[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].
Year: 2018
Type: article
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).
Source: PubMed
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
Institutions: University of Pisa, University of Bari Aldo Moro, AOU San Giovanni di Dio e Ruggi d'Aragona, Azienda Usl Toscana Centro, Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia, University of Brescia, Centre Hospitalier du Mans, University of Turin, Azienda Ospedaliera di Perugia, University of Messina, University of Parma, Università Cattolica del Sacro Cuore, Ospedale Policlinico San Martino, University of Genoa, Azienda Sanitaria Unità Locale di Reggio Emilia, Santa Maria Nuova Hospital, University of Campania "Luigi Vanvitelli", Alessandro Manzoni Hospital
Language: Italian
Subfield: Nephrology
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2977614032