Precision Nutrition and Personalized Diet Plan for Kidney Health and Kidney Disease Management

Effectiveness of a Nutritional Mobile Application for Management of Hyperphosphatemia in Patients on Hemodialysis: A Multicenter Open-Label Randomized Clinical Trial

“…Indeed, the Malaysian scenario reflects the global scene of dietitian shortages in chronic kidney disease care [ 10 ] and a very critical lack of dietitians specifically trained in kidney nutrition [ 35 ]. A generalist dietitian providing patient counseling, compared to a renal dietitian, would lack the critical thinking skills and knowledge [ 36 ] to enable personalized precision nutrition [ 37 ]. A concern was that initial energy and protein intake were below the recommended levels of 30–35 kcal/kg/d and 1.2 g/kg/d in this study’s patients, which reduced further with intervention.…”

“…HD patients may benefit from early exposure to phosphate education using the PMA whilst waiting for a consultation with a renal dietitian. Only with intensive dietary counseling sessions delivered by renal dietitians with precision can good clinical outcomes be achieved [ 7 , 37 ]. This is critical, as for every 0.32 mmol/L increase of serum phosphate, the relative risk for all-cause mortality is 1.04 (1.023–1.059), p < 0.001 [ 38 ].…”

Culinary Medicine as a Core Component of the Medical Nutrition Therapy for Kidney Health and Disease

“…[14][15][16] Finally, this and other culinary medicine-based programs are also consistent with the Precision Nutrition and personalized diet plan for kidney health and kidney disease management. 17 The potential benefits of culinary medicine for kidney disease are supported by several additional studies published in this issue of Journal of Renal Nutrition. First, Kanbay et al 18 presented the results of their systematic review and meta-analysis of clinical studies that have examined the effect of coffee consumption on kidney health and disease given that drinking coffee is one of the most common daily habits throughout the world.…”

Unleashing the Power of Renal Nutrition in Value-Based Models of Kidney Care Choices: Leveraging Dietitians’ Expertise and Medical Nutrition Therapy to Delay Dialysis Initiation

“…In conclusion, the emergence of value-based models offers a unique opportunity to venture into the field of person-centered nutritional management of CKD without dialysis by using the power of upstream engagement of dietitians with expertise in kidney nutrition in the form of well-crafted MNT strategies based on Precision Nutrition and personalized diet plans, and inclusive of all stages of kidney disease 33 The core component of these MNT models is effective PLADO-derived low and very low protein diet regimens that can be supplemented with aminoacid or keto-analogs of amino acids to ensure safety and to minimize the risk of protein-energy wasting sarcopenia and cachexia. Nutritional screening tools such as MIS can help identify and preempt patients at risk of proteinenergy wasting.…”