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Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
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Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
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Quality-oriented diet therapy for chronic kidney disease.

Juan J Carrero1,2, David E St-Jules3, Annabel Biruete4

  • 1Department of Medical Epidemiology and Biostatistics, Campus Solna, Karolinska Institutet, Stockholm, Sweden. juan.jesus.carrero@ki.se.

Nature Reviews. Nephrology
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Summary

Dietary advice for chronic kidney disease (CKD) is shifting from quantity to quality, emphasizing varied, plant-rich foods. This approach focuses on balance, variety, and moderation for better patient outcomes.

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Area of Science:

  • Nutrition Science
  • Nephrology
  • Dietetics

Background:

  • Traditional chronic kidney disease (CKD) nutrition therapy focused on macronutrient quantity and single micronutrient restriction.
  • This quantity-based approach has limitations, prompting a re-evaluation of medical nutrition therapy.
  • Emerging evidence supports a shift towards dietary quality, emphasizing varied, plant-rich diets.

Purpose of the Study:

  • To provide a framework for quality-oriented diet therapy in CKD.
  • To translate new knowledge on dietary quality into practical recommendations for patients.
  • To guide healthcare professionals in implementing updated nutrition advice for CKD.

Main Methods:

  • Review of current literature and clinical practice guidelines for CKD nutrition.
  • Development of a framework based on dietary principles: balance, variety, and moderation.
  • Consideration of food processing, preparation, and integration into the diet.

Main Results:

  • A quality-oriented dietary approach for CKD is proposed, moving beyond simple quantity restrictions.
  • The framework integrates principles of balance, variety, and moderation.
  • Emphasis is placed on food processing, preparation methods, and individual patient factors.

Conclusions:

  • A shift towards quality-focused, individualized medical nutrition therapy is recommended for CKD patients.
  • Practical implementation requires considering food characteristics and patient-specific factors.
  • This approach aims to improve dietary adherence and health outcomes in CKD management.