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Achieving salt restriction in chronic kidney disease.

Abstract

There is consistent evidence linking excessive dietary sodium intake to risk factors for cardiovascular disease and chronic kidney disease (CKD) progression in CKD patients; however, additional research is needed. In research trials and clinical practice, implementing and monitoring sodium intake present significant challenges. Epidemiological studies have shown that sodium intake remains high, and intervention studies have reported varied success with participant adherence to a sodium-restricted diet. Examining barriers to sodium restriction, as well as factors that predict adherence to a low sodium diet, can aid researchers and clinicians in implementing a sodium-restricted diet. In this paper, we critically review methods for measuring sodium intake with a specific focus on CKD patients, appraise dietary adherence, and factors that have optimized sodium restriction in key research trials and discuss barriers to sodium restriction and factors that must be considered when recommending a sodium-restricted diet.

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  • Authors+Show Affiliations

    ,

    Nutrition and Dietetics Department, Princess Alexandra Hospital, 199 Ipswich Road, Woolloongabba, Brisbane, QLD 4102, Australia ; School of Human Movement Studies, University of Queensland, Blair Drive, St Lucia, Brisbane, QLD 4072, Australia.

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    Source

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    23320173

    Citation

    TY - JOUR T1 - Achieving salt restriction in chronic kidney disease. AU - McMahon,Emma J, AU - Campbell,Katrina L, AU - Mudge,David W, AU - Bauer,Judith D, Y1 - 2012/12/23/ PY - 2012/7/19/received PY - 2012/10/29/accepted PY - 2012/12/23/epublish PY - 2013/1/16/entrez PY - 2013/1/16/pubmed PY - 2013/1/16/medline SP - 720429 EP - 720429 JF - International journal of nephrology JO - Int J Nephrol VL - 2012 N2 - There is consistent evidence linking excessive dietary sodium intake to risk factors for cardiovascular disease and chronic kidney disease (CKD) progression in CKD patients; however, additional research is needed. In research trials and clinical practice, implementing and monitoring sodium intake present significant challenges. Epidemiological studies have shown that sodium intake remains high, and intervention studies have reported varied success with participant adherence to a sodium-restricted diet. Examining barriers to sodium restriction, as well as factors that predict adherence to a low sodium diet, can aid researchers and clinicians in implementing a sodium-restricted diet. In this paper, we critically review methods for measuring sodium intake with a specific focus on CKD patients, appraise dietary adherence, and factors that have optimized sodium restriction in key research trials and discuss barriers to sodium restriction and factors that must be considered when recommending a sodium-restricted diet. SN - 2090-2158 UR - https://www.unboundmedicine.com/medline/citation/23320173/full_citation L2 - http://dx.doi.org/10.1155/2012/720429 ER -