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Nutrition in the Elderly with Renal Disease

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Abstract

Elderly patients affected by chronic kidney disease (CKD) and end-stage renal disease (ESRD) are rapidly increasing and represent the major part of renal patients. Elderly renal patients are frail and more susceptible to impair the nutritional status. Conversely, nutritional interventions represent a major part of the comprehensive therapeutic strategies either in predialysis or dialysis phase of the disease, and a safe balance between benefits and harms of nutritional treatment is certainly a challenge.

This chapter first identifies the true elderly renal patient and discusses its nutritional risk and the modalities to monitor the nutritional status and to early discover any nutritional impairment in the elderly renal patients. Thereafter, the major practical nutritional interventions along the course of the renal disease in elderly renal patients are described.

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Acknowledgments

The European Renal Nutrition (ERN) Working Group is an initiative of and supported by the European Renal Association – European Dialysis Transplant Association (ERA-EDTA).

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Authors and Affiliations

  1. Division of Nephrology, Dialysis and Transplantation, Nephrology Unit, University Hospital “San Giovanni di Dio e Ruggi d’Aragona”, Salerno, Italy

    Vincenzo Bellizzi

  2. European Renal Nutrition (ERN) Working Group at the European Renal Association – European Dialysis Transplant Association (ERA-EDTA), London, UK

    Vincenzo Bellizzi, Philippe Chauveau, Lina Johansson & Daniel Teta

  3. Department of Nephrology and Dialysis, Scientific Institute for Research and Health Care “Casa Sollievo della Sofferenza” IRCCS, San Giovanni Rotondo, Italy

    Filippo Aucella

  4. Department of Movement Sciences and Wellbeing, Parthenope University, Naples, Italy

    Patrizia Calella

  5. Aurad Aquitaine et Service de Néphrologie, CHU de Bordeaux, Bordeaux, France

    Philippe Chauveau

  6. Department of Nutrition and Dietetics, Imperial College Healthcare NHS Trust, London, UK

    Lina Johansson

  7. Service of Nephrology, Hospital of Sion and University of Lausanne, Lausanne, Switzerland

    Daniel Teta

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  1. Vincenzo Bellizzi
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  4. Philippe Chauveau
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  5. Lina Johansson
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Editors and Affiliations

  1. Nephrology Division, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina

    Carlos Guido Musso

  2. Hospital Italiano de Buenos Aires, Buenos Aires, Argentina

    José Ricardo Jauregui

  3. Departamento de Medicina, Salamanca, Spain

    Juan Florencio Macías-Núñez

  4. University of Medicine “Grigore T. Popa” and University Hospital “C. I. Parhon”, Iasi, Romania

    Adrian Covic

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Bellizzi, V., Aucella, F., Calella, P., Chauveau, P., Johansson, L., Teta, D. (2019). Nutrition in the Elderly with Renal Disease. In: Musso, C., Jauregui, J., Macías-Núñez, J., Covic, A. (eds) Clinical Nephrogeriatrics. Springer, Cham. https://doi.org/10.1007/978-3-030-18711-8_15

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