Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation最新文献

{"title":"Is There a De Facto Silo in the Nutrition Management of Dialysis Patients? Examining the Evidence and Potential for Coordinated Interventions by Renal Dietitians and Nephrology Social Workers to Better Optimize Patients' Nutritional Status.","authors":"William A Wolfe","doi":"10.1053/j.jrn.2025.06.008","DOIUrl":"10.1053/j.jrn.2025.06.008","url":null,"abstract":"<p><p>Moving away from silos in health care, interdisciplinary collaboration has become the standard for optimizing malnutrition outcomes in all affected population groups. Despite this, there has not been any documented coordinated involvement by nephrology social workers with renal dietitians to address psychosocial factors known to adversely affect dialysis patients' nutritional status. The purpose of this paper is to provide an overview of evidence on ways the integrated involvement of nephrology social workers, targeting depression and cognitive impairment, can help to mitigate their adverse effects and enable renal dietitians to be more effective in their nutritional management of patients. A concluding discussion looks briefly at potential barriers to the coordinated interventions, as well as a possible areas for interdisciplinary research involving nephrology social workers and renal dietitians.</p>","PeriodicalId":520689,"journal":{"name":"Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Validation of a Knowledge, Attitude, and Practice (KAP) Questionnaire and its utility study towards Nutritional Habits among Non-Dialytic CKD Patients: A Prospective Study.","authors":"Himansu Sekhar Mahaptra, Muthukumar B, Lalit Pursnani, Beauty Suman, M Lakshman, Deepshikha Khattar, Sheli Paul, Chandra Krishnan, Arpita Arora, Nirja Suri","doi":"10.1053/j.jrn.2025.06.001","DOIUrl":"https://doi.org/10.1053/j.jrn.2025.06.001","url":null,"abstract":"<p><strong>Introduction: </strong>Knowledge, attitude, and practices (KAP) related to dietary habits play a critical role in managing disease progression in chronic kidney disease (CKD) patients, yet these aspects remain understudied. This study focused on developing, validating, and assessing the utility of a tailored KAP questionnaire specifically designed for CKD patients.</p><p><strong>Methodology: </strong>This prospective study was conducted from November 2022 to November 2023 among CKD stage 3 to non-dialytic stage 5 patients attending a nephrology outpatient department. A multiple-choice KAP questionnaire, developed with input from 10 nephrologists, included 33 knowledge items (diet 23, disease 10), 33 attitude items on a Likert scale, and 11 practice items on dietary intake. Validity was assessed in a pilot group of 30 CKD patients. A total of 199 patients aged 18-60 years were enrolled and randomized into three diet groups: normal protein intake (0.8-1.0 g/kg/day), low protein intake (0.6 g/kg/day), and very low protein intake with ketoanalogues supplementation (0.3 g/kg/day). Baseline demographic, socioeconomic, dietary data, and KAP scores were recorded, followed by dietary counselling. KAP scores were reassessed at 6 months and compared to baseline.</p><p><strong>Results: </strong>Among 199 enrolled CKD patients (60% male, 74.7% literate), post-counselling KAP scores showed significant improvements: knowledge increased from 29.5 ± 21.3 to 53.3 ± 19.8, attitude from 108.8 ± 16.2 to 133.9 ± 20.2, and practice from 17.0 ± 3.2 to 20.1 ± 2.8 (p < 0.05). Additionally, all KAP components and eGFR significantly improved across different CKD stages following the 6-month dietary intervention.</p><p><strong>Conclusion: </strong>The validated KAP questionnaire revealed significant improvements in knowledge, attitude, and practice over six months following dietary counselling. These findings underscore the necessity of integrating dietary counselling into the management of CKD at all stages.</p>","PeriodicalId":520689,"journal":{"name":"Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Technological Devices for Nutritional Counseling in Patients With Diabetic Kidney Disease.","authors":"Fabiola Martín-Del-Campo, Andrea Arriaga-Verduzco, Ari Cisneros-Hernández, Norma García-Galindo, Francisco Gerardo Yanowsky-Escatell, Leonardo Pazarín-Villaseñor, Jorge Andrade-Sierra","doi":"10.1053/j.jrn.2025.05.006","DOIUrl":"10.1053/j.jrn.2025.05.006","url":null,"abstract":"<p><strong>Objectives: </strong>This study explored the access, use, and acceptance of technological devices for nutritional counseling in patients with diabetic kidney disease (DKD) in a low socioeconomic setting.</p><p><strong>Methods: </strong>In this cross-sectional study, 80 adult patients with DKD from an underserved population, attending the nephrology service of a tertiary-care teaching hospital were included. All patients had a clinical, nutritional, and biochemical evaluation; a direct questionnaire was applied to evaluate access and use of technological devices for nutritional counseling as well as their acceptance (knowledge and perception about benefits, barriers, needs, and easy to use).</p><p><strong>Results: </strong>Eighty-seven percent of patients had access to a smartphone, whereas 20% and 6% to a computer and tablet, respectively; 40% use technological devices for health/nutrition search. Knowledge (1 [1-2]) and barriers (1.4 [1-1.8]) scores were low; scores for benefits (3.7 [3-4]), needs (4.4 [3.7-5]), and easy to use (4.2 [3.7-4.5]) were high. Higher perceptions of the benefits, needs, and willingness to receive nutritional counseling via telemedicine and lower barriers perception were associated with higher easy to use score.</p><p><strong>Conclusions: </strong>Despite advanced age and low educational level, patients had good access to smartphones and perceived their possible benefits and need for nutritional counseling. Regardless of low knowledge, perception of barriers was very low. Telemedicine via smartphones may be a good option to improve nutritional knowledge and skills of patients with DKD.</p>","PeriodicalId":520689,"journal":{"name":"Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Importance of Validation in Nutrition Research.","authors":"Kelly Picard, David St-Jules","doi":"10.1053/j.jrn.2025.03.011","DOIUrl":"10.1053/j.jrn.2025.03.011","url":null,"abstract":"","PeriodicalId":520689,"journal":{"name":"Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Author's Reply: \"Associations Between Dietary Potassium Intake From Different Food Sources and Hyperkalemia in Patients With Chronic Kidney Disease\".","authors":"Nobuhisa Morimoto, Shingo Shioji, Yuichiro Akagi, Tamami Fujiki, Shintaro Mandai, Fumiaki Ando, Takayasu Mori, Koichiro Susa, Shotaro Naito, Eisei Sohara, Tatsuhiko Anzai, Kunihiko Takahashi, Wataru Akita, Akihito Ohta, Shinichi Uchida, Soichiro Iimori","doi":"10.1053/j.jrn.2025.05.005","DOIUrl":"10.1053/j.jrn.2025.05.005","url":null,"abstract":"","PeriodicalId":520689,"journal":{"name":"Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Proceedings of the Seventh International Congress on Uremia Research and Toxicity, May 12-14, 2011, Nagoya, Japan.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":520689,"journal":{"name":"Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation","volume":" ","pages":"77-219"},"PeriodicalIF":3.2,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40195051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}