Introduction Chronic kidney disease (CKD) is a common chronic illness. It generally denotes the presence of renal dysfunction or renal damage lasting for three months or more (Park et al., 2015). Renal dysfunction is characterized by a reduction in the estimated glomerular filtration rate (eGFR) (i.e. eGFR<60mL/min/1.732 (i.e. stages 3-5). Nonetheless, the causal role is yet to be clearly established. Dietary phosphorus can also be reduced via mechanisms such as boiling foods and soaking them in water (Sinha & Prasad, 2014). Though phosphate restriction is crucial, adequate protein content should be observed to avoid malnutrition (Sinha & Prasad, 2014). While phosphate restriction is important in more advanced stages of CKD, it may not
…show more content…
It has particularly been shown that nutrition therapy can prevent the progression of CKD to ESRD and thereby decrease first-year mortality following the commencement of HD (Beto et al., 2014). In a similar vein, a randomized study of 265 CKD patients in a regional nephrology center carried out by Waal et al. (2015) has shown that nutrition therapy not only delays time to dialysis, but also enhances nutrition-related biomarkers. In their comprehensive review of quantitative studies published in the last six decades, Fardet & Boirie (2013) have demonstrated that nutritional strategies aimed at preventing obesity and diabetes - which are major risk factors for CKD - can minimize the prevalence of most chronic diseases, including CKD. It has also been shown that controlling hypertension, which has a lot do with nutrition, can minimize CKD risk (Crockell, …show more content…
Additionally, the CKD stage with which dietary changes can be implemented as well as benefits versus the risks of protein-controlled diets remains controversial matters far as CKD intervention is concerned (Whitham, 2014). Most importantly, nutrition therapy is often challenged by low adherence on the part of patients, especially those with advanced CKD (stages 3-5). All the same, the value of appropriate nutrition in managing CKD cannot be understated (Paes-Barreto et al., 2013). This challenge can be overcome by more intense counseling as opposed to just normal counseling (Paes-Barreto et al., 2013). In other words, besides an individualized dietary program, nutrition education materials should also be
It has particularly been shown that nutrition therapy can prevent the progression of CKD to ESRD and thereby decrease first-year mortality following the commencement of HD (Beto et al., 2014). In a similar vein, a randomized study of 265 CKD patients in a regional nephrology center carried out by Waal et al. (2015) has shown that nutrition therapy not only delays time to dialysis, but also enhances nutrition-related biomarkers. In their comprehensive review of quantitative studies published in the last six decades, Fardet & Boirie (2013) have demonstrated that nutritional strategies aimed at preventing obesity and diabetes - which are major risk factors for CKD - can minimize the prevalence of most chronic diseases, including CKD. It has also been shown that controlling hypertension, which has a lot do with nutrition, can minimize CKD risk (Crockell, …show more content…
Additionally, the CKD stage with which dietary changes can be implemented as well as benefits versus the risks of protein-controlled diets remains controversial matters far as CKD intervention is concerned (Whitham, 2014). Most importantly, nutrition therapy is often challenged by low adherence on the part of patients, especially those with advanced CKD (stages 3-5). All the same, the value of appropriate nutrition in managing CKD cannot be understated (Paes-Barreto et al., 2013). This challenge can be overcome by more intense counseling as opposed to just normal counseling (Paes-Barreto et al., 2013). In other words, besides an individualized dietary program, nutrition education materials should also be