Nutritional Aspects Of Kidney Disease

Nutrition in Kidney Disease, Second Edition addresses the relationships between nutrition and (1) normal kidney function and disease, (2) the progressiveness of chronic kidney disease (CKD) and strategies to prevent further compromise, and (3) the treatment and management of kidney failure especially during medical crises, such as acute kidney injury and its consequent nutritional therapies (e.g., enteral and parenteral nutrition). Demographic patterns, trends and outcomes in the current health care systems are explored in the United States and abroad. Disease prevention and management are presented over the entire lifespan, beginning with pregnancy, followed by infancy, childhood, adolescence, and adulthood, concluding with the elder years. Foundations for clinical practice are established by devoting a complete section towards conducting a comprehensive nutritional assessment, comprising of anthropometric, biochemical, clinical, physical parameters and psychosocial concerns unique to the kidney disease population. Nutritional therapy is also discussed across the spectrum of kidney disease, and pertinent aspects critical to successful management of disorders and conditions, such as bone disease, obesity, and nephrotic syndrome are explored. Nutrition in Kidney Disease, Second edition highlights cutting edge research in regards to exercise and functional outcomes, malnutrition and the inflammatory response, experimental therapies, and the use of complementary and alternative medicine, with a special emphasis on relevant preventative strategies.

This translational text offers in-depth reviews of the metabolic and nutritional disorders that are prevalent in patients with renal disease. Chapter topics address the growing epidemic of obesity and metabolic syndrome. Each chapter integrates basic and clinical approaches, from cell biology and genetics to diagnosis, patient management and treatment. Chapters in sections 4-7 include new illustrative case reports, and all chapters emphasize key concepts with chapter-ending summaries. New features also include the latest National Kidney Foundation Clinical Practice Guidelines on Nutrition in Chronic Renal Failure, the most recent scientific discoveries and the latest techniques for assessing nutritional status in renal disease, and literature reviews on patients who receive continuous veno-venous hemofiltration with or without dialysis. Provides a common language for nephrologists, nutritionists, endocrinologists, and other interested physicians to discuss the underlying research and translation of best practices for the nutritional management and prevention of renal disease Saves clinicians and researchers time in quickly accessing the very latest details on nutritional practice as opposed to searching through thousands of journal articles Correct diagnosis (and therefore correct treatment) of renal, metabolic, and nutritional disorders depends on a strong understanding of the molecular basis for the disease – both nephrologists and nutritionists will benefit Nephrologists and nutritionists will gain insight into which treatments, medications, and diets to use based on the history, progression, and genetic make-up of a patient Case Reports will offer an added resource for fellows, nutritionists, and dieticians who need a refresher course

A complement to Guidelines for Nutrition Care of Renal Patients, 3e and Renal Care: Resources and Practical Applications Features practical and authoritative guidelines for all stages and treatments of renal disease Addresses the National Kidney Foundation's Disease Outcome Quality Initiative (NKF KDOQI) Guidelines Provides practical nutrition intervention sections Examines useful case studies Offers helpful hints to treat common patient problems Includes the latest information on Medical Nutrition Therapy Represents a consensus formed by clinical practitioners on the basis of current scientific literature and experience A Clinical Guide to Nutrition Care in Kidney Disease can also be used as a study tool for the CSR exam

Kidney disease is a global health concern that affects people of all ages and races. Based on the work of the National Kidney Foundation and the Kidney Disease: Improving Global Outcomes foundation, guidelines have been developed outlining the parameters for patient care. Nutritional Therapy for Chronic Kidney Disease builds upon the discoveries made by these institutions and expands upon their recommendations to provide a comprehensive guidebook with practice protocols for individuals with kidney disease. With chapters written by expert authors drawing on their own experiences, the book: Outlines the history of kidney disease and its treatment Details the distinctions in nutrition therapy throughout the five stages of chronic kidney disease Features precise recommendations for management of the complicated renal diet in acute kidney disease Examines dietary concerns for pregnant women, children, persons with diabetes, and post-transplant patients Discusses the common metabolic pathologies associated with kidney disease, including electrolyte and acid-based disorders, bone and mineral disorders, and chronic anemia Includes chapters on obesity and physical activity, quality of life improvement in chronic kidney disease, and dietary counseling strategies Reflecting the medical community’s emphasis on patient-centered care, this volume provides a complete primer on the importance of diet in maintaining kidney health and provides practical guidance to caregivers charged with devising nutritional strategies for kidney patients.

Thoroughly revised and updated for its Sixth Edition, this handbook is a practical, easily accessible guide to nutritional management of patients with acute and chronic renal diseases. Leading international experts present state-of-the-art information on these patients' nutritional requirements and offer dietary recommendations, with menus and lists of supplements to enhance patient compliance. Numerous tables and figures enable readers to find essential information quickly. This edition includes new chapters on the dietary approach to treating patients with kidney stones and hypertension, as well as on obesity and physical activity as they relate to patients with kidney disease.

It is well-known that the daily diet plays an important role in the preservation and integrity of renal function in patients with chronic kidney disease. However, there currently exists some confusion as to the right diet because of the MDRD (Modification of Diet in Renal Disease) study, which has shown that a low-protein diet does not have a major effect on the course of renal dysfunction. To resolve this dilemma, researchers are developing a framework for an appropriate dietary program which will significantly alter the understanding of the role of diet and, eventually, have important implications for the practice of nephrology. This publication provides an update on both laboratory and clinical research, including nutritional status and its assessment in patients with kidney disease, nutritional therapy in hemodialysis, in patients with diabetic nephropathy and after kidney transplantation, as well as considering the roles of sodium, protein intake and phosphate restriction in kidney disease. Part of a long-standing and continuing effort to improve patient outcome, this book provides both a fundamental understanding of diet as well as a practical and up-to-date summary of current knowledge and technology. It will therefore be a helpful tool for the clinician working in the field of chronic kidney disease.

Optimal nutrition is essential for maintaining the structural and functional integrity of all the organs and systems in the body. This is especially relevant in disease and dysfunctional states when the functioning of organ systems is compromised. This clinical update handbook aims to discuss and debate the impact of nutrition, describe methods for assessment of nutritional status and recommend the diet modifications helpful in managing various types of kidney diseases and dysfunctions. The first chapter of this book describes the various components of a healthy diet when there is no kidney disease or dysfunction. The chapter 2, 3, 4, and 5 provide a brief but relevant review of the dietary modifications and restrictions recommended in diabetic nephropathy, hypertensive nephropathy, renal stone disease, and nephrotic syndrome respectively. The two subsequent chapters 6 and 7 speak of the nutritional modifications indicated in management of acute injury of kidney and chronic kidney disease. The 8 and 9 chapters describe the dietary modifications that are compatible with the two types of dialysis, hemodialysis and peritoneal dialysis. The final chapter of the book describes the dietary recommendations and restrictions applicable before and after kidney transplantation. This book will help the readers understand the intricacies of the aspects mentioned above and guide the practitioner to diagnose and manage the nutritional aspect of various kidney diseases with special reference to practical experience in India. The authors have put together the most relevant facts about the disease for an easy comprehension and understanding of primary glomerular diseases by practitioners and students across the specialty.