Dietary Strategies to Halt the Progression of Chronic Kidney Disease

Abstract

Chronic kidney disease is fast becoming a worldwide epidemic. There is an estimated annual increase of 8% with an associated economical and clinical burden. Recent research into lifestyle factors has confirmed different dietary attributes play a part in slowing the progression of chronic nephropathies. This has important implications and a potentially cost-saving way, to help reduce the progression of the disease. The roles of obesity, lipids, protein, diabetes and blood pressure are discussed to show how the current literature reflects how to modify the dietary aspects of these. The mechanisms behind these are not fully understood, but the message remains the same that there is an increased need for dietary advice in the pre-dialysis population.

Psychometric Properties of the Kidney Disease Quality of Life–36 Questionnaire (KDQOL-36™)

“…Dietary restriction is an important concept of health-related QOL among CKD patients (Mapes et al, 2003). A low-salt and low-protein diet can decrease blood pressure and reduce an accumulation of metabolites, such as urea and creatinine (Clements & Ashurst, 2006). Therefore, Item 30 should be retained.…”

The importance of nutritional intervention by dietitians for hyperphosphatemia in maintained hemodialysis patients

“…To convince patients to effectively control dietary phosphorus and protein intake, dietitians need to provide patients with educational resources, such as booklets or leaflets; demonstrate how to recognize and avoid inorganic phosphorus additives; show how to select protein sources and achieve protein adequacy; and explain to patients how to estimate the phosphorus content of chosen foods [50][51][52][53]. The dietitian should also advise that reading the additives listed in food labels on packages can help patients restrict consumption of phosphorus in processed and fast foods.…”