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Vitamin and Trace Element Needs in Chronic Kidney Disease

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Book cover Nutrition in Kidney Disease

Part of the book series: Nutrition and Health ((NH))

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Abstract

Malnutrition and the broader term of “protein–energy wasting” have the potential to impact not only macronutrient metabolism but also vitamin and trace element status in patients with chronic kidney disease (CKD). Evidence for this is clearly shown in a recent study on vitamin K status. In this study the researchers determined which parameters predicted vitamin K status [1]. Patients with worsening vitamin K status had significantly lower body mass index (BMI), more years on dialysis, higher C-reactive protein (CRP) concentrations, and poorer survival [1]. Thus, those patients with lower body stores and higher inflammation had lower vitamin K serum concentrations and ultimately significantly increased risk of death. This is an excellent example of why vitamin and mineral status should be assessed, problems identified and treated, and clinical symptoms monitored in the CKD population.

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Authors and Affiliations

  1. Academy of Nutrition and Dietetics, Chicago, Illinois, USA

    Alison L. Steiber Ph.D., R.D.

  2. NephroCare Tassin-Charcot, Saint Foy Les Lyon, France

    Charles Chazot

  3. Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA, USA

    Joel D. Kopple M.D.

  4. David Geffen School of Medicine at UCLA, Los Angeles, CA, USA

    Joel D. Kopple M.D.

  5. UCLA Fielding School of Public Health, Los Angeles, CA, USA

    Joel D. Kopple M.D.

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  1. Alison L. Steiber Ph.D., R.D.
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  2. Charles Chazot
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  3. Joel D. Kopple M.D.
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Correspondence to Alison L. Steiber Ph.D., R.D. .

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Editors and Affiliations

  1. Dept. Primary Care, University of Medicine & Dentistry, New Jersey, Stratford, New Jersey, USA

    Laura D. Byham-Gray

  2. Dept. Nutrition, Long Island University C.W. Post Campus, Brookville, New York, USA

    Jerrilynn D. Burrowes

  3. Div. Nephrology, Stanford University School of Medicine, Stanford, California, USA

    Glenn M. Chertow

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Steiber, A.L., Chazot, C., Kopple, J.D. (2014). Vitamin and Trace Element Needs in Chronic Kidney Disease. In: Byham-Gray, L., Burrowes, J., Chertow, G. (eds) Nutrition in Kidney Disease. Nutrition and Health. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-685-6_24

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