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Nutrition and chronic kidney disease 

Nutrition and chronic kidney disease
Chapter:
Nutrition and chronic kidney disease
Author(s):

Althea Mahon

, Karen Jenkins

, and Lisa Burnapp

DOI:
10.1093/med/9780199600533.003.0009
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date: 02 April 2020

Introduction

Nutritional assessment

Nutritional requirements in advanced kidney disease

Nutrition and the older person

Managing protein energy malnutrition

Conservative management

Nurses’ and dietitians’ roles in nutritional management

Further reading

Dietary treatment is one of the cornerstones of treating patients with ESKD. Historically, patients were treated with low-protein diets. The ‘renal diet’ was adapted to dialysis and Tx when RRT became available. Protein–energy malnutrition, hyperphosphataemia, chronic fluid overload, and obesity are the most common challenges leading to long-term complications. Nutritional support with advice tailored to the specific needs of the individual patient and continued monitoring are required. A renal dietitian will provide nutritional treatment plans following a full dietary assessment, medical history, and examination....

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