Lifestyle Modification and Nutrition

Abstract

Introduction Chronic kidney disease (CKD) is quickly becoming a global epidemic. There is an estimated annual increase of 8%, with a corresponding economic and clinical burden. Recent research into lifestyle factors has confirmed that certain dietary characteristics can help slow the progression of chronic nephropathies. Methods: This narrative review had focus on historical and emerging data on the role of nutrition in the course of CKD, with a particular focus on dietary patterns that have been shown to reduce the risk of ESRD. In this article, obesity, lipids, protein, diabetes, and blood pressure are all discussed in order to demonstrate how the current literature reflects the way to modify the dietary aspects of these. Results: Evidence strongly supports a balanced diet, good glycemic control, lipid control, modest protein reduction, and salt reduction halts the progression of CKD. The importance of these dietary strategies is not solely the role of the dietitian, but of the entire multidisciplinary team like general physician, nephrologist, exercise instructor specially yoga in providing a consistent message. Discussion: The mechanisms underlying causes are unknown, but the message remains consistent: there is an increased need for dietary advice in the predialysis population. This has significant implications and could be a cost-effective way to help slow the progression of the disease.