Diet in chronic kidney disease in a Mediterranean African country

BMC Nephrology

Debate

Nouha Makhlouf¹  Khawla Kammoun²  Hanen Chaker²  Faical Jarraya²  Hichem Mahfoudh²  Jamil Hachicha² 

[1] Neprology Department Hedi Chaker Hospital, Sfax, Tunisia;Neprology Department Hedi Chaker Hospital, Sfax, Tunisia;Renal Pathology Unit, UR 12 ES 14 Medecin, University Sfax Tunisia, Sfax, Tunisia;

关键词: Chronic renal failure;    Diet;    Low protein diet;    Phosphorus;    Potassium;    Sodium;   

DOI  :  10.1186/s12882-017-0448-2

 received in 2016-03-27, accepted in 2017-01-12,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundMediterranean diet is characterized by low to moderate consumption of animal protein and high consumption of fruits, vegetables, bread, beans, nuts, seeds and other cereals. It has been associated with reduced risk of cardiovascular disease. However, it is not suitable for chronic kidney disease because of high potassium intake.DiscussionTunisia is an emerging Mediterranean country with limited resources, a high prevalence of chronic hemodialysis treatment and high dialysis expenditures. In order to limit dialysis cost, primary and secondary prevention of chronic renal disease are of paramount importance. In addition to drugs, secondary prevention includes diet measures (e.g. salt diet, protein diet). The aims of diet practice in chronic kidney disease are to slow chronic renal failure progression and to prevent its complications like hyperphosphatemia and hyperkaliemiae. A few decades ago, a Tunisian diet was exclusively Mediterranean, and protein consumption was not excessive. However, today, protein consumption is more comparable to western countries. Salt consumption is also excessive. Some Tunisian diets still include food with high potassium intake, which are not suitable for patients with chronic kidney disease. Therefore, the role of the dietician is extremely important to help calculate and create a dietary regimen tailored to each of our patients.SummaryAdvice about diets should be adapted to both the patient and population habits to improve adherence rate. As such, the purpose of this article is to provide our own experience regarding medical nutrition therapy in patients with chronic kidney disease in Tunisia, with some changes in food habits. Prevention is far better than treatment. In this perspective, dietary measures must be at the core of our intervention.

【 授权许可】

CC BY   
© The Author(s). 2017