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Open AccessConcept Paper

Eating Like a Rainbow: The Development of a Visual Aid for Nutritional Treatment of CKD Patients. A South African Project

RD Consultant Renal Dietitian, 6 Janet Street, Glenvista, Johannesburg 2091, South Africa
Department of Clinical and Biological Sciences, University of Torino, 10124 Torino, Italy
Nephrologie, Centre Hospitalier Le Mans, 72037 Le Mans, France
Author to whom correspondence should be addressed.
Nutrients 2017, 9(5), 435;
Received: 26 February 2017 / Revised: 11 April 2017 / Accepted: 17 April 2017 / Published: 28 April 2017
(This article belongs to the Special Issue Nutrition and Chronic Kidney Disease)
Providing nutritional education for chronic kidney disease (CKD) patients in South Africa is complicated by several conditions: the population is composed of diverse ethnic groups, each with its own culture and food preferences; eleven languages are spoken and illiteracy is common in the lower socio-economic groups. Food preparation and storage are affected by the lack of electricity and refrigeration, and this contributes to a monotonous diet. In traditional African culture, two meals per day are often shared “from the pot”, making portion control difficult. There is both under- and over-nutrition; late referral of CKD is common. Good quality protein intake is often insufficient and there are several misconceptions about protein sources. There is a low intake of vegetables and fruit, while daily sodium intake is high, averaging 10 g/day, mostly from discretionary sources. On this background, we would like to describe the development of a simplified, visual approach to the “renal diet”, principally addressed to illiterate/non-English speaking CKD patients in Southern Africa, using illustrations to replace writing. This tool “Five steps to improve renal diet compliance”, also called “Eating like a Rainbow”, was developed to try to increase patients’ understanding, and has so far only been informally validated by feedback from users. The interest of this study is based on underlining the feasibility of dietary education even in difficult populations, focusing attention on this fundamental issue of CKD care in particular in countries with limited access to chronic dialysis. View Full-Text
Keywords: CKD; diet; nutritional therapy; visual aids; education; empowerment CKD; diet; nutritional therapy; visual aids; education; empowerment
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Verseput, C.; Piccoli, G.B. Eating Like a Rainbow: The Development of a Visual Aid for Nutritional Treatment of CKD Patients. A South African Project. Nutrients 2017, 9, 435.

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