Renal Nutrition Update

Ghrelin Offers Good Outcome Measures in CKD

Ghrelin Offers Good Outcome Measures in CKD

Ghrelin is metabolized by the kidney; thus serum levels are elevated in chronic kidney disease populations.

BMI is More Reliable than Leptin Levels in Dialysis Patients

BMI is More Reliable than Leptin Levels in Dialysis Patients

Questions have been raised as to whether leptin has an impact on malnutrition in this population.

When Deciding Dietary Restrictions, Assess Uric Acid Levels

When Deciding Dietary Restrictions, Assess Uric Acid Levels

Foods that may increase gout flare risk are also dietary factors that may promote further kidney decline in individuals with CKD stages 3-5.

Managing Dyslipidemia in CKD can Decrease Risk of Cardiovascular Events

Managing Dyslipidemia in CKD can Decrease Risk of Cardiovascular Events

Dyslipidemia often is a concern in patients with CKD because mortality in this population typically is the result of cardiovascular complications.

Increased Intake of Fruits, Vegetables Lowers Dietary Acid Load

Increased Intake of Fruits, Vegetables Lowers Dietary Acid Load

Age and physical activity have profound effects on the accrual and retention of lean body tissues, but a range of nutritional factors can influence this process.

Low Testosterone Increases Risk of Mortality, Anemia, Reduced ESA Response

Low Testosterone Increases Risk of Mortality, Anemia, Reduced ESA Response

Testosterone deficiency is common in many patients with CKD, but the treatment of this deficiency and associated side effects have not always received much attention.

Dietary Choices by Renal Transplant Recipients and Overall Acid-Base Balance

Dietary Choices by Renal Transplant Recipients and Overall Acid-Base Balance

Metabolic acidosis is a typical concern in renal populations, including renal transplant recipients (RTRs).

Fish Can Be Beneficial Protein Source, But Species Recommendation Varies

Fish Can Be Beneficial Protein Source, But Species Recommendation Varies

Select fish can be beneficial, high-quality protein sources that are within or close to the appropriate phosphorus/protein ratios.

Proteinuria in CKD Patients May Indicate Need for Intensive Sodium Restriction

Proteinuria in CKD Patients May Indicate Need for Intensive Sodium Restriction

Data from various studies suggest that more conservative blood pressure goals confer benefits in the presence of proteinuria.

Plant Protein Intake Offers Benefits in Phosphorus, Acid-Base Balance for CKD Patients

Plant Protein Intake Offers Benefits in Phosphorus, Acid-Base Balance for CKD Patients

The Chronic Renal Insufficiency Cohort Study (CRIC) has recently shown potential benefits of vegetable protein intake in patients with mild-to-moderate CKD.

Renal Function Decline May Increase Risk of Bariatric Surgery Complications

Renal Function Decline May Increase Risk of Bariatric Surgery Complications

When assessing eGFR in bariatric surgery patients, equations that account for lean body weight appear to offer the most accuracy.

DASH-style Diet Effective in Preventing, Delaying CKD Progression

DASH-style Diet Effective in Preventing, Delaying CKD Progression

A diet emphasizing fruits, vegetables, and whole grains can lower blood pressure, decrease the albumin excretion rate, and reduce the risk of kidney stones.

High Protein Intake May Elevate Levels of Advanced Glycation End Products

High Protein Intake May Elevate Levels of Advanced Glycation End Products

Advanced glycation end products (AGEs) are byproducts of non-enzymatic chemical reactions between sugars and amino acids, lipids, or DNA.

Oral Adsorbents, Probiotics an Inexpensive Way to Eliminate Uremic Toxics in CKD Patients

Oral Adsorbents, Probiotics an Inexpensive Way to Eliminate Uremic Toxics in CKD Patients

Patients on a traditional renal diet often find that they are consuming a relatively "unhealthy diet," meaning the diet is low in fresh fruits and vegetables, whole grain, and dairy products.

Health Care Workers Should Promote Dietary Salt Reduction

Health Care Workers Should Promote Dietary Salt Reduction

Historically, salt has been a commodity, a preservative, and a flavor enhancer. The salt shaker has a special place in most kitchens or dining room tables.