SIGNIFICANCE OF FOOD STRATEGY FOR PATIENTS WITH CHRONIC KIDNEY DISEASE: A CASE STUDY
Main Article Content
Keywords
Chronic Kidney Disease, Dietary Modification, Nutritional Therapy, Disease Management, Renal Function
Abstract
The serious complications for the patient and rising costs in terms of healthcare have made chronic kidney disease one of the significant global health challenges. Dietary management can slow the progression of CKD, maintain metabolic balance, and improve outcomes. This paper profoundly examines food modification strategies, including protein, sodium, and fluid management restriction, potassium and phosphorus control, and specific diets like the Mediterranean and DASH. A comprehensive literature review emphasizes the personalization of nutritional interventions for preserving renal function, thereby reducing complications from CKD.
Personalized nutrition therapy tailors dietary interventions based on the stage of disease, comorbidities, and patient preference. Case studies have been done to illustrate the quality of life that active disease management and adherence to nutritional recommendations could provide. By incorporating evidence-based dietary strategies into practice, healthcare providers can ensure that patients with CKD experience long-term health benefits. Ongoing research was also done on updated dietary recommendations concerning their long-term implications on renal function. Greater attention among healthcare providers and teaching patients to understand the significance of diet therapy is highly applicable to enhance CKD management. Tailored nutrition therapy will assist the patient, slow disease progression, and improve the patient's total well-being.
References
2. Palmer, S., Maggo, J., Campbell, K., Craig, J., Johnson, D., Sutanto, B., Ruospo, M., Tong, A., & Strippoli, G. (2017). Dietary interventions for adults with chronic kidney disease.. The Cochrane database of systematic reviews, 4, CD011998 . https://doi.org/10.1002/14651858.CD011998.pub2.
3. Goraya, N., Simoni, J., Jo, C., & Wesson, D. (2012). Dietary acid reduction with fruits and vegetables or bicarbonate attenuates kidney injury in patients with a moderately reduced glomerular filtration rate due to hypertensive nephropathy.. Kidney international, 81 1, 86-93 . https://doi.org/10.1038/ki.2011.313.
4. Fouque, D., Pelletier, S., Mafra, D., & Chauveau, P. (2011). Nutrition and chronic kidney disease.. Kidney international, 80 4, 348-57 . https://doi.org/10.1038/ki.2011.118.
5. Kalantar-Zadeh, K. (2013). Patient education for phosphorus management in chronic kidney disease. Patient preference and adherence, 7, 379 - 390. https://doi.org/10.2147/PPA.S43486.
6. Gafter-Gvili, A., Schechter, A., & Rozen-Zvi, B. (2019). Iron Deficiency Anemia in Chronic Kidney Disease. Acta Haematologica, 142(1), 44–50. https://doi.org/10.1159/000496492
7. Holick, M. F. (2005). Vitamin D deficiency in CKD: Why should we care? American Journal of Kidney Diseases, 45(6), 1119–1121. https://doi.org/10.1053/j.ajkd.2005.04.015
8. Janmaat, C. J., Van Diepen, M., Gasparini, A., Evans, M., Qureshi, A. R., Ärnlöv, J., Barany, P., Elinder, C. G., Rotmans, J. I., Vervloet, M., Dekker, F. W., & Carrero, J. J. (2018). Lower serum calcium is independently associated with CKD progression. Scientific Reports, 8(1), 1–9. https://doi.org/10.1038/s41598-018-23500-5
9. Turin, T. C., Tonelli, M., Manns, B. J., Ravani, P., Ahmed, S. B., & Hemmelgarn, B. R. (2012). Chronic kidney disease and life expectancy. Nephrology Dialysis Transplantation, 27(8), 3182–3186. https://doi.org/10.1093/ndt/gfs052
10. Adair, K., & Bowden, R. (2020). Ameliorating Chronic Kidney Disease Using a Whole Food Plant-Based Diet. Nutrients, 12. https://doi.org/10.3390/nu12041007.
11. Apetrii, M., Timofte, D., Voroneanu, L., & Covic, A. (2021). Nutrition in Chronic Kidney Disease—The Role of Proteins and Specific Diets. Nutrients, 13. https://doi.org/10.3390/nu13030956.
12. Beto, J., Schury, K., & Bansal, V. (2016). Strategies to promote adherence to nutritional advice in patients with chronic kidney disease: a narrative review and commentary. International Journal of Nephrology and Renovascular Disease, 9, 21 - 33. https://doi.org/10.2147/IJNRD.S76831.
13. Chauveau, P., Aparicio, M., Bellizzi, V., Campbell, K., Hong, X., Johansson, L., Kolko, A., Molina, P., Sezer, S., Wanner, C., Ter Wee, P., Teta, D., Fouque, D., & Carrero, J. (2018). Mediterranean diet as the diet of choice for patients with chronic kidney disease. Nephrology Dialysis Transplantation, 33, 725–735. https://doi.org/10.1093/ndt/gfx085.
14. Freeman, N., & Turner, J. (2023). In the 'Plant-Based' Era, Patients with Chronic Kidney Disease Should Focus on Eating Healthy.. Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation. https://doi.org/10.1053/j.jrn.2023.08.010.
15. Kalantar-Zadeh, K., Joshi, S., Schlueter, R., Cooke, J., Brown-Tortorici, A., Donnelly, M., Schulman, S., Lau, W., Rhee, C., Streja, E., Tantisattamo, E., Ferrey, A., Hanna, R., Chen, J., Malik, S., Nguyen, D., Crowley, S., & Kovesdy, C. (2020). Plant-Dominant Low-Protein Diet for Conservative Management of Chronic Kidney Disease. Nutrients, 12. https://doi.org/10.3390/nu12071931.
16. Kim, S., & Jung, J. (2020). Nutritional management in patients with chronic kidney disease. The Korean Journal of Internal Medicine, 35, 1279 - 1290. https://doi.org/10.3904/kjim.2020.408.
17. Mafra, D., Borges, N., Lindholm, B., Shiels, P., Evenepoel, P., & Stenvinkel, P. (2020). Food as medicine: targeting the uraemic phenotype in chronic kidney disease. Nature Reviews Nephrology, 17, 153 - 171. https://doi.org/10.1038/s41581-020-00345-8.
18. Naber, T., & Purohit, S. (2021). Chronic Kidney Disease: Role of Diet for a Reduction in the Severity of the Disease. Nutrients, 13. https://doi.org/10.3390/nu13093277.
19. Palmer, S., Maggo, J., Campbell, K., Craig, J., Johnson, D., Sutanto, B., Ruospo, M., Tong, A., & Strippoli, G. (2017). Dietary interventions for adults with chronic kidney disease.. The Cochrane database of systematic reviews, 4, CD011998 . https://doi.org/10.1002/14651858.CD011998.pub2.
20. Rysz, J., Franczyk, B., Ciałkowska-Rysz, A., & Gluba-Brzózka, A. (2017). The Effect of Diet on the Survival of Patients with Chronic Kidney Disease. Nutrients, 9. https://doi.org/10.3390/nu9050495.
21. Zheng, Q. (2023). Dietetic-nutritional management strategies for patients with chronic kidney disease. Highlights in Science, Engineering and Technology. https://doi.org/10.54097/tc9p6070.