SLOWING PROGRESSION: Diets for patients with chronic kidney disease, should we reconsider?

[Zach]

Diets for patients with chronic kidney disease, should we reconsider?

William E. MitchEmail author and Giuseppe Remuzzi
BMC NephrologyBMC series – open, inclusive and trusted201617:80
DOI: 10.1186/s12882-016-0283-x©  The Author(s). 2016
Received: 22 February 2016Accepted: 14 June 2016Published: 11 July 2016

Abstract

Here we revisit how dietary factors could affect the treatment of patients with complications of chronic kidney disease (CKD), bringing to the attention of the reader the most recent developments in the field. We will briefly discuss five CKD-induced complications that are substantially improved by dietary manipulation: 1) metabolic acidosis and the progression of CKD; 2) improving the diet to take advantage of the benefits of angiotensin converting enzyme inhibitors (ACEi) on slowing the progression of CKD; 3) the diet and mineral bone disorders in CKD; 4) the safety of nutritional methods utilizing dietary protein restriction; and 5) evidence that new strategies can treat the loss of lean body mass that is commonly present in patients with CKD.

Table of Contents:
Abstract
Background
Dietary changes that correct metabolic acidosis can suppress complications of CKD
Inadequate attention to the diet interferes with methods of slowing progression of CKD
Dietary changes ameliorate mineral bone disorders of CKD
Is the low protein diet-ketoacid regimen nutritionally adequate?
New strategies to improve lean body mass, a complication of CKD
Conclusions
Declarations
References

To read the entire article:
http://bmcnephrol.biomedcentral.com/articles/10.1186/s12882-016-0283-x

[kickingandscreaming]

Very interesting article for anyone who is nutritionally minded and wishes to slow the progress of CKD.  Wish I had read this while I still had a chance. I'm not sure how much it applies to those who have already succumbed to dialysis.  Quite a lengthy discussion of the low protein/keto acid(KA) diet.  But KA's are still very hard to get in this country.

[Charlie B53]

As usual, the information is far too late to help me much.  But you can bet I will be trying to pound it into both my Son and Grandson's heads.   They are both physically near identical to me.  Son has already had his first stent, and STILL hasn't improved his diet much at all.   Sad, but it may be too late for him.   9 y.o. G'son is too heavy already.   Got to get him outside, on his feet and moving.  And start teaching him to eat better.    Thankfully he will eat most anything put in front of him.   Including....vegetables!