Affiliation:
1. Specialist renal dietitian, West London Renal and Transplant Centre, Hammersmith Hospital and consultant dietitian, Your Diet Matters
Abstract
Renal bone disease increases morbidity and mortality in patients with chronic kidney disease by increasing the risk for fractures, osteoporosis and other bone problems and its association with cardiovascular disease, including calcification and arterial stiffness. Treatment of renal bone disease is through a combination of three main methods to reduce phosphate levels: dietary restriction of high-phosphate foods; dialysis clearance; and the use of phosphate binders to prevent its absorption.