An Official Publication of Society Of Renal Nutrition And Metabolism (JRNM) Vol. 1, No. 1, January - March 2015
Table Of Content
About Society of Renal Nutrition and Metabolism (SRNM)
Founder Members, SRNM
Scientific Program - Workshop on Renal Nutrition
Diet in Nephrotic Syndrome

Nephrotic syndrome is constellation of heavy proteinuria associated with hypoalbuminaemia, oedema and hyperlipidaemia.1 In adults the nephrotic range proteinuria is defined as urinary protein level of, more than 3.5 g per 1.73m2 of body-surface area per day.While in children it is defined as proteinuria more than 40 mg/m2/h.

By: Sanjeev Gulati

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Nutritional Therapy In Acute Kidney Injury

Acute kidney injury (AKI) can be defined as abrupt decrease in kidney function within 48 hours in the presence of at least one of the modified KDIGO 2012 criteria.

By: Jai Prakash

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  Fliud therapy in chronic kidney disease: how much to drink?

Patients with chronic kidney failure commonly are advised to maintain a generous fluid intake.The reason that physicians tend to recommend such an increased fluid intake is difficult to understand . A scientific basis does not exist. In light of the above, the purpose of this article is to place in modern perspective the widely held but incorrect notion that high fluid intake is a good thing in those with CKD.

By: Jai Prakash, Vivek C Ganiger

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  Diabetic Nephropathy: Nutritional Challenges

Diabetes is a major cause of chronic kidney disease and India among all the SAARC countries has become the diabetes capital of the world. Twenty to forty percent of type 2 diabetes patients having microalbuminuria progress to overt nephropathy i.e., diabetic nephropathy (DN), and-20 % progress to end stage renal disease (ESRD) making it the leading cause of ESRD in the past two decades.

By: Amit Gupta, Anita Saxena

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  Overview of CKD : Diet Progressive of CKD

It is defined as Structural or functional abnormalities of the kidney for > 3 months a manifested by either Normal Albumin execretion is <30mg/24hours. Microalbuminuria is defined as presence of 20-200ugm/min or 30-300mg/24 hours of albumin in the urine. Presence of microalbuminuria is the first sign of glomerular involvement. Macroalbuminuria isdefined aspresence of >300mg/24hours albumin/protein in the urine.

By: A. K. Bhalla

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  How does Peritoneal Dialysis Work? Nutritional Challenges in Peritoneal Dialysis

peritoneal dialysis (PD) was first performed on humans by Ganter, in Germany, in the 1920s. The relative simplicity of the technique, its low cost, and the facility with which it could be performed by the patient at home all contributed to its popularity.

By: Anurag Singh

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  Urolithiasis: Nutritional Management

Food is derived from different kind of plants, different soils, depends on different eating habits, and a single food item contains hundreds of biologically active compounds. Intake of different nutrients does not take place in isolation. People of different cultures derive the same nutrients from different foods and preparation methods. People also vary in their eating habits over time and place.

By: MS Ansari, Sohrab Arora

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  Nutritional Challenges in Post Renal Transplant Patients

The recipients of renal transplants experience an improvement in general sense of well being along with a marked improvement in appetite and increase inbodyweight. It is expected that a successfully transplanted kidney would restore near-normal renal function and correct nutritional abnormalities arising from pre-transplant renal insufficiency. However, some patients do not attain optimal renal function, while others experience decline in renal function with the passage of time.

By: Anita Saxena

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  Nutritional Challenges in Dialysis Patients

The term "protein-energy-wasting" (PEW) has been proposed to describe conditions such as protein­ energy-malnutrition, malnutrition-inflammation complex syndrome, malnutrition-inflammation atherosclerosis syndrome, kidney wasting disease and uremic cachexia which are associated with inadequate nutrient intake, decreased body protein and/or reduced energy reserves. PEW defines loss of somatic and circulating body protein mass and energy reserves. Malnutrition per se is defined as an imbalance between nutrient intake and nutrient

By: D.S Rana

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  Pathophysiology of protein energy wasting in chronic kidney disease

Protein energy wasting (PEW) is highly prevalent in chronic kidney disease (CKD) patients. It is estimated that malnutrition is present in about 42-77% of the end stage renal disease (ESRD) population in developing countries(!). PEW is associated with morbidity, mortality, impaired physical performance and impaired quality of life, as various vital functions are endangered in the setting of malnutrition.

By: Madhusudan Vijayan, Georgi Abraham

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Assessment of Nutritional Status in Chronic Kidney Disease(CKD)

Patients with chronic renal disease usually have poor dietary intake due to uremia. Dietary protein and energy intakes and serum and anthropometric measures of protein-energy nutritional status progressively decline as the GFR decreases. The reduced protein and energy intakes, as GFR falls, may contribute to the decline in many of the nutritional measures.

By: Bharat Shah

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