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Nutrition in the Elderly with Renal Disease

  • Vincenzo Bellizzi
  • Filippo Aucella
  • Patrizia Calella
  • Philippe Chauveau
  • Lina Johansson
  • Daniel Teta
Chapter

Abstract

Elderly patients affected by chronic kidney disease (CKD) and end-stage renal disease (ESRD) are rapidly increasing and represent the major part of renal patients. Elderly renal patients are frail and more susceptible to impair the nutritional status. Conversely, nutritional interventions represent a major part of the comprehensive therapeutic strategies either in predialysis or dialysis phase of the disease, and a safe balance between benefits and harms of nutritional treatment is certainly a challenge.

This chapter first identifies the true elderly renal patient and discusses its nutritional risk and the modalities to monitor the nutritional status and to early discover any nutritional impairment in the elderly renal patients. Thereafter, the major practical nutritional interventions along the course of the renal disease in elderly renal patients are described.

Notes

Acknowledgments

The European Renal Nutrition (ERN) Working Group is an initiative of and supported by the European Renal Association – European Dialysis Transplant Association (ERA-EDTA).

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Vincenzo Bellizzi
    • 1
    • 2
  • Filippo Aucella
    • 3
  • Patrizia Calella
    • 4
  • Philippe Chauveau
    • 2
    • 5
  • Lina Johansson
    • 2
    • 6
  • Daniel Teta
    • 2
    • 7
  1. 1.Division of Nephrology, Dialysis and Transplantation, Nephrology UnitUniversity Hospital “San Giovanni di Dio e Ruggi d’Aragona”SalernoItaly
  2. 2.European Renal Nutrition (ERN) Working Group at the European Renal Association – European Dialysis Transplant Association (ERA-EDTA)LondonUK
  3. 3.Department of Nephrology and DialysisScientific Institute for Research and Health Care “Casa Sollievo della Sofferenza” IRCCSSan Giovanni RotondoItaly
  4. 4.Department of Movement Sciences and WellbeingParthenope UniversityNaplesItaly
  5. 5.Aurad Aquitaine et Service de NéphrologieCHU de BordeauxBordeauxFrance
  6. 6.Department of Nutrition and DieteticsImperial College Healthcare NHS TrustLondonUK
  7. 7.Service of NephrologyHospital of Sion and University of LausanneLausanneSwitzerland

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