Nutrition in Conservative Kidney Management: From Evidence to Practice

Jessica Dawson; Cameron McLean

doi:10.1016/j.semnephrol.2023.151399

Nutrition in Conservative Kidney Management: From Evidence to Practice

Semin Nephrol. 2023 Jan;43(1):151399. doi: 10.1016/j.semnephrol.2023.151399. Epub 2023 Jul 26.

Authors

Jessica Dawson¹, Cameron McLean²

Affiliations

¹ Department of Nutrition and Dietetics, St George Hospital, Sydney, New South Wales, Australia; NHMRC Clinical Trials Centre, University of Sydney, Sydney, New South Wales, Australia. Electronic address: Jessica.dawson@health.nsw.gov.au.
² Department of Nutrition and Dietetics, St George Hospital, Sydney, New South Wales, Australia; School of Medical, Indigenous and Health Sciences, University of Wollongong, Wollongong, New South Wales, Australia.

PMID: 37506469
DOI: 10.1016/j.semnephrol.2023.151399

Abstract

Conservative kidney management (CKM) is a treatment option for kidney failure, particularly for the elderly and those with co-morbidities. Dietitians can play an important role in the provision of CKM by enhancing patients' quality of life through the management of nutrition impact symptoms (symptoms that result in decreased eating, including anorexia, nausea, dry mouth, and taste changes), as well as symptoms that result from malnutrition, including fatigue, weakness, activity intolerance, slow wound healing, and low mood. There are many gaps in the literature regarding optimal nutritional recommendations for patients on CKM. More research is needed on symptom management and interventions to delay or slow the progression of malnutrition and frailty. This article provides an overview of important nutritional considerations, a synthesis of the current literature, and recommendations for application of evidence into the practice of CKM.

Keywords: Nutrition; chronic kidney disease; conservative kidney management; diet; kidney failure; malnutrition.

Publication types

Review