Chronic Kidney Disease in South and South East Asia—The Role of Nutrition

Dear Colleagues,

Chronic kidney disease (CKD) is a major global health issue, afflicting without economic disparities. The progressive decline of the ability of kidneys to remove toxins up to stage five of end-stage renal disease (ESRD), requiring renal replacement therapy (RRT) via dialysis or transplant, presents challenges to the global health community as to human resource availability, healthcare cost decisions, and patient access to resources.  The core of these challenges is sustainability from the viewpoint of the patient for investment in capital for weekly dialysis treatment or access to donated kidneys. Strategies to delay and/or prevent CKD progression to ESRD appear to be outweighed by the RRT options for ESRD. As hypertension and diabetes are two, ever-increasing, major risk factors for CKD/ESRD, the situation is particularly a major health crisis in South Asia. For the South Asia region, little is known about nutritional and lifestyle management in CKD/ESRD. Yet nutrition plays a major role in patient interventions and the nature of delivery, human resource availability, and documentation of patient behaviors and diets against the background of cultural, religious, and socioeconomic disparities within this region is unexplored.

This Special Issue will highlight the latest research emanating from South and Southeast Asia about CKD patient nutrition, identify gaps in knowledge, and provide a platform for strategizing needs-based actions.

Prof. Pramod Khosla
Guest Editor

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