Stress factors overriding food choices in dialysis patients J Rachana, K Rajesh, D Paras, G Virendra, A Mohd Shah, K Jatin, B Viswanath, B Shrirang Journal of Renal Nutrition and Metabolism 2018 4(4):89-90

Assessment of nutritional status in a patient with chronic kidney disease: How Do I Do It? Shruti Tapiawala Journal of Renal Nutrition and Metabolism 2018 4(4):91-94 Studies report a high prevalence of protein-energy malnutrition in patients with chronic kidney disease (CKD) and in dialysis-dependent end-stage kidney disease (ESKD) patients. The strongest evidence comes from the Modification of Diet in Renal Disease study, which showed that, in patients with CKD, as renal function decreases, dietary protein and energy intake, anthropometric parameters, and biochemical markers of nutrition progressively decline. Even we have observed that the calorie and protein intake of Indian patients with CKD and ESRD is poor. This article discusses the methods to assess dietary intake in CKD and ESKD on maintenance dialysis.

Protein intake and phosphate restriction in chronic kidney disease – Can we separate the wheat from chaff? K Sampathkumar Journal of Renal Nutrition and Metabolism 2018 4(4):95-97 Chronic kidney disease (CKD) has evolved into a major noncommunicable disease in India due to both increased incidence and diagnosis. It is believed to affect <10% of adult population who are at excess risk of cardiovascular (CV) and renal morbidity and mortality. The incidence of end-stage renal disease is about 152 per million which is driven by diabetes, hypertension, and chronic glomerulonephritis. In later stages of CKD, phosphate (P) retention is the rule with its myriad pathological links to vascular calcification and CV mortality. This article focuses on protein intake and P restriction in CKD.

Dietary management of hyperphosphatemia in chronic kidney disease Eileen Canday Journal of Renal Nutrition and Metabolism 2018 4(4):98-100 Progressive deterioration of kidney function in chronic kidney disease (CKD) leads to retention of many substances, including phosphorus, that are normally excreted by the kidney. Serum phosphorous concentration, however, is usually maintained within the normal range by a variety of compensatory mechanisms until renal disease has progressed to approximately CKD-Stage 5. The challenge is to provide appropriate nutrition while maintaining phosphorus content within recommended limits. During dietary counseling of patients with CKD, the absolute dietary phosphorous content as well as the phosphorous-to-protein ratio in foods should be addressed. This study focuses on dietary management of hyperphosphatemia in CKD.

Nutritional management of peritoneal dialysis patient Mayoor Prabhu, KS Nayak Journal of Renal Nutrition and Metabolism 2018 4(4):101-105 Malnutrition inevitably accompanies chronic kidney disease and dialysis. Markers of malnutrition such as low-serum albumin have been shown to correlate independently with higher mortality in dialysis patients.[1] Malnutrition is seen in both hemodialysis and peritoneal dialysis (PD) patients. Nutritional management of PD patients is challenging and vital to the patients' long-term survival and well-being. A multidisciplinary approach with a patient-centric plan is necessary to achieve long-term compliance and success. Consideration to cultural, economic, and medical issues is paramount to develop a workable plan, especially in a country as large and diverse as India. This article reviews nutritional management of PD patient.

Obesity in a patient after renal transplant: Its implications, prevention, and management Anita Saxena Journal of Renal Nutrition and Metabolism 2018 4(4):106-106

Bariatric surgery for obese patients with kidney disease Muffazal Lakdawala, Carlyne Remedios Journal of Renal Nutrition and Metabolism 2018 4(4):107-108

Diet for bariatric surgery for obese patients with kidney disease Muffazal Lakdawala, Carlyne Remidios Journal of Renal Nutrition and Metabolism 2018 4(4):109-110

Weight gain and obesity after transplant Pawan Deore, Zaheer Virani, Neil Saldanha, Hitesh Gulhane, Ishan Parekh, Prashant Rajput, Bharat Shah Journal of Renal Nutrition and Metabolism 2018 4(4):111-111

Assessment of nutritional status of hemodialysis patients Disha Jhaveri, Darshana Patil, Zamurrud Patel, Bharat Shah Journal of Renal Nutrition and Metabolism 2018 4(4):112-112