• Nutrition

Condition Driven: Kidney Disease

Patients with chronic kidney disease have specialized needs – and they look to you and your health care colleagues for nutritional support that is specialized, too.

The Need for Proper Nutrition for People with Chronic Kidney Disease on Dialysis

People with chronic kidney disease (CKD), especially those on dialysis, are at risk for malnutrition or protein-energy wasting (PEW). PEW is a strong risk factor for adverse outcomes and mortality. Evidence indicates that markers of PEW, such as low serum albumin level or inadequate protein intake, correlate with mortality. Approximately two thirds of all people on dialysis in the US have hypoalbuminemia, a serum albumin level of <4.0 mg/dl. Improving nutritional status by dietary and nondietary interventions is an important step toward improving outcomes in these patients.1

Meeting the Nutritional Needs of Your Patients with Chronic Kidney Disease

The recommended energy and protein intakes for people on dialysis are high, and many people are not meeting the recommendations. Along with the needs for additional energy and protein, people on dialysis need to limit their intake of dietary potassium, phosphorus, and sodium. Renal Specific Oral Nutritional Supplementation [RS-ONS] given to people on dialysis can help provide the required energy and protein, has also been shown to lower mortality,1 improve serum albumin levels,1, 2 and improve nutritional status.2

References

  1. Lacson E, Jr., Wang W, Zebrowski B, Wingard R, Hakim RM. Am J Kidney Dis. Oct 2012;60(4):591-600.
  2. Caglar K, Fedje L, Dimmitt R, Hakim RM, Shyr Y, Ikizler TA. Kidney Int. Sep 2002;62(3):1054-1059.