Modified Nutritional Recommendations to Improve Dietary Patterns and Outcomes in Hemodialysis Patients

Annabel Biruete, Jin Hee Jeong, Jennifer L. Barnes, Kenneth R. Wilund

Research output: Contribution to journalArticle

Abstract

The renal diet has traditionally been regarded as one of the most complex medical nutrition therapies to teach, understand, and implement. Specifically, patients are instructed to limit fruits, vegetables, nuts, legumes, dairy, and whole grains because of both phosphorus and potassium concerns. Furthermore, hemodialysis patients are often encouraged to decrease fluid intake to control interdialytic weight gain. These restrictions can result in frustration, lack of autonomy, and the perception that there is nothing left to eat. It is possible that the traditional renal diet may be liberalized, with a focus on whole foods low in sodium and phosphorus additives, to afford patients greater choices and ultimately improved outcomes. Therefore, the objective of this review is to concisely assess the evidence in support of a renal diet focused primarily on reducing the intake of sodium and inorganic phosphorus. Finally, the limited evidence for restrictions on dietary potassium intake is summarized.

Original languageEnglish (US)
Pages (from-to)62-70
Number of pages9
JournalJournal of Renal Nutrition
Volume27
Issue number1
DOIs
StatePublished - Jan 1 2017

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics
  • Nephrology

Fingerprint Dive into the research topics of 'Modified Nutritional Recommendations to Improve Dietary Patterns and Outcomes in Hemodialysis Patients'. Together they form a unique fingerprint.

  • Cite this