Nutrition education in the care of patients with chronic kidney disease and end‐stage renal disease

Feb 19, 2018Seminars in dialysis

Nutrition education for people with chronic and advanced kidney disease

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Circadian Biology on OpenScience ↗PubMed ↗DOI ↗

Abstract

Diet counseling and nutrition education are recommended for the prevention and management of chronic kidney disease (CKD) and end-stage renal disease (ESRD).

The prevalence of obesity, hypertension, and diabetes may influence the progression of CKD and ESRD.
Effective dietary management of CKD/ESRD involves careful planning, regular assessment of nutritional status, and monitoring of dietary compliance.
There is limited formal training in nutrition for providers, which has been identified as an area for improvement in medical education.
Dietitians play a crucial role in managing CKD in primary care, yet those without daily renal education may require additional training.

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Diet counseling and nutrition education are recommended in the prevention and management of chronic kidney disease (CKD) and end-stage renal disease (ESRD). The importance of effectively addressing nutrition with patients has grown given the increasing prevalence of obesity, hypertension, and diabetes; conditions which influence CKD/ESRD. Dietary advice for individuals with CKD/ESRD can be seen as complex; and successful dietary management requires careful planning, periodic assessment of nutritional status, as well as monitoring of dietary compliance. In spite of recommendations and pressing need, formal training in nutrition and adequate preparation for providers is limited; and for physicians the lack of nutrition education has been acknowledged, repeatedly, as an area for improvement in medical training curricula. It has also been suggested that dietitians have an essential role in management of CKD in the primary care setting; however, dietitians who do not practice renal education daily may need training on the specific challenges in CKD/ESRD. The objectives of this chapter were to: characterize select nutrition education resources for providers who care for patients with CKD/ESRD; summarize key dietary components emphasized in the care of patients with CKD/ESRD; and address practical considerations in educational efforts focused on nutrition and CKD/ESRD.

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Nutrition education in the care of patients with chronic kidney disease and end‐stage renal disease

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