephrology Tags: Announcements Source Type: research

Nutritional Considerations for Dialysis Vegetarian Patients, Part One
This is a two part series aimed at education for the practitioner and patient on following a vegetarian diet on dialysis. The benefits and risks of following a plant based diet on dialysis and specific teaching points are discussed to help with planning an optimal nutrition plan of care. The first part of this series will focus on education for the practitioner followed by a second piece focusing on patient education. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 20, 2018 Category: Urology & Nephrology Authors: Brittany Sparks Tags: Patient Education Source Type: research

Trendy Energy Drinks and the Renal Diet
A variety of energy drinks are readily available and are making their way into dialysis centers. Dietitians have been questioned about the safety of energy drinks by patients and staff alike. A review of energy drinks, with a specific look at the V8 energy drink, is needed to determine the source of energy, added vitamins and minerals and caloric content in effort to answer the question “Can I drink this?” To introduce, energy drinks are beverages in a variety of flavors and serving sizes offering a stimulant via caffeine or other ingredient. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 20, 2018 Category: Urology & Nephrology Authors: Haley Justus Tags: Product Update Source Type: research

Thank You
This is my last message as Chairperson of CRN. It has been quick and very busy year. Over the past year, the CRN Executive Committee has worked hard on various projects, and I would like to review our accomplishments. First, we conducted a search for a new Course Director for the Strategies II workshop presented at the National Kidney Foundations Annual Meeting. This workshop targets more in-depth topics for the advanced dietetics practitioner. We had a number of outstanding candidates and Victor Yu, PhD, RD, BC-ADM, was selected for this position. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 20, 2018 Category: Urology & Nephrology Authors: Laura Holden Tags: Message From the Chairperson Source Type: research

Thank You to Our Reviewers
The voluntary peer review process is at the heart of an academic journal. The Journal of Renal Nutrition relies on the expertise and judgment of its reviewers to maintain the high standards of the papers that it publishes. We know that the work of a reviewer requires a significant amount of time and effort and we appreciate the commitment that you make. Therefore, the editors would like to publicly acknowledge the individuals who have served as reviewers for the Journal from January 1, 2017 to December 31, 2017. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 20, 2018 Category: Urology & Nephrology Tags: Acknowledgments Source Type: research

Masthead
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 20, 2018 Category: Urology & Nephrology Source Type: research

Editorial Board
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 20, 2018 Category: Urology & Nephrology Source Type: research

Table of Contents
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 20, 2018 Category: Urology & Nephrology Source Type: research

Table of Contents for National Kidney Foundation 2018 Spring Clinical Meeting Abstracts April 10-14, 2018
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 20, 2018 Category: Urology & Nephrology Source Type: research

Gastrointestinal Microbiota in Patients with Chronic Kidney Disease: A Systematic Review
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 20, 2018 Category: Urology & Nephrology Source Type: research

Calciphylaxis: The Role of the Dietitian and Social Worker in a Multidisciplinary Treatment
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 20, 2018 Category: Urology & Nephrology Source Type: research

Novel Marker of Inflammation and its Association with Nutritional Status and Dietary Intake in Hemodialysis Patients
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 20, 2018 Category: Urology & Nephrology Source Type: research

Interpreting Handgrip Strength and Developing a Handgrip Strength Index that Predicts Survival
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 20, 2018 Category: Urology & Nephrology Source Type: research

Evaluation of Handgrip Strength in Hemodialysis Patients
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 20, 2018 Category: Urology & Nephrology Source Type: research

Protein Restriction (with or without Keta-Analog Supplementation) for Adults with Chronic Kidney Disease: A Systematic Review
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 20, 2018 Category: Urology & Nephrology Source Type: research

Diet Restrictions in End Stage Kidney Disease: What Do Patients Dislike Most
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 20, 2018 Category: Urology & Nephrology Source Type: research

Effect of Probiotics on Immunosuppressive Drugs Associated Diarrhea in Renal Transplant Recipients: A Practice-Based Observation
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 20, 2018 Category: Urology & Nephrology Source Type: research

Composite Nutrition Scores for Nutrition Assessment in Chronic Kidney Disease: A Systematic Review
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 20, 2018 Category: Urology & Nephrology Source Type: research

Prevalence and Risk of Protein-Energy Wasting Assessed by Subjective Global Assessment in Older Adults With Advanced Chronic Kidney Disease: Results From the EQUAL Study
Prevalence and risk factors for protein-energy wasting (PEW) are poorly studied in the nondialysis, older population with advanced chronic kidney disease (CKD). Our aim was to evaluate the prevalence of PEW in advanced stage CKD patients aged greater than 65  years. Furthermore, we aimed to describe risk factors for PEW in the overall study population and among obese individuals. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 16, 2018 Category: Urology & Nephrology Authors: Karin Windahl, Gerd Fax én Irving, Tora Almquist, Maarit Korkeila Lidén, Moniek van de Luijtgaarden, Nicholas C. Chesnaye, Pauline Voskamp, Peter Stenvinkel, Marian Klinger, Maciej Szymczak, Claudia Torino, Maurizio Postorini, Christiane Drechsler, Ferg Tags: Original Research Source Type: research

Could Low-Protein Diet Modulate Nrf2 Pathway in Chronic Kidney Disease?
Oxidative stress and inflammation are common findings in chronic kidney disease (CKD) patients, and they are directly linked to clinical outcomes such as protein energy wasting and cardiovascular disease. Nuclear factor-erythroid 2-related factor 2 (Nrf2) is the master regulator of antioxidant genes, regulating the expression of detoxifying enzymes of phase II and antioxidant responses. Furthermore, Nrf2 can also regulate anti-inflammatory cellular responses, by inhibiting nuclear factor kappa B activity (transcription factor that promotes inflammation). (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 13, 2018 Category: Urology & Nephrology Authors: Juliana Saraiva Anjos, Ludmila F.M.F. Cardozo, Marta Esgalhado, Bengt Lindholm, Peter Stenvinkel, Denis Fouque, Denise Mafra Tags: Review Article Source Type: research

Protein Intake and Long-term Change in Glomerular Filtration Rate in the Jackson Heart Study
Dietary protein intake could have deleterious renal effects in populations at risk for chronic kidney disease. Here, we examined whether higher protein intake ( ≥80th percentile of energy from protein) is associated with decline in kidney function and whether this decline varies by diabetes status. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 13, 2018 Category: Urology & Nephrology Authors: Rakesh Malhotra, Loren Lipworth, Kerri L. Cavanaugh, Bessie A. Young, Katherine L. Tucker, Teresa C. Carithers, Herman A. Taylor, Adolfo Correa, Edmond K. Kabagambe, T. Alp Ikizler Tags: Original Research Source Type: research

Anthropometric and Biochemical Determinants of Estimated Glomerular Filtration Rate in a Large Cohort of Obese Children
We aimed to investigate which clinical and metabolic factors could influence the estimated glomerular filtration rate (eGFR) levels, evaluating a large population of obese children without suspect of primary kidney disease. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 13, 2018 Category: Urology & Nephrology Authors: Pierluigi Marzuillo, Anna Grandone, Anna Di Sessa, Stefano Guarino, Mario Diplomatico, Giuseppina Rosaria Umano, Cesare Polito, Angela La Manna, Laura Perrone, Emanuele Miraglia del Giudice Tags: Clinical Brief Source Type: research