Obesity and Kidney Disease: Hidden Consequences of the Epidemic
Obesity is a growing worldwide epidemic. Obesity is one of the strongest risk factors for new-onset chronic kidney disease, and also for nephrolithiasis and for kidney cancer. This year the World Kidney Day promotes education on the harmful consequences of obesity and its association with kidney disease, advocating healthy lifestyle and health policy measures that make preventive behaviors an affordable option. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 17, 2017 Category: Urology & Nephrology Authors: Csaba P. Kovesdy, Susan L. Furth, Carmine Zoccali, World Kidney Day Steering Committee Tags: Editorial Source Type: research

Table of Contents for National Kidney Foundation 2017 Spring Clinical Meetings Abstracts, April 18 – 22, 2017
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 17, 2017 Category: Urology & Nephrology Source Type: research

Nutritional Status Dietary Intake and Quality Among Chronic Hemodialysis Patients
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 17, 2017 Category: Urology & Nephrology Source Type: research

The Relationships Between Fat Free Mass Estimates and Fluid Status in Patients on Maintenance Hemodialysis
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 17, 2017 Category: Urology & Nephrology Source Type: research

The Effect of Increased Renal Dietitian (RD) Hours on Bone Mineral Metabolism (BMM) Parameters Over 18 Months
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 17, 2017 Category: Urology & Nephrology Source Type: research

Nutrition Management for Small, Anuric Pediatric Patients on Hemodialysis: A Single Center Experience
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 17, 2017 Category: Urology & Nephrology Source Type: research

Ratio of Hemodialysis (HD) Patients Per Allied Health Professional Staff Members: A Four Year Analysis of Annual Facility Survey (AFS) Data
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 17, 2017 Category: Urology & Nephrology Source Type: research

Handgrip Strength in ESRD Patients Starting Hemodialysis in Singapore
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 17, 2017 Category: Urology & Nephrology Source Type: research

A Self-Management Media Approach to Increasing Confidence in Reading Food Labels for Patients on Hemodialysis
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 17, 2017 Category: Urology & Nephrology Source Type: research

Comparison of a Handheld Indirect Calorimetry Device and Predictive Energy Equations Among Individuals on Maintenance Hemodialysis
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 17, 2017 Category: Urology & Nephrology Source Type: research

Phase Angle and Body Cell Mass for Assessment of Nutritional Status and Clinical Outcome in Chronic Hemodialysis Patients
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 17, 2017 Category: Urology & Nephrology Source Type: research

Comparison of Subjective Global Assessment (SGA) and Protein Energy Wasting (PEW) Score to Nutrition Evaluation Conducted by Registered Dietitian Nutritionists (RDNs) in Identifying Risk of PEW in Maintenance Hemodialysis (MHD) Patients
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 17, 2017 Category: Urology & Nephrology Source Type: research

Relationships Between Dietary Energy and Protein Intake and Nutrition Specific Quality of Life in Individuals on Maintenance Hemodialysis
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 17, 2017 Category: Urology & Nephrology Source Type: research

Predictive Value of Baseline Handgrip Strength on Time to First Hospitalisation of Patient Starting With Hemodialysis in Community Setting
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 17, 2017 Category: Urology & Nephrology Source Type: research

Masthead
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 17, 2017 Category: Urology & Nephrology Source Type: research

Editorial Board
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 17, 2017 Category: Urology & Nephrology Source Type: research

Table of Contents
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 17, 2017 Category: Urology & Nephrology Source Type: research

Thank You to Our Reviewers
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 17, 2017 Category: Urology & Nephrology Source Type: research

Comparison of Nutritional Risk Scores for Predicting Mortality in Japanese Chronic Hemodialysis Patients
Protein energy wasting (PEW) is consistently associated with poor prognosis in hemodialysis (HD) patients. We compared the predictability of PEW as diagnosed by The International Society of Renal Nutrition and Metabolism criteria (PEWISRNM) and geriatric nutritional risk index (GNRI) for all-cause mortality in Japanese HD patients. As cut-off values for body mass index (BMI) for PEW have not been established in PEWISRNM for Asian populations, these were also investigated. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 16, 2017 Category: Urology & Nephrology Authors: Hiroshi Takahashi, Keiko Inoue, Kazue Shimizu, Keiko Hiraga, Erika Takahashi, Kaori Otaki, Taeko Yoshikawa, Kumiko Furuta, Chika Tokunaga, Tomoyo Sakakibara, Yasuhiko Ito, Tokai Renal Nutrition Study Group Tags: Original Research Source Type: research

Dietary Intake, Nutritional Status, and Body Composition in Children With End-Stage Kidney Disease on Hemodialysis or Peritoneal Dialysis
This study aimed to demonstrate that dietary intake, anthropometric indicators, and body composition in children with end-stage kidney disease differs between those on peritoneal dialysis (PD) and those on hemodialysis (HD). (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - February 16, 2017 Category: Urology & Nephrology Authors: Consuelo Pont ón-Vázquez, Edgar Manuel Vásquez-Garibay, Erika Fabiola Hurtado-López, Adriana de la Torre Serrano, Germán Patiño García, Enrique Romero-Velarde Tags: Original Research Source Type: research

Bioimpedance Analysis and Acute Kidney Injury
I read with interest the study by Bufarah et  al.1 where they describe the methods for measuring protein catabolism in patients with acute kidney injury (AKI) and propose that catabolic rate be used to assess nutritional status. The authors report that obesity has been proven to confer a protective effect on mortality in patients with AKI but evidence on this is yet inconclusive.2 The apparent “obesity paradox” observed in patients with chronic kidney disease (CKD) has recently been attributed to a greater percentage of lean body mass (LBM) per kilogram of body weight. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - January 23, 2017 Category: Urology & Nephrology Authors: Maria P. Barrett Tags: Letter to the Editor Source Type: research

Reducing the Dietary Acid Load: How a More Alkaline Diet Benefits Patients With Chronic Kidney Disease
It has been proposed that a low-protein diet will slow progression of chronic kidney disease although studies have not always supported this belief. The accepted practice is that 60% to 70% of protein comes from high biological value (HBV) protein, but this limits patient choice and patients struggle to follow the diet. When a diet with only 30% HBV protein was trialed, there was a significant increase in serum bicarbonate, and patients preferred the diet. The dietary advice given in predialysis clinics was changed. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - January 20, 2017 Category: Urology & Nephrology Authors: Caroline Passey Tags: Practical Aspects Source Type: research

Effect of Omega-3 Fatty Acids on Serum Lipid Profile and Oxidative Stress in Pediatric Patients on Regular Hemodialysis: A Randomized Placebo-Controlled Study
We sought to evaluate the effects of omega-3 fatty acids supplementation on serum lipid profile and oxidative stress markers in pediatric patients with end-stage renal disease on regular hemodialysis (HD). (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - January 16, 2017 Category: Urology & Nephrology Authors: Areej Mohamed Ateya, Nagwa Ali Sabri, Ihab El Hakim, Sara M. Shaheen Tags: Original Research Source Type: research

Dietary Protein Sources and Risk for Incident Chronic Kidney Disease: Results From the Atherosclerosis Risk in Communities (ARIC) Study
This study aimed to assess the association between dietary protein sources and incident chronic kidney disease (CKD). (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - January 5, 2017 Category: Urology & Nephrology Authors: Bernhard Haring, Elizabeth Selvin, Menglu Liang, Josef Coresh, Morgan E. Grams, Natalia Petruski-Ivleva, Lyn M. Steffen, Casey M. Rebholz Tags: Original Research Source Type: research

Protective Effects of L-Carnitine Against Delayed Graft Function in Kidney Transplant Recipients: A Pilot, Randomized, Double-Blinded, Placebo-Controlled Clinical Trial
Delayed graft function (DGF) is an early complication after deceased donor kidney transplantation with significant adverse effects on graft outcomes. Ischemia-reperfusion injury during transplantation is a major cause of DGF. Tissue concentrations of carnitine, an antioxidant and regulator of cellular energy supply, decrease in the kidney following ischemia-reperfusion insult. Based on promising animal data, this study evaluated the possible protective effect of L-carnitine against DGF. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - January 4, 2017 Category: Urology & Nephrology Authors: Atefeh Jafari, Mohammad-Reza Khatami, Simin Dashti-Khavidaki, Mahboob Lessan-Pezeshki, Alireza Abdollahi, Azadeh Moghaddas Tags: Original Research Source Type: research

The Prevalence, Association, and Clinical Outcomes of Frailty in Maintenance Dialysis Patients
To investigate the clinical implications of frailty in chronic kidney disease patients undergoing maintenance hemodialysis and chronic peritoneal dialysis. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - January 4, 2017 Category: Urology & Nephrology Authors: So-Young Lee, Dong Ho Yang, Eunah Hwang, Seock Hui Kang, Sun-Hee Park, Tae Woo Kim, Duk Hyun Lee, Kisoo Park, Jun Chul Kim Tags: Original Research Source Type: research

Medical Nutrition Therapy for Pediatric Kidney Stone Prevention, Part One
Renal stone disease, or nephrolithiasis, is a major health concern associated with significant pain, morbidity, and medical cost. Recurrent nephrolithiasis can lead to chronic kidney disease, as well as increased risk of related conditions such as cardiovascular disease and fracture.1 (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - December 13, 2016 Category: Urology & Nephrology Authors: Jennifer Carvalho-Salemi, Lorrie Moreno, Mini Michael Tags: Patient Education Source Type: research

January Meeting Announcements
February 23-25, 2017 American Society of Transplantation (AST) Cutting Edge of Transplantation 2017, Arizona Biltmore, Phoenix, AZ. Visit https://www.myast.org/ or call 856-439-9986. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - December 13, 2016 Category: Urology & Nephrology Tags: Announcements Source Type: research

Cranberry Juice: What Is the Potassium Story?
Cranberry juice has several appealing features to chronic kidney patients. It has been a long-held belief that cranberry juice helps with urinary tract and kidney health. Originally, it was thought that fruit acids were responsible for the bacteriostatic effect. However, proanthocyanidins have been isolated in cranberries as having bacterial antiadhesion activity which will prevent bacteria from binding itself to the bladder walls.1 A Cochrane meta-analysis has shown that cranberry juice products do not significantly reduce the occurrence of urinary tract infections (UTIs) in women with recurrent UTIs, as previously though...
Source: Journal of Renal Nutrition - December 13, 2016 Category: Urology & Nephrology Authors: Jessica Krefting Tags: Product Update Source Type: research

Happy New Year!
January  2017. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - December 13, 2016 Category: Urology & Nephrology Authors: Judy Kirk Tags: Message From the Chairperson Source Type: research

Masthead
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - December 13, 2016 Category: Urology & Nephrology Source Type: research

Editorial Board
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - December 13, 2016 Category: Urology & Nephrology Source Type: research

Table of Contents
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - December 13, 2016 Category: Urology & Nephrology Source Type: research

Guidelines for Contributing Authors
(Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - December 13, 2016 Category: Urology & Nephrology Source Type: research

Dietary Patterns and Clinical Outcomes in Chronic Kidney Disease: The CKD.QLD Nutrition Study
This study evaluated the relationship between dietary habits and renal-related clinical outcomes in an established CKD cohort. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - December 8, 2016 Category: Urology & Nephrology Authors: Shu Ning Wai, Jaimon T. Kelly, David W. Johnson, Katrina L. Campbell Tags: Original Research Source Type: research

The Effect of Intradialytic Intralipid Therapy in Pediatric Hemodialysis Patients
Growth of children on maintenance hemodialysis is poor. Oral nutritional supplements are the preferred way to augment nutrition; however, many children have difficulties adhering to prescribed oral supplements. In our unit, we have been utilizing intralipid (IL) therapy as nutritional supplement during hemodialysis sessions. The aim of this study was to assess the safety, efficacy, and benefits of intradialytic IL therapy. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - December 3, 2016 Category: Urology & Nephrology Authors: Orly Haskin, Scott M. Sutherland, Cynthia J. Wong Tags: Original Research Source Type: research

Sarcopenic Obesity Definitions by Body Composition and Mortality in the Hemodialysis Patients
In this study, we aimed to determine whether body composition as assessed by currently available SO definitions is related to all-cause mortality in MHD subjects. We also examined the impact of applying different definitions on the prevalence of SO in our MHD database. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - November 19, 2016 Category: Urology & Nephrology Authors: Rakesh Malhotra, Serpil M. Deger, Huzaifah Salat, Aihua Bian, Thomas G. Stewart, Cindy Booker, Andrew Vincz, Brianna Pouliot, T. Alp Ikizler Tags: Original Research Source Type: research

Erratum
In the November 2016 issue of the Journal of Renal Nutrition (Vol. 26, No. 6), in “Dietary Management of Incremental Transition to Dialysis Therapy: Once-Weekly Hemodialysis Combined With Low-Protein Diet,” by Piergiorgio Bolasco, MD, et al., pages 352-359, the following corrections were noted: (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - November 19, 2016 Category: Urology & Nephrology Tags: Erratum Source Type: research

Effects of a Novel Nutritional Formula Enriched With Eicosapentaenoic Acid and Docosahexaenoic Acid Specially Developed for Tube-Fed Hemodialysis Patients
To evaluate the effects of a nutritional formula enriched with eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) in tube-fed bedridden hemodialysis patients. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - November 9, 2016 Category: Urology & Nephrology Authors: Shinga Esaki, Motokazu-Tohru Iwahori, Yuri Takagi, Toshikazu Wada, Shunsuke Morita, Hirofumi Sonoki, Toshiyuki Nakao Tags: Research Brief Source Type: research

Plasma Levels of Marine n-3 Fatty Acids Are Inversely Correlated With Proinflammatory Markers sTNFR1 and IL-6 in Renal Transplant Recipients
Marine n-3 polyunsaturated fatty acids (PUFAs) exert potential anti-inflammatory effects and might improve long-term outcomes after renal transplantation. We assessed associations between plasma phospholipid levels of marine n-3 PUFAs and plasma inflammatory biomarkers 10  weeks after renal transplantation. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - November 9, 2016 Category: Urology & Nephrology Authors: Ivar A. Eide, Anders Åsberg, My Svensson, Thor Ueland, Tom E. Mollnes, Anders Hartmann, Kristian S. Bjerve, Annika Michelsen, Pål Aukrust, Jeppe H. Christensen, Erik B. Schmidt, Trond Jenssen Tags: Original Research Source Type: research

Protein Feeding in Pediatric Acute Kidney Injury Is Not Associated With a Delay in Renal Recovery
Critically ill children with acute kidney injury (AKI) are at high risk of underfeeding. Newer guidelines for nutrition support recommend higher protein intake. Therefore, the study evaluated the effects of protein feeding on the resolution of AKI and compared energy and protein intake in patients with and without AKI after implementation of Nutrition Support guidelines. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - November 9, 2016 Category: Urology & Nephrology Authors: Ursula G. Kyle, Ayse Akcan-Arikan, Jaime C. Silva, Michelle Goldsworthy, Lara S. Shekerdemian, Jorge A. Coss-Bu Tags: Original Research Source Type: research

Phosphate-Containing Prescription Medications Contribute to the Daily Phosphate Intake in a Third of Hemodialysis Patients
Hyperphosphatemia is associated with all-cause mortality in hemodialysis (HD) patients and is managed by restricting dietary phosphate. Many patients are unable to adhere to the recommended dietary phosphate limit. We sought to quantify the additional phosphate burden from prescription medication in a hemodialysis population. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - November 1, 2016 Category: Urology & Nephrology Authors: Seana M.L. Nelson, Samantha R.S. Sarabia, Erin Christilaw, Emilie C. Ward, Stephanie K. Lynch, Michael A. Adams, Rachel M. Holden Tags: Original Research Source Type: research

Estimating Catabolism: A Possible Tool for Nutritional Monitoring of Patients With Acute Kidney Injury
Hypercatabolism has been described as the main nutritional change in acute kidney injury. Catabolism may be defined as the excessive release of amino acids from skeletal muscle. Conditions such as fasting, inadequate nutritional support, renal replacement therapy, metabolic acidosis, and secretion of catabolic hormones are the main factors that affect protein catabolism. Given the imprecision of the methods conventionally used to assess and monitor the nutritional status of hospitalized patients, the parameters of protein catabolism, such as nitrogen balance, urea nitrogen appearance, and protein catabolic rate appear to b...
Source: Journal of Renal Nutrition - October 31, 2016 Category: Urology & Nephrology Authors: Marina Nogueira Berbel Bufarah, Cassiana Regina de G óes, Mariana Cassani de Oliveira, Daniela Ponce, André Luis Balbi Tags: Review Article Source Type: research

Examining the Proportion of Dietary Phosphorus From Plants, Animals, and Food Additives Excreted in Urine
Phosphorus bioavailability is an emerging topic of interest in the field of renal nutrition that has important research and clinical implications. Estimates of phosphorus bioavailability, based on digestibility, indicate that bioavailability of phosphorus increases from plants to animals to food additives. In this commentary, we examined the proportion of dietary phosphorus from plants, animals, and food additives excreted in urine from four controlled-feeding studies conducted in healthy adults and patients with chronic kidney disease. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - October 31, 2016 Category: Urology & Nephrology Authors: David E. St-Jules, Ram Jagannathan, Lisa Gutekunst, Kamyar Kalantar-Zadeh, Mary Ann Sevick Tags: Review Article Source Type: research

Additional Contribution of the Malnutrition –Inflammation Score to Predict Mortality and Patient-Reported Outcomes as Compared With Its Components in a Cohort of African Descent Hemodialysis Patients
This study assessed associations of MIS and its components with mortality and PROs in an African descent MHD population. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - October 19, 2016 Category: Urology & Nephrology Authors: Marcelo Barreto Lopes, Luciana Ferreira Silva, Gildete Barreto Lopes, Maria Auxiliadora Penalva, Cacia Mendes Matos, Bruce M. Robinson, Antonio Alberto Lopes Tags: Original Research Source Type: research

Dietary Habits and Risk of Kidney Function Decline in an Urban Population
Explore the association between following a Dietary Approaches to Stop Hypertension (DASH) –accordant diet and kidney end points among urban adults. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - October 19, 2016 Category: Urology & Nephrology Authors: Yang Liu, Marie Fanelli Kuczmarski, Edgar R. Miller, M. Berenice Nava, Alan B. Zonderman, Michele K. Evans, Neil R. Powe, Deidra C. Crews Tags: Original Research Source Type: research

A More Focused Approach to Phosphorus Nutrition Education for the Adolescent Kidney Patient
Dietitians are accustomed to providing low-phosphorus nutrition education as a primary focus of kidney nutrition instruction for patients with chronic kidney disease. This is based on heavily researched evidence that excessive phosphorus intake leads to bone mineral disease and increased risk for cardiovascular disease in this population. Coronary-artery calcification is common and progressive in young adults with end-stage renal disease who are undergoing dialysis and occurs much earlier in adolescent patients than in the general population. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - October 15, 2016 Category: Urology & Nephrology Authors: Ashley Sigmund Tags: Patient Education Source Type: research

November Meeting Announcements
November 15-20, 2016 American Society of Nephrology (ASN) Kidney Week 2016, McCormick Place, Chicago, IL. Visit www.asn-online.org or call 202-640-4660. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - October 15, 2016 Category: Urology & Nephrology Tags: Announcements Source Type: research

Protein-Bound Uremic Toxins from Gut Microbiota and Inflammatory Markers in Chronic Kidney Disease
Protein-bound uremic toxins from gut microbiota tend to accumulate in chronic kidney disease (CKD) patients and are poorly removed by current dialysis techniques. These toxins induce inflammation and are associated with cardiovascular disease (CVD). The aim of this study was to report the relationship between uremic toxins and inflammatory and cardiovascular markers in CKD patients. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - October 15, 2016 Category: Urology & Nephrology Authors: Nat ália A. Borges, Amanda F. Barros, Lia S. Nakao, Carla J. Dolenga, Denis Fouque, Denise Mafra Tags: Research Brief Source Type: research

Message From the Chairperson: Season's Greetings!
On behalf of the National Kidney Foundation (NKF)/Council on Renal Nutrition Executive Committee, I would like to wish you all a happy and healthy holiday season. This month I will communicate updates to our membership; but first, let us start by marking your calendars for the 2017 NKF spring clinical meetings, April 18 –22, 2017 in Orlando, Florida. (Source: Journal of Renal Nutrition)
Source: Journal of Renal Nutrition - October 15, 2016 Category: Urology & Nephrology Authors: Judy Kirk Tags: Message From the Chairperson Source Type: research