Giornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologiaSep 21, 2018

Diet therapy to slow kidney failure and reduce dialysis in advanced chronic kidney disease, including before transplant

Circadian Biology Weekly Brief ↗PubMed ↗

Updated Mar 28, 2026

Abstract

Twenty essential points for dietary-nutritional therapy in advanced chronic kidney disease have been defined.

Dietetic-nutritional therapy is crucial for managing chronic kidney disease and integrates with pharmacological treatments.
Objectives of dietary-nutritional therapy include maintaining nutritional status and preventing complications associated with chronic renal failure.
Key components of dietary-nutritional therapy involve managing protein, caloric, sodium, potassium, and phosphorus intake.
Patient adherence to dietary guidelines is critical for the effectiveness and safety of dietary-nutritional therapy.
An interdisciplinary approach involving nephrologists, dietitians, and patients may enhance adherence and outcomes.

Simplified

The Italian nephrology has a long tradition and experience in the field of dietetic-nutritional therapy (DNT), which is an important component in the conservative management of the patient suffering from a chronic kidney disease, which precedes and integrates the pharmacological therapies. The objectives of DNT include the maintenance of an optimal nutritional status, the prevention and / or correction of signs, symptoms and complications of chronic renal failure and, possibly, the delay in starting of dialysis. The DNT includes modulation of protein intake, adequacy of caloric intake, control of sodium and potassium intake, and reduction of phosphorus intake. For all dietary-nutritional therapies, and in particular those aimed at the patient with chronic renal failure, the problem of patient adherence to the dietetic-nutritional scheme is a key element for the success and safety of the DNT and it can be favored by an interdisciplinary and multi-professional approach of information, education, dietary prescription and follow-up. This consensus document, which defines twenty (20) essential points of the nutritional approach to patients with advanced chronic renal failure, has been written, discussed and shared by the Italian nephrologists together with representatives of dietitians (ANDID) and patients (ANED).

Diet therapy to slow kidney failure and reduce dialysis in advanced chronic kidney disease, including before transplant

Abstract

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