People who live with chronic kidney disease may benefit from dietary therapy who are need of renal replacement therapy (RRT). The new study was published in the Clinical Journal of the American Society of Nephrology. Renal diets which are specially designed for patients are bound to reduce the retention of potassium, sodium, phosphorus, water and acids that contribute to terrible conditions.
Some of them are hyperparathyroidism, metabolic acidosis, hyperphosphatemia, hyperkalemia, heart failure, edema and oxidative stress. Researchers have concentrated upon delaying the progression of chronic kidney disease by using special diets. Based on the investigations developed by researchers Joel D. Kopple, MD, of Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center in Torrance, California and Norio Hanafusa, MD, Bereket Tessema Lodebo, MD, these dietary therapies might bring more benefits than expected.
Apparently, low protein diets (LPD) which imply a daily protein consumption of 0.6-0.8 g per kg per day and essential amino acid or ketoacid supplemented low protein diets might help patients delay dialysis initiation by decreasing uremic toxicity. High protein intakes of 1.03 and 0.99 g protein per kg per day were reported to be found in both female and male patients, respectively, in the United States.
Back in 2007, a study developed by Giuliano Brunori which was published in the American Journal of Kidney Diseases revealed that senior patients who used a supplemented very low protein diet for 10.7 months managed to delay dialysis initiation. What is more, 71% of the patients started dialysis treatment because of hyperkalemia or fluid overload.
Dietary therapy is also designed to delay dialysis three times per week and allow the patient infrequent or incremental dialysis for those with residual renal function. Well-designed supplemented very low protein diets (SVLPD), and low protein diets (LPD) may reduce the accumulation and development of toxic solutes in kidney failure. The authors of the study argued that the new paper suggests that dietary therapy can benefit CKD patients by delaying for up to a few months the need for chronic dialysis in patients with pre-ESRD.
SVLPDs and LPDs may offer patients with advanced CKD with enough time to maturation and placement of a permanent hemodialysis vascular access without needing the use of temporary catheters. Another purpose of dietary therapy is to prevent malnutrition.
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