Journal of Renal Nutrition最新文献

{"title":"Associations of Physical Activity and Cardiorespiratory Fitness With Incident Chronic Kidney Disease in a Korean Population","authors":"Yunmin Han MSc ,&nbsp;Sungjae Yoon MSc ,&nbsp;Soomin Lee MSc ,&nbsp;Younghwan Choi MSc ,&nbsp;Geonhui Kim PhD ,&nbsp;Duck-chul Lee PhD ,&nbsp;Youngwon Kim PhD ,&nbsp;Ga-young Lim PhD ,&nbsp;Ria Kwon PhD ,&nbsp;Yoosoo Chang MD, PhD ,&nbsp;Seungho Ryu MD, PhD ,&nbsp;Jeonggyu Kang MD, PhD ,&nbsp;Yeon Soo Kim MD, PhD","doi":"10.1053/j.jrn.2024.12.009","DOIUrl":"10.1053/j.jrn.2024.12.009","url":null,"abstract":"<div><h3>Objective</h3><div>This large cohort study aimed to examine the overall associations of physical activity (PA) and estimated cardiorespiratory fitness (eCRF) with incident chronic kidney disease (CKD).</div></div><div><h3>Methods</h3><div>This study included a total of 274,292 participants (mean age, 37.9 ± 8.0 years; 41% women) using data collected from the Kangbuk Samsung Health Study. The participants were categorized into three groups: PA (inactive, insufficiently active, and active) and eCRF(low, middle, high). Furthermore, subgroup analyses were conducted to examine the differences in the risks of CKD incidence by age and sex. Cox proportional hazard models were used to calculate hazard ratios (HRs) and 95% confidence intervals (95% CIs).</div></div><div><h3>Results</h3><div>A total of 932 participants (0.34%) developed CKD. PA level was not associated with CKD risk in the overall cohort. However, younger participants (&lt;45 years) showed lower CKD risks, with HRs of 0.53 (95% CI: 0.36-0.79) and 0.73 (95% CI: 0.53-1.00) for insufficiently active and active individuals, respectively. Similarly, men exhibited reduced CKD risks, with HRs of 0.77 (95% CI: 0.59-1.00) and 0.81 (95% CI: 0.66-1.00) in these groups. Additionally, those in the high eCRF group had a 20% reduced CKD risk (HR, 0.80; 95% CI: 0.67-0.96) compared to the low eCRF group.</div></div><div><h3>Conclusions</h3><div>The associations between PA or eCRF and incident CKD showed differences according to age and sex.</div></div>","PeriodicalId":50066,"journal":{"name":"Journal of Renal Nutrition","volume":"35 4","pages":"Pages 501-509"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability Between Sarcopenia Diagnosis by EWGSOP 1 and EWGSOP 2 Criteria and Association With Clinical Parameters in Maintenance Hemodialysis Patients","authors":"Laura Tavares Guimarães RD ,&nbsp;Maryanne Zilli Canedo da Silva RD, PhD ,&nbsp;Nayrana do Carmo Soares Reis RD, PhD ,&nbsp;Jacqueline Costa Teixeira Caramori MD, PhD ,&nbsp;Barbara Perez Vogt RD, PhD","doi":"10.1053/j.jrn.2025.03.005","DOIUrl":"10.1053/j.jrn.2025.03.005","url":null,"abstract":"<div><h3>Objectives</h3><div>To analyze the reliability between the sarcopenia criteria proposed by the European Working Group on Sarcopenia in Older People (EWGSOP) 1 and 2 and to verify the association of clinical parameters with sarcopenia diagnosis in patients on maintenance hemodialysis.</div></div><div><h3>Methods</h3><div>Cross-sectional analysis including adult patients on maintenance hemodialysis. The assessment of lean mass was performed by dual-energy X-ray absorptiometry, and the appendicular lean mass index was calculated. The assessment of muscle strength was performed using a handgrip dynamometer. The cutoff values considered for sarcopenia diagnosis were proposed by the EWGSOP 1 and EWGSOP 2 criteria.</div></div><div><h3>Results</h3><div>124 patients were included. The frequency of sarcopenia diagnosis was higher according to EWGSOP 1 (25.8%) than according to EWGSOP 2 (12.9%). The frequency of sarcopenia diagnoses diminished in both sexes. The reliability between the two criteria was moderate (κ = 0.597; <em>P</em> &lt; .001), and 87.1% of patients were classified equally by both criteria. In EWGSOP 1, the presence of diabetes and serum iron was significantly higher in the group with sarcopenia, and in EWGSOP 2 there was no such difference.</div></div><div><h3>Conclusion</h3><div>The frequency of sarcopenia diagnosis in patients on hemodialysis was higher by EWGSOP 1 compared to EWGSOP 2, and the reliability between the criteria was moderate. Sarcopenia diagnosed by EWGSOP 1 was associated with diabetes and serum iron, which are factors that may be associated with sarcopenia pathogenesis. EWGSOP 2 was not associated with the clinical parameters assessed.</div></div>","PeriodicalId":50066,"journal":{"name":"Journal of Renal Nutrition","volume":"35 4","pages":"Pages 539-544"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Acute Effect of Dark Chocolate on Blood Pressure and Renal Hemodynamics as Assessed With Doppler Ultrasound in Healthy Volunteers","authors":"Louise Gargiulo MS,&nbsp;Marielle Hendriks-Balk PhD,&nbsp;Kenji Theiler MD,&nbsp;Wendy Brito BSc,&nbsp;Tanguy Corre,&nbsp;Gregoire Wuerzner MD,&nbsp;Menno Pruijm MD","doi":"10.1053/j.jrn.2025.02.003","DOIUrl":"10.1053/j.jrn.2025.02.003","url":null,"abstract":"<div><h3>Objective</h3><div>Dark chocolate (DC) is rich in cocoa, a substance with antioxidative and antihypertensive properties. The effect of DC on renal hemodynamics is poorly understood. The aim of this randomized, placebo-controlled study was to investigate whether DC induces changes in blood pressure (BP) and renal perfusion, as assessed with Doppler ultrasound – both at rest and during sympathetic stimulation – compared to cocoa-free white chocolate (WC).</div></div><div><h3>Methods</h3><div>Seventeen healthy volunteers aged 42 ± 14 years (47% women) were randomized to eat 1 dose of 1 g/kg of DC (70% cocoa) or 1 g/kg of WC. The renal resistive index (RRI), a proxy of intra-renal vascular resistance, was measured just before and 2 hours after chocolate consumption. BP, heart rate, and cardiac output were measured with the Finapres NOVA hemodynamic monitoring system. At each time point, a 3-minute handgrip (HG) test was performed as sympathetic stimulus; during the HG, supplementary RRI values were measured. Two weeks later, the same exams were repeated with the other type of chocolate.</div></div><div><h3>Results</h3><div>DC intake decreased RRI from 0.62 ± 0.04 to 0.60 ± 0.04 (<em>P</em> = .039), whereas RRI did not change after the intake of WC (before: 0.62 ± 0.05, after: 0.62 ± 0.04, <em>P</em> = .47). DC had no effect on BP in participants consuming &gt;50 g chocolate/week, whereas systolic blood pressure increased from 115 ± 17 to 122 ± 15 mmHg (<em>P</em> = .02) in nonregular chocolate eaters. HG exercise lowered the RRI from 0.62 ± 0.04 to 0.57 ± 0.05 (<em>P</em> = .001) and prolonged acceleration times (from 48.2 ± 8.2 to 57.8 ± 14 msec, <em>P</em> = .009), while increasing BP, heart rate, and cardiac output. In participants aged ≥35 years, the effect of HG exercise on RRI was attenuated by DC ingestion.</div></div><div><h3>Conclusions</h3><div>The ingestion of DC led to an acute reduction in RRI, suggesting intra-renal vasodilation, whereas WC had no effect. BP only increased in nonregular DC eaters, suggesting that regular DC eaters accustomed to the BP-modifying effects of DC. HG exercise led to a tardus parvus-like pattern of Doppler curves. This effect was attenuated by DC in older participants, suggesting that DC counterbalances the sympathetically induced intra-renal vasoconstriction in these volunteers.</div></div>","PeriodicalId":50066,"journal":{"name":"Journal of Renal Nutrition","volume":"35 4","pages":"Pages 486-493"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Still a Long Way to Go, the Potential of ChatGPT in Personalized Dietary Prescription, From a Perspective of a Clinical Dietitian","authors":"Qian You MS,&nbsp;Xuemei Li MM,&nbsp;Lei Shi PhD,&nbsp;Zhiyong Rao PhD,&nbsp;Wen Hu MS","doi":"10.1053/j.jrn.2025.02.008","DOIUrl":"10.1053/j.jrn.2025.02.008","url":null,"abstract":"<div><h3>Objective</h3><div>Prominent large language models, such as OpenAI's Chat Generative Pre-trained Transformer (ChatGPT), have shown promising implementation in the field of nutrition. Special care should be taken when using ChatGPT to prescribe protein-restricted diets for kidney-impaired patients. The objective of the current study is to simulate a chronic kidney disease (CKD) patient and evaluate the capabilities of ChatGPT in the context of dietary prescription, with a focus on protein contents of the diet.</div></div><div><h3>Methods</h3><div>We simulated a scenario involving a CKD patient and replicated a clinical counseling session that covered general dietary principles, dietary assessment, energy and protein recommendation, dietary prescription, and diet customization based on dietary culture. To confirm the results derived from our qualitative observations, 10 colleagues were recruited and provided with identical dietary prescription prompts to run the process again. The actual energy and protein levels of the given meal plans were recorded and the difference from the targets were compared.</div></div><div><h3>Results</h3><div>ChatGPT provides general principles overall aligning with best practices. The recommendations for energy and protein requirements of CKD patients were tailored and satisfactory. It failed to prescribe a reliable diet based on the target energy and protein requirements. For the quantitative analysis, the prescribed energy levels were generally lower than the targets, ranging from −28.9% to −17.0%, and protein contents were tremendously higher than the targets, ranging from 59.3% to 157%.</div></div><div><h3>Conclusion</h3><div>ChatGPT is competent in offering generic dietary advice, giving satisfactory nutrients recommendations and adapting cuisines to different cultures but failed to prescribe nutritionally accurate dietary plans for CKD patients. At present, patients with strict protein and other particular nutrient restrictions are not recommended to rely on the dietary plans prescribed by ChatGPT to avoid potential health risks.</div></div>","PeriodicalId":50066,"journal":{"name":"Journal of Renal Nutrition","volume":"35 4","pages":"Pages 510-516"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Plant-Based Diet and Chronic Kidney Disease: A Systematic Review and Meta-Analysis","authors":"Zihan Dang EdD ,&nbsp;Yifan He MD ,&nbsp;Ruiqian Xie PhD ,&nbsp;Peilin Chen MSc ,&nbsp;Fengyu Dong EdD","doi":"10.1053/j.jrn.2025.03.002","DOIUrl":"10.1053/j.jrn.2025.03.002","url":null,"abstract":"<div><h3>Objective</h3><div>We aimed to perform a systematic review and meta-analyses to evaluate the impact of plant-based diet (PBD) on chronic kidney disease (CKD).</div></div><div><h3>Methods</h3><div>A systematic search of PubMed and Embase was conducted from inception to August 2023 to evaluate the association between adopting a PBD and the incidence, progression, and mortality of CKD. Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using a random effects model. This meta-analysis was preregistered in the PROSPERO.</div></div><div><h3>Results</h3><div>A total of 121,927 participants were included, aged between 18 and 74 years, and were followed up for a weighted average of 11.2 years. Adopting PBD is associated with a significantly reduced risk of developing CKD OR = 0.75, 95% CI (0.65-0.86), <em>P</em> &lt; .0001] across 93,857 participants. Similar results were observed in subgroup analyses that examined higher quintiles/quartiles (Q2-Q5) and tertiles (T2-T3) of PBD versus Q1/T1, with overall effect measures of 0.92 (95% CI; 0.86-0.98) and 0.88 (95% CI; 0.82-0.93), respectively. When adjusting for CKD-related comorbidities in patients following PBD (adjusted models M1, M2, and M3), significant findings were also observed, with an overall OR of 0.86 (95% CI; 0.79-0.93).</div></div><div><h3>Conclusion</h3><div>Adopting PBD was significantly associated with 26% lower incidences of CKD. Higher intake of PBD showed a dose-dependent relationship with lower risk of CKD incidence and slower CKD progression. Unhealthy PBD may not confer renal protective effects compared to healthy PBD.</div></div>","PeriodicalId":50066,"journal":{"name":"Journal of Renal Nutrition","volume":"35 4","pages":"Pages 517-530"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Centers for Nutritional Care: A Further Step to Improve Health-care Quality in Patients With Chronic Kidney Disease","authors":"Giacomo Garibotto MD,&nbsp;Linda W. Moore PhD, RDN, CCRP","doi":"10.1053/j.jrn.2025.05.001","DOIUrl":"10.1053/j.jrn.2025.05.001","url":null,"abstract":"","PeriodicalId":50066,"journal":{"name":"Journal of Renal Nutrition","volume":"35 4","pages":"Pages 473-474"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Low Plasma Marine N-3 Polyunsaturated Fatty Acids are Associated With Increased Risk of Cardiovascular Events in Patients Treated With Maintenance Hemodialysis","authors":"Caroline Liboriussen MD ,&nbsp;Louis Nygaard MD ,&nbsp;Jens Dam Jensen MD, PhD ,&nbsp;Erik Berg Schmidt MD, DMSc ,&nbsp;Rie Io Glerup MD, PhD ,&nbsp;My Hanna Sofia Svensson MD, PhD","doi":"10.1053/j.jrn.2025.02.001","DOIUrl":"10.1053/j.jrn.2025.02.001","url":null,"abstract":"<div><h3>Objective</h3><div>This study investigated the association between the plasma marine n-3 polyunsaturated fatty acids (n-3 PUFAs) eicosapentaenoic acid and docosahexaenoic acid and cardiovascular (CV) events and all-cause mortality in patients treated with hemodialysis.</div></div><div><h3>Methods</h3><div>Prospective multicenter cohort study with 5 years of follow-up. Primary outcome was CV events and secondary outcomes were all-cause mortality and each component of CV events. The sum of plasma eicosapentaenoic acid and docosahexaenoic acid was expressed as marine n-3 PUFAs in weight percentage (wt%). The population was divided into tertiles according to plasma n-3 PUFA levels: lower tertile &lt;5.06 wt%, middle tertile 5.06-6.52 wt%, and upper tertile &gt;6.52 wt%.</div></div><div><h3>Results</h3><div>In total, 336 patients were included. Median follow-up was 5.05 (5.02-5.07) years. Generally, the lower tertile was associated with a higher risk of CV events. Unadjusted, the middle tertile was associated with a 36% lower risk of CV events [hazard ratio (HR) 0.64 (95% confidence interval (CI) 0.43-0.96)], and the upper tertile was associated with a 34% lower risk of CV events [HR 0.66 (95% CI 0.44-0.98)]. After adjusting for confounders, the middle tertile was associated with a lower risk of CV events [HR 0.60 (95% CI 0.40-0.92)], peripheral arterial disease [HR 0.44 (95% CI 0.22-0.88)], and all-cause mortality [HR 0.61 (95% CI 0.42-0.86)]. A restricted cubic spline showed that the CV risk was higher in patients with levels below the median of 5.7 wt%, indicating a potential threshold effect.</div></div><div><h3>Conclusion</h3><div>Low plasma marine n-3 PUFA levels were associated with a higher risk of CV events, peripheral arterial disease, and all-cause mortality in patients treated with hemodialysis.</div></div>","PeriodicalId":50066,"journal":{"name":"Journal of Renal Nutrition","volume":"35 4","pages":"Pages 531-538"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143532079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short Report: Influence of Dark Chocolate Intake on Magnesium Status in Hemodialysis Patients","authors":"Julie Ann Kemp PhD ,&nbsp;Susane Fanton MSc ,&nbsp;Beatriz G. Baptista MSc ,&nbsp;Marcia Ribeiro MSc ,&nbsp;Ludmila F.M.F. Cardozo PhD ,&nbsp;Marcelo Ribeiro-Alves PhD ,&nbsp;Denise Mafra PhD","doi":"10.1053/j.jrn.2025.02.002","DOIUrl":"10.1053/j.jrn.2025.02.002","url":null,"abstract":"<div><h3>Objective</h3><div>Magnesium (Mg²⁺) deficiency can be observed in patients with chronic kidney disease (CKD) and is associated with increased inflammation, disease progression, and mortality. Dark chocolate is an excellent source of Mg²⁺. This study aimed to evaluate the effect of 70% cocoa chocolate intake on Mg²⁺ serum levels in patients with CKD on hemodialysis (HD).</div></div><div><h3>Methods</h3><div>These are secondary analyses from a previous controlled pilot study. The study included 59 patients undergoing HD. Patients were allocated into 2 groups: dark chocolate and the control group. The dark chocolate group received 40 g of 70% cocoa chocolate for 2 months during HD sessions (3 times a week). The control group did not receive any intervention. Mg²⁺ was evaluated by a colorimetric test using a commercial kit (Bioclin®). <span><span>NCT04600258</span><svg><path></path></svg></span> on March 1, 2020, retrospectively registered.</div></div><div><h3>Results</h3><div>Thirty-five patients in the dark chocolate group (17 women, 53.4 ± 12.9 years) and 11 in the control group (4 women, 46.7 ± 10.9 years) completed the study. The median (interquartile range) overall Mg²⁺ serum levels were 2.4 (0.4) mg/dL, with no significant differences between the groups. After 2 months of supplementation, serum levels of Mg²⁺ increased significantly in the dark chocolate group from 2.5 (2.4˗2.6) to 2.7 (2.6˗2.8) mg/dL (<em>P</em> &lt; .01). No change was observed in potassium and phosphorus plasma levels.</div></div><div><h3>Conclusions</h3><div>Dark chocolate might be a promising nutritional strategy to improve Mg²⁺ levels in patients with CKD on HD. The offered dose was safe, not altering plasma phosphorus and potassium levels.</div></div>","PeriodicalId":50066,"journal":{"name":"Journal of Renal Nutrition","volume":"35 4","pages":"Pages 545-549"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143532081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Center for Nutrition Care to Provide Renal Nutrition Therapy to Chronic Kidney Disease Patients","authors":"Abril Gutiérrez-Espinoza MNH ,&nbsp;Julia Nava-Hernández MNH ,&nbsp;Rocío Urbina-Arronte MNC ,&nbsp;Araceli Aguilar-Gamiño MNC ,&nbsp;Adriana Salinas-Rico MNC ,&nbsp;Nadia Aldana-Solís MNC ,&nbsp;Sara De La Rosa-Diez MNC ,&nbsp;Rafael Montufar-Cárdenas MD ,&nbsp;Joel D. Kopple MD","doi":"10.1053/j.jrn.2025.02.005","DOIUrl":"10.1053/j.jrn.2025.02.005","url":null,"abstract":"<div><h3>Objective</h3><div>This paper describes a novel program that provides nutritional care to people with chronic kidney disease (CKD).</div></div><div><h3>Design and Methods</h3><div>This is an observational study of the structure and function of Centro de Atencion Nutricional—Center of Nutritional Care (CEAN) Centers in metropolitan areas in Mexico that provide nutritional care to patients with CKD. Data on nutritional outcomes to treatment were obtained retrospectively from clinic records.</div></div><div><h3>Results</h3><div>The centers consist of several offices that are staffed by licensed dietitians who have undergone training in renal nutrition and are experienced in treating CKD patients. Any licensed physician in Mexico can refer patients to these centers for nutritional assessment and counseling. At their initial visit, patients undergo a comprehensive nutritional assessment by a dietitian, which includes anthropometry, bioelectrical impedance and handgrip strength, and requests for laboratory measurements. A nutritional diagnosis and dietary treatment plan are developed. The patient’s referring physician receives a typed consultation. Almost 50% of the patients make 4 or more follow-up visits to the Center. Those patients who had an initial visit and a tenth visit displayed a reduced dietary protein intake with no reduction in serum albumin or handgrip strength. Body mass index, which averaged overweight, decreased slightly.</div></div><div><h3>Conclusions</h3><div>Centro de Atencion Nutricional in Mexico can provide sophisticated nutritional assessment, dietary therapy and nutritional follow-up for patients with CKD. Preliminary data suggest good nutritional responses in these centers. Clinical trials are needed to examine more definitively whether these centers improve nutritional and clinical outcomes in patients with CKD.</div></div>","PeriodicalId":50066,"journal":{"name":"Journal of Renal Nutrition","volume":"35 4","pages":"Pages 475-485"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143532076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Guide to Filipino Foods While on Dialysis","authors":"Melissa Prest DCN,&nbsp;Alanna Marder MSN","doi":"10.1053/j.jrn.2025.04.004","DOIUrl":"10.1053/j.jrn.2025.04.004","url":null,"abstract":"","PeriodicalId":50066,"journal":{"name":"Journal of Renal Nutrition","volume":"35 4","pages":"Pages e1-e10"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}