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Modified Nutritional Recommendations to Improve Dietary Patterns and Outcomes in Hemodialysis Patients.
J Ren Nutr. 2017 01; 27(1):62-70.JR

Abstract

The renal diet has traditionally been regarded as one of the most complex medical nutrition therapies to teach, understand, and implement. Specifically, patients are instructed to limit fruits, vegetables, nuts, legumes, dairy, and whole grains because of both phosphorus and potassium concerns. Furthermore, hemodialysis patients are often encouraged to decrease fluid intake to control interdialytic weight gain. These restrictions can result in frustration, lack of autonomy, and the perception that there is nothing left to eat. It is possible that the traditional renal diet may be liberalized, with a focus on whole foods low in sodium and phosphorus additives, to afford patients greater choices and ultimately improved outcomes. Therefore, the objective of this review is to concisely assess the evidence in support of a renal diet focused primarily on reducing the intake of sodium and inorganic phosphorus. Finally, the limited evidence for restrictions on dietary potassium intake is summarized.

Authors+Show Affiliations

Division of Nutritional Sciences, University of Illinois, Urbana, Illinois.Department of Kinesiology and Community Health, University of Illinois, Urbana, Illinois.Department of Family and Consumer Sciences, Illinois State University, Normal, Illinois.Division of Nutritional Sciences, University of Illinois, Urbana, Illinois; Department of Kinesiology and Community Health, University of Illinois, Urbana, Illinois. Electronic address: kwilund@illinois.edu.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

27471172

Citation

Biruete, Annabel, et al. "Modified Nutritional Recommendations to Improve Dietary Patterns and Outcomes in Hemodialysis Patients." Journal of Renal Nutrition : the Official Journal of the Council On Renal Nutrition of the National Kidney Foundation, vol. 27, no. 1, 2017, pp. 62-70.
Biruete A, Jeong JH, Barnes JL, et al. Modified Nutritional Recommendations to Improve Dietary Patterns and Outcomes in Hemodialysis Patients. J Ren Nutr. 2017;27(1):62-70.
Biruete, A., Jeong, J. H., Barnes, J. L., & Wilund, K. R. (2017). Modified Nutritional Recommendations to Improve Dietary Patterns and Outcomes in Hemodialysis Patients. Journal of Renal Nutrition : the Official Journal of the Council On Renal Nutrition of the National Kidney Foundation, 27(1), 62-70. https://doi.org/10.1053/j.jrn.2016.06.001
Biruete A, et al. Modified Nutritional Recommendations to Improve Dietary Patterns and Outcomes in Hemodialysis Patients. J Ren Nutr. 2017;27(1):62-70. PubMed PMID: 27471172.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Modified Nutritional Recommendations to Improve Dietary Patterns and Outcomes in Hemodialysis Patients. AU - Biruete,Annabel, AU - Jeong,Jin Hee, AU - Barnes,Jennifer L, AU - Wilund,Kenneth R, Y1 - 2016/07/25/ PY - 2016/05/10/received PY - 2016/06/05/accepted PY - 2016/7/30/pubmed PY - 2018/2/23/medline PY - 2016/7/30/entrez SP - 62 EP - 70 JF - Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation JO - J Ren Nutr VL - 27 IS - 1 N2 - The renal diet has traditionally been regarded as one of the most complex medical nutrition therapies to teach, understand, and implement. Specifically, patients are instructed to limit fruits, vegetables, nuts, legumes, dairy, and whole grains because of both phosphorus and potassium concerns. Furthermore, hemodialysis patients are often encouraged to decrease fluid intake to control interdialytic weight gain. These restrictions can result in frustration, lack of autonomy, and the perception that there is nothing left to eat. It is possible that the traditional renal diet may be liberalized, with a focus on whole foods low in sodium and phosphorus additives, to afford patients greater choices and ultimately improved outcomes. Therefore, the objective of this review is to concisely assess the evidence in support of a renal diet focused primarily on reducing the intake of sodium and inorganic phosphorus. Finally, the limited evidence for restrictions on dietary potassium intake is summarized. SN - 1532-8503 UR - https://www.unboundmedicine.com/medline/citation/27471172/Modified_Nutritional_Recommendations_to_Improve_Dietary_Patterns_and_Outcomes_in_Hemodialysis_Patients_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1051-2276(16)30050-4 DB - PRIME DP - Unbound Medicine ER -