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Clinical Decisions in Nephrology, Hypertension and Kidney Transplantation pp 299–308Cite as

Nutrition

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Abstract

Mr. N is a 54-year-old man with a history of hypertension, coronary disease, peripheral vascular disease, gout, dyslipidemia, and chronic kidney disease (CKD) Stage III (MDRD eGFR 35 mL/min) who presents with a 10 kg weight gain over the last 2 months. The patient reports that he has not been very compliant with his diet or exercise program. Gout attacks have been frequent. Physical exam: Height 5′9″; Weight 97 kg, 213 lb; BMI 31. The patient has 7 cm JVD at 30° and 1+ bilateral lower extremity edema. The exam is otherwise unremarkable. Significant labs: creatinine 2.3 mg/dL, triglycerides: 346 mg/dL, serum bicarbonate: 19 mEq/L, potassium: 5.7 mEq/L, phosphorus: 5.5 mg/dL, and PTH: 220 pg/dL. Despite the presence of volume overload, his blood urea nitrogen (BUN) to Cr ratio is 20:1. The patient also has proteinuria (albumin to creatinine ratio: 830 μg/mg).

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References

  1. Bailey JL, Franch H. Nutritional considerations in kidney disease: core curriculum 2010. Am J Kidney Dis. 2010;55(6):1146–61.

    Article  PubMed  Google Scholar 

  2. Saab G, Whaley-Connell AT, McCullough PA, Bakris GL. CKD awareness in the United States: the kidney early evaluation. Program (KEEP). Am J Kidney Dis. 2008;52:382–3.

    Article  PubMed  Google Scholar 

  3. Fouque D, Kalantar-Zadeh K, Kopple J, et al. A proposed nomenclature and diagnostic criteria for protein-energy wasting in acute and chronic kidney disease. Kidney Int. 2008;73(4):391–8.

    Article  PubMed  CAS  Google Scholar 

  4. Teta D. Weight loss in obese patients with chronic kidney disease: who and how? J Ren Care. 2010;36 Suppl 1:163–71.

    Article  PubMed  Google Scholar 

  5. Navaneethan SD, Yehnert H, Moustarah F, Schreiber MJ, Schauer PR, Beddhu S. Weight loss interventions in chronic kidney disease: a systematic review and meta-analysis. Clin J Am Soc Nephrol. 2009;4(10):1565–74.

    Article  PubMed  Google Scholar 

  6. Chanutin A, Ferris EB. Experimental renal insufficiency produced by partial nephrectomy I. Control diet. Arch Intern Med. 1932;49:767–87.

    Article  CAS  Google Scholar 

  7. Chanutin A, Ludewig S. Experimental renal insufficiency produced by partial nephrectomy. V. Diets containing whole dried meat. Arch Intern Med. 1936;58:60–80.

    Article  CAS  Google Scholar 

  8. Franch HA, Mitch WE. Navigating between the Scylla and Charybdis of prescribing dietary protein for chronic kidney diseases. Annu Rev Nutr. 2009;29:341–64.

    Article  PubMed  CAS  Google Scholar 

  9. Kontessis P, Jones S, Dodds R, et al. Renal, metabolic and hormonal responses to ingestion of animal and vegetable proteins. Kidney Int. 1990;38:136.

    Article  PubMed  CAS  Google Scholar 

  10. Kopple JD. National kidney foundation K/DOQI clinical practice guidelines for nutrition in chronic renal failure. Am J Kidney Dis. 2001;37(1 Suppl 2):S66–70.

    Article  PubMed  CAS  Google Scholar 

  11. Kopple JD. Pathophysiology of protein-energy wasting in chronic renal failure. J Nutr. 1999;129(1S Suppl):247–51.

    Google Scholar 

  12. Kaysen GA. Lipid and lipoprotein metabolism in chronic kidney disease. J Ren Nutr. 2009;19(1):73–7.

    Article  PubMed  CAS  Google Scholar 

  13. Beto JA, Bansal VK. Medical nutrition therapy in chronic kidney failure: integrating clinical practice guidelines. J Am Diet Assoc. 2004;104(3):404–9.

    Article  PubMed  Google Scholar 

  14. Axelsson TG, Irving GF, Axelsson J. To eat or not to eat: dietary fat in uremia is the question. Semin Dial. 2010;23(4):383–8.

    Article  PubMed  Google Scholar 

  15. O’Seaghdha CM, Hwang SJ, Muntner P, et al. Serum phosphorus predicts incident chronic kidney disease and end-stage renal disease. Nephrol Dial Transplant. 2011;26(9):2885–90. doi:10.1093/ndt/gfq808.

    Article  PubMed  Google Scholar 

  16. Martin KJ, Gonzalez EA. Prevention and control of phosphate retention/hyperphosphatemia in CKD-MBD: what is normal, when to start, and how to treat? Clin J Am Soc Nephrol. 2011;6(2):440–6.

    Article  PubMed  Google Scholar 

  17. Eknoyan G, Levin A, Levin NW. Bone metabolism and disease in chronic kidney disease. Am J Kidney Dis. 2003;42 Suppl 3:1–201.

    Article  Google Scholar 

  18. Peacock M. Calcium metabolism in health and disease. Clin J Am Soc Nephrol. 2010;5 Suppl 1:S23–30.

    Article  PubMed  CAS  Google Scholar 

  19. Krikken JA, Laverman GD, Navis G. Benefits of dietary sodium restriction in the management of chronic kidney disease. Curr Opin Nephrol Hypertens. 2009;18(6):531–8.

    Article  PubMed  CAS  Google Scholar 

  20. World Health Organization. Reducing salt intake in populations: report of a WHO forum and technical meeting. 2006; Paris, France.

    Google Scholar 

  21. Klaus D, Hoyer J, Middeke M. Salt restriction for the prevention of cardiovascular disease. Dtsch Arztebl Int. 2010;107(26):457–62.

    PubMed  Google Scholar 

  22. Palmer BF. A physiologic-based approach to the evaluation of a patient with hyperkalemia. Am J Kidney Dis. 2010;56(2):387–93.

    Article  PubMed  Google Scholar 

  23. Korgaonkar S, Tilea A, Gillespie BW, et al. Serum potassium and outcomes in CKD: insights from the RRI-CKD cohort study. Clin J Am Soc Nephrol. 2010;5(5):762–9.

    Article  PubMed  CAS  Google Scholar 

  24. Spiegel D. Magnesium in chronic kidney disease: unanswered questions. Blood Purif. 2011;31:172–6.

    Article  PubMed  CAS  Google Scholar 

  25. Lobo JC, Torres JPM, Fouque D, et al. Zinc deficiency in chronic kidney disease: a relationship with adipose tissue and atherosclerosis? Biol Trace Elem Res. 2010;135:16–21.

    Article  PubMed  CAS  Google Scholar 

  26. Oakes EJ, Lyon TD, Duncan A, et al. Acute inflammatory response does not affect erythrocyte concentrations of copper, zinc and selenium. Clin Nutr. 2008;27:115.

    Article  PubMed  CAS  Google Scholar 

  27. Hsieh YY, Shen WS, Lee LY, et al. Long-term changes in trace elements in patients undergoing chronic hemodialysis. Biol Trace Elem Res. 2006;109(2): 115–21.

    Article  PubMed  CAS  Google Scholar 

  28. Handelman GJ, Levin NW. Guidelines for vitamin supplements in chronic kidney disease patients: what is the evidence? J Ren Nutr. 2011;21(1):117–9.

    Article  PubMed  CAS  Google Scholar 

  29. Fissell RB, Bragg-Gresham JL, Gillespie BW, et al. International variation in vitamin prescription and association with mortality in the dialysis outcomes and practice patterns study (DOPPS). Am J Kidney Dis. 2004;44:293–9.

    Article  PubMed  CAS  Google Scholar 

  30. Bossola M, Tazza L, Giungi S, et al. Anorexia in hemodialysis patients: an update. Kidney Int. 2006;70:417–22.

    PubMed  CAS  Google Scholar 

  31. Akpele L, Bailey JL. Nutrition counseling impacts serum albumin levels. J Ren Nutr. 2004;14:143–8.

    Article  PubMed  Google Scholar 

  32. American Heart Association Nutrition Committee, Lichtenstein AH, Appel LJ, et al. Diet and lifestyle recommendations revision 2006: a scientific statement from the American Heart Association Nutrition Committee. Circulation. 2006;114(1):82–96.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. 14615 Lindale Rose Lane, Humble, TX, 77396, USA

    Sejal P. Sarolia M.D.

  2. Renal Division, Atlanta Veterans Affairs Medical Center and Emory University School of Medicine, Decatur, GA, 30033, USA

    Harold A. Franch M.D.

Authors
  1. Sejal P. Sarolia M.D.
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  2. Harold A. Franch M.D.
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Correspondence to Sejal P. Sarolia M.D. .

Editor information

Editors and Affiliations

  1. Chicago College of Medicine, Nephrology, University of Illinois, Wisconsin Avenue 3543, Berwyn, 60402, Illinois, USA

    Edgar V. Lerma

  2. , Division of Nephrology, University of Virginia Health System, Box 800133, Charlottesville, 22908, Virginia, USA

    Mitchell Rosner

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Sarolia, S.P., Franch, H.A. (2013). Nutrition. In: Lerma, E., Rosner, M. (eds) Clinical Decisions in Nephrology, Hypertension and Kidney Transplantation. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4454-1_27

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  • DOI: https://doi.org/10.1007/978-1-4614-4454-1_27

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-4453-4

  • Online ISBN: 978-1-4614-4454-1

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