Nutritional and Dietary Management of Chronic Kidney Disease under Conservative and Preservative Kidney Care without Dialysis
While dialysis has been the prevailing treatment paradigm for patients with advanced chronic kidney disease (CKD), emphasis on conservative and preservative management in which dietary interventions are a major cornerstone have emerged. Based on high-quality evidence, international guidelines support the utilization of low-protein diets as an intervention to reduce CKD progression and mortality risk, although the precise thresholds (if any) for dietary protein intake vary across recommendations. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - June 30, 2023 Category: Urology & Nephrology Authors: Connie M. Rhee, Angela Yee-Moon Wang, Annabel Biruete, Brandon Kistler, Csaba P. Kovesdy, Diana Zarantonello, Gang Jee Ko, Giorgina Barbara Piccoli, Giacomo Garibotto, Giuliano Brunori, Keiichi Sumida, Kelly Lambert, Linda W. Moore, Seung Hyeok Han, Yoko Source Type: research

‘Phos’tering a clear message: the evolution of dietary phosphorus management in chronic kidney disease
Phosphorus is a vital nutrient, but disturbances in phosphorus homeostasis are central to chronic kidney disease-mineral and bone disorder. To minimize disturbances, traditional dietary guidance focused on a numerical phosphorus target leading to the exclusion of many healthy foods and implementation challenges. Contemporary phosphorus guidance focuses on dietary source, avoiding additives, and emphasizing low-phosphorus bioaccessibility foods, leading to a more liberal approach. Additional work is needed to demonstrate the efficacy of these contemporary approaches and understand the influence of specific foods, processing...
Source: Journal of Renal Nutrition - June 19, 2023 Category: Urology & Nephrology Authors: Annabel Biruete, Kathleen M. Hill Gallant, Lyn. Lloyd, Anthony Meade, Sharon M. Moe, David St-Jules, Brandon M. Kistler Source Type: research

Food Insecurity and Chronic Kidney Disease: Considerations for Practitioners
The COVID-19 pandemic has exacerbated existing health disparities related to food security status. Emerging literature suggests individuals with Chronic Kidney Disease (CKD) who are also food insecure have a greater likelihood of disease progression compared to food secure individuals. However, the complex relationship between CKD and food insecurity (FI) is under studied relative to other chronic conditions. The purpose of this practical application article is to summarize the recent literature on the social-economic, nutritional, to care through which FI may negatively impact health outcomes in individuals with CKD. (Sou...
Source: Journal of Renal Nutrition - June 16, 2023 Category: Urology & Nephrology Authors: Mar ía B. Puchulu, Nuria Garcia-Fernandez, Matthew J. Landry Tags: Practical Aspects Source Type: research

Dietary Intake and Nutritional Status in Diabetic and Nondiabetic Patients With Chronic Kidney Disease Stage 4-5 (NutriDiab Study)
The aim of the present study was to assess the dietary intake and nutritional status of patients with chronic kidney disease (CKD) stage 4-5 according to the presence of diabetes. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - June 13, 2023 Category: Urology & Nephrology Authors: Mariana Cassani Oliveira, Angelique Viney, Elodie Picard, C écile Barnel, Denis Fouque, Laetitia Koppe Tags: Original Research Source Type: research

DIETARY INTAKE AND NUTRITIONAL STATUS IN DIABETIC AND NON-DIABETIC PATIENTS WITH CHRONIC KIDNEY DISEASE STAGE 4-5 (NutriDiab Study)
The aim of the present study was to assess the dietary intake and nutritional status of patients with CKD stage 4-5 according to the presence of diabetes. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - June 13, 2023 Category: Urology & Nephrology Authors: M.C. Oliveira, A. Viney, E. Picard, C. Barnel, D. Fouque, L. Koppe Tags: Original Research Source Type: research

Effects of polydextrose supplementation on intestinal function in hemodialysis patients: A double-blind, randomized, placebo-controlled trial
This study aimed to investigate the possible influence of PDX supplementation on intestinal function in HD patients. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - June 13, 2023 Category: Urology & Nephrology Authors: Natalia Alvarenga Borges, Elaine Sahiun, Marcelo Ribeiro-Alves, Bruna Regis, Denise Mafra Tags: Original Research Source Type: research

Barriers to and Strategies for Dietary Adherence: A Qualitative Study Among Hemodialysis/Peritoneal Dialysis Patients and Health Care Providers
The objectives of this study were: (1) investigate hemodialysis (HD)/peritoneal dialysis (PD) patients' barriers to dietary adherence, (2) identify strategies to overcome these barriers, and (3) examine dialysis providers' perceptions toward patients ’ barriers to dietary adherence and strategies to overcome these barriers. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - June 12, 2023 Category: Urology & Nephrology Authors: Elizabeth G. Hunter, Ashutosh Shukla, Jeanette M. Andrade Tags: Original Research Source Type: research

Recommendation of Simultaneously Assessing Abdominal Fat and Muscle —A Clue to Disclose a Mystery of the “Obesity Paradox”
I recently read an interesting article by Iida et  al., published in the Journal of Renal Nutrition.1 In this article, Iida et al. prospectively examined the association of the abdominal fat area (AFA), which is composed of a visceral fat area (VFA) and subcutaneous fat area (SFA) measured by computed tomography (CT), and all-cause mortality in p atients receiving hemodialysis. The authors found that the ratio of VFA to AFA (%VFA) increased each year gradually among surviving patients. However, a higher %VFA at baseline was independently associated with all-cause mortality. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - June 12, 2023 Category: Urology & Nephrology Authors: Takahiro Yajima Tags: Letter to the Editor Source Type: research

Barriers to and strategies for dietary adherence: A qualitative study among HD/PD patients and health care providers
The objectives of this study were to 1) investigate HD/ PD patients ’ barriers to dietary adherence; 2) identify strategies to overcome these barriers; and 3) examine dialysis providers’ perceptions towards patients’ barriers to dietary adherence and strategies to overcome these barriers. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - June 12, 2023 Category: Urology & Nephrology Authors: Elizabeth G. Hunter, Ashutosh Shukla, Jeanette M. Andrade Tags: Original Research Source Type: research

Mindset, Health Outcomes, and Chronic Kidney Disease
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - June 12, 2023 Category: Urology & Nephrology Authors: Laura Koller Tags: Patient Education Source Type: research

Recommendation of simultaneously assessing abdominal fat and muscle — a clue to disclose a mystery of the “obesity paradox”
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - June 12, 2023 Category: Urology & Nephrology Authors: Takahiro Yajima Tags: Letter to the Editor Source Type: research

Effects of Vitamin D Supplementation in Diabetic Kidney Disease: An Systematic Review
This study aimed to conduct a systematic review of the effects of vitamin D supplementation on proteinuria and creatinine, which are important markers for assessing the severity of kidney disease in patients with Diabetic Kidney Disease. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - June 9, 2023 Category: Urology & Nephrology Authors: Thais de Oliveira e Silva Ullmann, Beatrys Juliani Ramalho, Lucas Fornari Laurindo, Ricardo Jos é Tofano, Claudio José Rubira, Elen Landgraf Guiguer, Sandra Maria Barbalho, Uri Adrian Prync Flato, Katia Portero Sloan, Adriano Cressoni Araujo Tags: Review Article Source Type: research

Association of dietary potassium intake with abdominal aortic calcification and pulse pressure in US adults
Arterial calcification contributes to cardiovascular mortality. Based on a recent animal study, we hypothesized that higher dietary potassium intake was associated with less abdominal aortic calcification (AAC) and lower arterial stiffness among adults in the United States. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - June 9, 2023 Category: Urology & Nephrology Authors: Yuping Xie, Yasmin Mossavar-Rahmani, Yabing Chen, Matthew K. Abramowitz, Wei Chen Tags: Original Research Source Type: research

Geriatric nutritional risk index and risk of mortality in critically ill patients with acute kidney injury: a multicenter cohort study
Malnutrition is associated with adverse outcomes in acute or chronic diseases. However, the prediction value of the Geriatric Nutritional Risk Index (GNRI) in critically ill patients (ICU) with acute kidney injury (AKI) has not been well studied. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - June 9, 2023 Category: Urology & Nephrology Authors: Jiachuan Xiong, Zhikai Yu, Yinghui Huang, Ting He, Ke Yang, Jinghong Zhao Tags: Original Research Source Type: research

Use of a very low calorie diet for weight loss in a patient with acute kidney injury and class III obesity: a case study
We report on the successful concurrent management of AKI alongside provision of a VLCD for weight loss in the acute setting in a patient with class III obesity and comorbid complications during a prolonged hospital stay. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - June 9, 2023 Category: Urology & Nephrology Authors: Martha Parra Guasca, Meri Manafi, Alan Parnham, Rebecca Angus Tags: Case Studies Source Type: research