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Nutrition in Renal Disease

  • Chapter
Contemporary Nephrology

Abstract

There are at least three reasons that consideration of the nutritional state of a patient with renal disease is an especially important aspect of the patient's care. First, there is considerable evidence that renal failure is a catabolic illness and that loss of muscle tissue not only contributes to the disability of the patient, but also aggravates the uremic state. Second, the syndrome of uremia is due in large part to retention of unexcreted waste products resulting primarily from metabolism of dietary protein. Third, abnormalities such as hypertriglyceridemia may be related to the diet of the uremic patient. Nutritional consequences of renal failure such as these abnormalities can be blunted by considering the dietary requirements of patients with renal failure and the effects of dietary manipulation. This chapter will deal with recent studies of the metabolic abnormalities of renal failure related to nutrition and the expanding role of nutrition in management of patients with renal disease.

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  1. Peter Bent Brigham Hospital, Harvard Medical School, Boston, Massachusetts, USA, 02115

    William E. Mitch

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  1. Washington University School of Medicine, St. Louis, Missouri, USA

    Saulo Klahr M.D.

  2. University of Southern California School of Medicine, Los Angeles, California, USA

    Shaul G. Massry M.D.

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Mitch, W.E. (1981). Nutrition in Renal Disease. In: Klahr, S., Massry, S.G. (eds) Contemporary Nephrology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-6719-6_12

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