What is it about?

because of altered renal function, some metabolic waste accumulates in the body. Modifying food intake by reducing proteins and ensuring a healthier renal diet will reduce metablic poisoning of the body and improve clinicla symptoms. The start of mainteannce dialysis may be postpone in certain situations.

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Why is it important?

Due to a very heterogeneous food type availability, patients are often lost to adequately choose the optimal food. Dietary survey will be of help, after a nutritional care plan is done with the renal physician and renal dietitian. This will ensure a maintained body composition, avoid weight loss and wasting that may spontaneously occur if no dietary plan is done.

Perspectives

We hope that renal workers will be convinced on how important is the nutritional approach of chronic kidney disease, which represents a major although silent chronic disease worldwide. Studies are to be done on the effects of an optimal renal diet on the colic microbiota of these patients.

denis fouque
Universite Claude Bernard Lyon 1

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This page is a summary of: Nutritional Management of Chronic Kidney Disease, New England Journal of Medicine, November 2017, New England Journal of Medicine (NEJM/MMS),
DOI: 10.1056/nejmra1700312.
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