[Nutritional diet therapy in the management of the patient with Chronic Kidney Disease in advanced phase to delay the beginning and reduce the frequency of dialysis. An option also in the pre-emptive transplant program].

Abstract

The Italian nephrology has a long tradition and experience in the field of dietetic-nutritional therapy (DNT), which is an important component in the conservative management of the patient suffering from a chronic kidney disease, which precedes and integrates the pharmacological therapies. The objectives of DNT include the maintenance of an optimal nutritional status, the prevention and / or correction of signs, symptoms and complications of chronic renal failure and, possibly, the delay in starting of dialysis. The DNT includes modulation of protein intake, adequacy of caloric intake, control of sodium and potassium intake, and reduction of phosphorus intake. For all dietary-nutritional therapies, and in particular those aimed at the patient with chronic renal failure, the problem of patient adherence to the dietetic-nutritional scheme is a key element for the success and safety of the DNT and it can be favored by an interdisciplinary and multi-professional approach of information, education, dietary prescription and follow-up. This consensus document, which defines twenty (20) essential points of the nutritional approach to patients with advanced chronic renal failure, has been written, discussed and shared by the Italian nephrologists together with representatives of dietitians (ANDID) and patients (ANED).

• Authors: Adamasco Cupisti, Giuliano Brunori, Biagio Raffaele Di Iorio, Claudia D'Alessandro, Franca Pasticci, Carmela Cosola, Vincenzo Bellizzi, Piergiorgio Bolasco, Alessandro Capitanini, Anna Laura Fantuzzi, Annalisa Gennari, Giorgina Barbara Piccoli, Giuseppe Quintaliani, Mario Salomone, Massimo Sandrini, Domenico Santoro, Patrizia Babini, Enrico Fiaccadori, Giovanni Gambaro, Giacomo Garibotto, Mariacristina Gregorini, Marcora Mandreoli, Roberto Minutolo, Giovanni Cancarini, Giuseppe Conte, Francesco Locatelli, Loreto Gesualdo
• Journal: Giornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologia (G Ital Nefrol) Vol. 35 Issue 5 (Sep 2018) ISSN: 1724-5990 [Electronic] Italy
• PMID: 30234228 (Publication Type: Consensus Development Conference, Journal Article, Practice Guideline)
• Copyright: Copyright by Società Italiana di Nefrologia SIN, Rome, Italy.

Chemical References

• Dietary Proteins
• Phosphorus, Dietary
• Potassium, Dietary
• Sodium, Dietary

Topics

• Anorexia (etiology)
• Dietary Proteins (administration & dosage)
• Disease Progression
• Energy Intake
• Humans
• Kidney Transplantation
• Malnutrition (prevention & control)
• Nausea (etiology)
• Patient Compliance
• Phosphorus, Dietary (administration & dosage)
• Potassium, Dietary (administration & dosage)
• Renal Dialysis
• Renal Insufficiency, Chronic (diet therapy, physiopathology, therapy)
• Sodium, Dietary (administration & dosage)