Tags

Type your tag names separated by a space and hit enter

Dietary Modeling of Foods for Advanced CKD Based on General Healthy Eating Guidelines: What Should Be on the Plate?
Am J Kidney Dis. 2017 Mar; 69(3):436-450.AJ

Abstract

Chronic kidney disease (CKD) is a major public health problem with significant clinical, societal, and psychosocial burdens. Nutrition therapy has been an integral part of the medical management of patients with CKD for more than a century, with the main goals of preserving kidney function and preventing complications. Nutrition abnormalities may emerge well before dialysis therapy is initiated and are associated with poor outcomes. It is therefore important to revisit nutrition management in the advanced stages of CKD to gain a broader insight into its role and effect on patient outcomes. Traditionally, nutrition recommendations have focused on the prescription of energy (calories) and macro- and micronutrients. Today, dietary modeling also focuses on the evidence for food consumption on health. This review argues that advanced non-dialysis-dependent CKD nutrition requirements to a large extent align with healthy eating guidelines for the general population and should not be based on deprivation or be unusually restrictive. The best currently available evidence for the CKD diet is likely to be derived from CKD nutrition prescriptions in conjunction with evidence underpinning national dietary guidelines and evidence of healthy dietary patterns, such as Mediterranean-style and Dietary Approaches to Stop Hypertension (DASH)-style eating. Positive messages from these dietary patterns should improve acceptance of CKD dietary interventions among patients.

Authors+Show Affiliations

Department of Nutrition and Dietetics, The St. George Hospital, Kogarah, NSW, Australia; Department of Nutrition and Dietetics, School of Medicine, University of Wollongong, Wollongong, NSW, Australia; Department of Renal Medicine, The St. George Hospital, Kogarah, NSW, Australia; St. George Clinical School, School of Medicine, The University of New South Wales, NSW, Australia. Electronic address: maria.chan@health.nsw.gov.au.Department of Renal Medicine, The St. George Hospital, Kogarah, NSW, Australia; St. George Clinical School, School of Medicine, The University of New South Wales, NSW, Australia.Department of Nutrition and Dietetics, School of Medicine, University of Wollongong, Wollongong, NSW, Australia; Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, NSW, Australia.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

28129911

Citation

Chan, Maria, et al. "Dietary Modeling of Foods for Advanced CKD Based On General Healthy Eating Guidelines: what Should Be On the Plate?" American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation, vol. 69, no. 3, 2017, pp. 436-450.
Chan M, Kelly J, Tapsell L. Dietary Modeling of Foods for Advanced CKD Based on General Healthy Eating Guidelines: What Should Be on the Plate? Am J Kidney Dis. 2017;69(3):436-450.
Chan, M., Kelly, J., & Tapsell, L. (2017). Dietary Modeling of Foods for Advanced CKD Based on General Healthy Eating Guidelines: What Should Be on the Plate? American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation, 69(3), 436-450. https://doi.org/10.1053/j.ajkd.2016.09.025
Chan M, Kelly J, Tapsell L. Dietary Modeling of Foods for Advanced CKD Based On General Healthy Eating Guidelines: what Should Be On the Plate. Am J Kidney Dis. 2017;69(3):436-450. PubMed PMID: 28129911.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dietary Modeling of Foods for Advanced CKD Based on General Healthy Eating Guidelines: What Should Be on the Plate? AU - Chan,Maria, AU - Kelly,John, AU - Tapsell,Linda, Y1 - 2017/01/24/ PY - 2016/03/22/received PY - 2016/09/19/accepted PY - 2017/1/29/pubmed PY - 2017/6/2/medline PY - 2017/1/29/entrez KW - Nutrition KW - chronic kidney disease (CKD) KW - foods SP - 436 EP - 450 JF - American journal of kidney diseases : the official journal of the National Kidney Foundation JO - Am J Kidney Dis VL - 69 IS - 3 N2 - Chronic kidney disease (CKD) is a major public health problem with significant clinical, societal, and psychosocial burdens. Nutrition therapy has been an integral part of the medical management of patients with CKD for more than a century, with the main goals of preserving kidney function and preventing complications. Nutrition abnormalities may emerge well before dialysis therapy is initiated and are associated with poor outcomes. It is therefore important to revisit nutrition management in the advanced stages of CKD to gain a broader insight into its role and effect on patient outcomes. Traditionally, nutrition recommendations have focused on the prescription of energy (calories) and macro- and micronutrients. Today, dietary modeling also focuses on the evidence for food consumption on health. This review argues that advanced non-dialysis-dependent CKD nutrition requirements to a large extent align with healthy eating guidelines for the general population and should not be based on deprivation or be unusually restrictive. The best currently available evidence for the CKD diet is likely to be derived from CKD nutrition prescriptions in conjunction with evidence underpinning national dietary guidelines and evidence of healthy dietary patterns, such as Mediterranean-style and Dietary Approaches to Stop Hypertension (DASH)-style eating. Positive messages from these dietary patterns should improve acceptance of CKD dietary interventions among patients. SN - 1523-6838 UR - https://www.unboundmedicine.com/medline/citation/28129911/Dietary_Modeling_of_Foods_for_Advanced_CKD_Based_on_General_Healthy_Eating_Guidelines:_What_Should_Be_on_the_Plate DB - PRIME DP - Unbound Medicine ER -