Historical Perspective of Nutrition in Kidney Disease

Hensley, Mary Kay

doi:10.1007/978-1-59745-032-4_2

Cited by 4 publications

(3 citation statements)

References 36 publications

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“…Reducing dietary protein intake as a strategy to manage CKD progression has been implemented for over 100 years. 9 Perhaps one of the most notable, and possibly most widely debated, studies investigating the effect of dietary protein restriction on the progression of existing CKD was the Modification of Diet in Renal Disease (MDRD) study. 10 In MDRD, individuals with CKD (eGFR 25-55 ml/min/1.73 m 2 ) were randomized to usual protein and low-protein groups.…”

Section: Protein and Healthy Kidneysmentioning

confidence: 99%

Do the high‐protein recommendations for athletes set some on a path to kidney injury and dialysis?

Marinaro

Alexander

Waal

2021

Seminars in Dialysis

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Athletes and fitness enthusiasts are often encouraged to follow high‐protein diets to optimize muscle protein synthesis, modify body composition, and enhance performance, yet the safety of these higher protein intakes has been debated. Many people with kidney dysfunction are unaware of their condition, and the potential harm of excess protein intake on the kidneys may not be adequately reported in the sports nutrition literature. Studies suggesting that high‐protein intake may be associated with incident kidney disease have led the nephrology community to make conservative recommendations. In contrast, the fitness community suggests that high dietary protein intake is safe and poses no risk of kidney injury. These claims often fail to acknowledge limitations in the internal validity and generalizability of the study results, despite many studies not being adequately powered to support such claims. It is essential to make dietary recommendations that consider the totality of the data and follow the ethical norm of “do no harm.” Studies that evaluate the use of high‐protein diets among athletes must consider the balance of efficacy with safety. While an intervention may be safe in one population, it does not mean that safety can be assumed for all groups.

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Section: Protein and Healthy Kidneysmentioning

confidence: 99%

Do the high‐protein recommendations for athletes set some on a path to kidney injury and dialysis?

Marinaro

Alexander

Waal

2021

Seminars in Dialysis

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“…Patients suffering from kidney problems with edema and proteinuria were given a milk diet recommended by Richard Bright. 22 Arthur Fishberg 23 identified dietetic treatment of acute uremia as a reduction of about 20 g of protein daily with increased carbohydrate and fat to spare protein in order to reduce the nonprotein nitrogen in the blood, improve laboratory measurements, and reduce symptoms of renal insufficiency and uremia. Chronic cases were suggested to be not less than 40 g of protein, because even at this time it was recognized that very low-protein diets for an extended time were associated with bodily asthenia, cardiac weakness, anemia, development of edema, and negative nitrogen balance.…”

Section: History and Principles Of Protein Nutrition In Renal Failurementioning

confidence: 99%

The Kidney: Medical Nutrition Therapy—Yesterday and Today

Kalista-Richards

2011

Nut in Clin Prac

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For many years, those who studied renal disease recognized a strong correlation between diet and disease progression. Diet therapy, now referred to as medical nutrition therapy, has long been investigated in the treatment of kidney insufficiency and kidney failure. Given that the kidneys have numerous vital functions, including a primary role in the excretion of waste products and urine, the diminishing effects of aging and disease on the kidney require adaptation of the nutrition consumed. Over the years, numerous theories have evolved as treatment modalities. This article explores the history of dietary management of kidney disease going back to leading researchers including Borst, Giovannetti, and Kopple, along with others. Clinicians have witnessed the historic development of national guidelines and protocols for nutrition treatment of chronic kidney disease and acute kidney injury, leading to improved uniformity among practitioners. Some of the changes in medical nutrition therapy and specialized nutrition support are addressed.

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“…Posteriormente, Giordano e Giovanetti criaram uma dieta, até hoje conhecida como dieta de Giordano-Giovanetti, que valoriza a ingestão de pouca quantidade de proteínas e a necessidade da ingestão de proteínas de alto valor biológico para os pacientes com insuficiência renal crônica. 4 A introdução dos métodos dialíticos e dos transplantes renais tornou possível a sobrevida dos pacientes em fase final de insuficiência renal crônica, embora ainda hoje os índices de mortalidade sejam muito elevados nessa população. Uma vez iniciada terapia dialítica, a expectativa de vida é de 8 anos para pacientes entre 40-44 anos e, aproximadamente, 4,5 anos para pacientes entre 60 e 64 anos nos Estados Unidos.…”

Section: Introductionunclassified

Educação nutricional para pacientes renais crônicos em programa de hemodiálise

Casas

Rodrigues

D’Ávila

2015

Nutrire

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Introduction: Nutritional education is an important matter for hemodialysis patients because it can change patient behavior and, therefore, improve nutritional status, decreasing risks of inadequate diets. Objectives: To evaluate the effects of a specific nutritional education program developed for patients undergoing hemodialysis and the changes that may be induced by the program. Methodology: The effects of the nutritional education program were studied in 27 hemodialysis patients (13 men) with mean age of 50.2±13 years. Before and after the nutritional program, patients answered feed surveys and had their basic nutritional knowledge, laboratory test results, and interdialytic weight gain evaluated. The educational nutrition program itself was evaluated by questioning patients on their impressions and perceptions on the course. Results: A low level of knowledge of nutritional basic aspects was observed before the course, while a significant improvement of understanding was verified after the course (24% and 60% of correct answers before and after the course, respectively; p<0.0001). It was possible to observe a significant reduction of the blood potassium level after the course (5.2±0.9 vs 4.7±0.7mEq/L; p=0.029, before and after the course, respectively), but other laboratory variables were not modified. The feed questionnaire and the interdialytic weight gain were similar in both moments: pre and post course. The evaluation of the course by the patients was extremely positive. Conclusions: The educational nutrition program promoted a gain of knowledge in nutritional aspects for dialysis patients, but it did not foster significant changes in the quality or amount of food intake, interdialytic weight gain, and laboratorial levels. A positive assessment of the program was observed. It is possible that changes in the nutritional aspects and laboratorial levels demand more monitoring time.

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Historical Perspective of Nutrition in Kidney Disease

Cited by 4 publications

References 36 publications

Do the high‐protein recommendations for athletes set some on a path to kidney injury and dialysis?

Do the high‐protein recommendations for athletes set some on a path to kidney injury and dialysis?

The Kidney: Medical Nutrition Therapy—Yesterday and Today

Educação nutricional para pacientes renais crônicos em programa de hemodiálise

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