Nutritional and Lifestyle Advice for Patients with Chronic Kidney Disease

Dear Colleagues,

Chronic kidney disease (CKD) is a progressive condition that affects >10% of the general population worldwide. CKD has emerged as one of the leading causes of mortality worldwide and is among the rare non-communicable diseases that have shown an increase in associated deaths over the past two decades. The high number of affected individuals and the significant adverse impact of chronic kidney disease should prompt enhanced efforts for better prevention and treatment. Nutritional intervention is recommended in the management of CKD individuals. It is well known that individuals with CKD often have multiple comorbidities, such as arterial hypertension, diabetes, obesity and cardiovascular disease, for which nutritional intervention is also recommended. As CKD progresses, nutrition and lifestyle modifications play important roles in mitigating the risk for a decline in kidney function and also for cardiovascular disease in this high-risk population.

Moreover, the objectives of nutrition interventions in CKD include the management of multiple risk factors, ensuring optimal nutritional status throughout all stages of CKD, preventing the buildup of different toxic metabolic products and avoiding complications of CKD. The care of all chronic non-communicable diseases requires dietary counselling in addition to lifestyle adjustment, but this can be extremely difficult in day-to-day clinical practice. It is important to note that recommended dietary changes should be feasible, sustainable and suited to patients' food preferences and clinical needs.

For this reason, I am extending an invitation to you to contribute your excellent work in this field of nephrology, with a focus on dietary and lifestyle changes in this vulnerable population of CKD patients.

Dr. Josipa Radić
Guest Editor

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