Why a Nutritional Blog?
THE NUTRITION BLOG IS ENDORSED BY ISRNM (INTERNATIONAL SOCIETY OF RENAL NUTRITION AND METABOLISM). CLICK HERE TO VISIT THE WEBSITE.
Why a renal nutrition blog?
“Nutrients are the substrates for energy, tissue synthesis and metabolism. A continuing supply of nutrients is necessary for an individual to live”
This sentence summarizes the principles of the Science of Nutrition, and it feels hard to refute.
The Science of Renal Nutrition in chronic kidney disease (CKD) has evolved dramatically during the last decades and clearly shows that CKD patients not only have difficulties in meeting energy and calorie needs, but also have altered metabolism that rapidly depletes their body fuels. This multifactorial condition has been termed Protein-energy wasting (PEW) and is one of the strongest factors associated with the poor survival of this patient group.
In this complex scenario, CKD patients are also in need of integrated nutrition assessments, identification of those at greatest risk for PEW, multiple dietary instructions to maintain an adequate supply of protein and energy while at the same time reducing intake of phosphorus, sodium, potassium and fluids and finally, aggressive nutrition support interventions in those with moderate to severe PEW.
Dietary restrictions are hard to comply and sometimes go against usual recommendations for a healthy diet. Patient’s compliance with these dietary instructions depends on appropriate advice by healthcare professionals. Patient’s management of their nutritional status depends, at the same time, on up-to-date knowledge by healthcare professionals on the causes, clinical signs and therapeutic options available.
Internet offers an invaluable opportunity to create virtual interest groups, surpassing distances and geographical boundaries. We thought it would be useful and relevant to create a place in NDT-e where to exchange professional experience and gain insight into clinical renal nutrition practice around the world. Blogs are rapidly evolving as a dynamic and interactive platform for these initiatives and it is with great pleasure that we initiate with this post the adventure of a “Renal Nutrition Blog”.
Our thoughts for this blog include:
- Discussion on innovative or controversial topics on nutritional management and clinical practice in patients with CKD.
- To create an interactive journal club experience where authors can discuss with bloggers the implications and applicability of their recent publications.
- Create a virtual community support for patient care.
- Offer information on renal nutrition education initiatives for both patients and healthcare staff.
Our first initiative was to run a small survey regarding knowledge in renal nutritional management. This survey ran during the summer in the NDT-e platform. We were impressed by the high participation obtained, with more than 1100 respondents! Results are briefly discussed in this link (http://www.ndt-educational.org/nutrition.htm). However, we will take the opportunity to discuss some of these topics in more detail in upcoming posts.
The success of the blog depends on your interests and participation.
- What topics/problems you would find interesting and relevant for your practice? We could invite worldwide experts to discuss with you these issues in the blog.
- Have you published recently on aspects related to renal nutrition and would like to expose them to the renal community? Please contact us and allow us to learn from your work!
- Are you aware of educational initiatives, courses, workshops or symposia on renal nutrition? Let us know and we can increase awareness through this platform!
- Do you have other ideas and/or would like to participate actively in this initiative? Great, just contact us!
Juan Jesús Carrero
Karolinska Institutet, Sweden.