Nutrition and Kidney Disease: A New Era
Hiromichi Suzuki, Paul L. Kimmel
Karger, Jan 1, 2007 - Medical - 139 pages
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.
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Body Protein Index Based on Bioelectrical Impedance
Nutritional Assessment by a New Method
Protein Intake of More than 0 5gkg BWDay Is not Effective
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age group amino acids assessment associated Basel blood pressure body composition body mass body weight calcium cardiovascular catabolic chronic kidney disease chronic renal failure Contrib Nephrol creatinine clearance decreased diabetes mellitus diabetic nephropathy dialysis patients dialysis therapy dietary protein intake effect end-stage renal disease energy intake ESRD ESRD patients evaluated excretion g/day g/kg BW/day g/kg/day glomerular glucose guidelines HD patients hyperphosphatemia hypertension increased inflammation JAm Soc Nephrol Japan Karger Kidney Int kidney transplantation Kopple JD low-protein diet malnutrition measures metabolism mg/dl mortality muscle Nephrol Dial Transplant Nephrology nitrogen nutritional status obesity patients with chronic peritoneal dialysis phosphate phosphorus plasma prealbumin pressure—natriuresis progression of chronic progression of renal protein diet proteinuria rats renal function renin-angiotensin system risk factor Saitama salt intake serum albumin serum creatinine level sodium supplementation survival Suzuki H transferrin uremic women