Culinary Medicine as a Core Component of the Medical Nutrition Therapy for Kidney Health and Disease

Culinary medicine, an emerging evidence-based discipline in nutrition, and public health, combines the traditional art skills of food preparation with sciences medicine nutrition to maintain health manage disease states. is important component integrative alternative allows care providers including dietitians physicians adapt a more patient-centered approach management chronic diseases, kidney disease.1Irl B.H. Evert A. Fleming et al.Culinary medicine: Advancing Framework for Healthier eating Improve prevention.Clin Ther. 2019; 41: 2184-2198Abstract Full Text PDF PubMed Scopus (6) Google Scholar Indeed, renal diet preparation, which mostly protein-controlled, low-potassium, low-phosphorus, low-sodium diet, example culinary nephrology. There are numerous cooking instructions extract potassium content from by different modalities.2Martinez-Pineda M. Yague-Ruiz C. Vercet-Tormo Is it Possible Include Potato patients? New alternatives Limiting content.J Ren Nutr. 2020; 30: 251-260Abstract (8) However, low-potassium diets often not well received patients providers. These may lead psychosocial consequences issues negatively impact people living (CKD); most such associated stringent unhealthy restrictions even deprive healthy foods.3Picard K. Griffiths Mager D.R. Richard Handouts Disproportionately restrict fruits vegetables.J Abstract Scholar,4Morris Lycett D. Experiences dietary serum disease: Interviews UK adults on maintenance hemodialysis.J (5) With recent paradigm shift field emphasize adequate intake fresh vegetables lower animal-based proteins achieve better health,5Joshi S. Shah Kalantar-Zadeh Adequacy plant-based disease.J 29: 112-117Abstract (41) Scholar,6Kalantar-Zadeh Moore L.W. Does Longevity mean vegan less meat or Any low-protein Good Enough?.J 79-81Abstract (19) there urgent unmet need creating meal plans that entail pragmatic context cooking. Emerging data suggest plant-dominant i.e., >50% protein coming sources, help slow rate CKD progression can allow avoid defer transition dialysis transplantation.7Moore J. Whole-food prevent (3) Scholar, 8Kalantar-Zadeh Joshi Schlueter R. al.Plant-dominant conservative disease.Nutrients. 12Crossref (42) 9Joshi McMacken Plant-based guide Clinicians.Am J Kidney Dis. (22) 10Hanafusa N. Lodebo B.T. Kopple J.D. Current Uses therapy Far-Advanced CKD.Clin Am Soc Nephrol. 2017; Crossref (9) objectives also consistent US Presidential Executive Order July 2019 goal reduce annual incidence failure 25% 2030.11Moore Implementing "Advancing American initiative" Leveraging nutritional patients.J 357-360Abstract In nephrology, aimed at helping understand appreciate value proper as part personalized medicine. An focus about accessing kidney-protective meals home. Hence, medical disease.12Kramer H. Jimenez E.Y. Brommage al.Medical non-dialysis-Dependent Barriers Solutions.J Acad Nutr Diet. 2018; 118: 1958-1965Abstract (25) Consistent these ambitions, group working Veterans Affairs (VA) centers have embarked unique innovation titled, Kidneys Through Your Kitchen.13Schlueter Harned E. Calhoun B. Gore A VA healthcare innovation: kidneys through Kitchen - earlier intervention 2021; 31: 35-38Abstract (1) This medicine-based program teaches VETERANS CKD, their partners, practical ways prepare home, highlighted al,13Schlueter this issue Journal Renal Nutrition (JReN). pioneering state they strive implementation interventions stages CKD. participating under program, serve interdisciplinary team providing monthly classes The dietitian-led portion class education regarding kidney-friendly reduced total animal higher proportion heart-healthy components approach.8Kalantar-Zadeh According biggest shock our participants, who self-declared potatoes guys, restriction, avoiding high adding proteins.6Kalantar-Zadeh 7Moore initiative al reinvigorates role major clinical implications among risk underlying millions Americans conditions.13Schlueter generate critical efficacy safety VETERAN-tailored challenge prevailing dialysis-centered non-VA throughout United States globally. It aligned Order's restructuring End-Stage Disease (ESKD) legislation pre-emptively involving phases rather than preparation.11Moore model stands sharp contrast government payment system whereby dietitians' work units, whereas rarely access therapy.8Kalantar-Zadeh program13Schlueter innovatively emphasizes skill set provided trained other patient outside arena. Averting delaying transplantation will result cost benefits caregiver satisfaction.14Moore Opportunities Metabolism Dawn 2020s: Inauguration Message new JREN Editors-in-Chief.J 1Abstract (10) 15Moore Promoting science 1-3Abstract 16Moore Global approaches Assessment 271-273Abstract (4) Finally, programs Precision plan management.17Kalantar-Zadeh management.J 365-367Abstract potential supported several additional studies published Nutrition. First, Kanbay al18Kanbay Siriopol Copur al.Effect coffee consumption outcome: systematic review meta-analysis studies.J 5-20Abstract presented results examined effect given drinking one common daily habits world. They found was 14% reduction incident greater decrease persons taking 2 cups compared cup daily. 18% ESKD users. Coffee 19% albuminuria, death related 28% investigators concluded dose dependently favorable outcomes.18Kanbay Whether associations causal whether surrogate health-related behaviors remain be determined studies. encouraging mitigate certain area future research. Gustatory function remains consideration personalizing but few disease. prospective study Taiwanese Stage 3 assess gustatory using objective taste strip methods subjective approaches, Chen al19Chen S.I. Chiang C.L. Chao C.T. C.K. Huang J.W. dysfunction closely frailty 49-56Abstract (7) frailty. via scoring, function, oral cavity intactness were 26%, 16%, 6% probability frailty, respectively. hypothesized aiming ameliorate deficits bear reducing severity population, warrants trials.19Chen Similarly, Dawson al20Dawson Brennan F.P. Hoffman al.Prevalence changes association nutrition-related symptoms End-stage 80-84Abstract 298 both those (nondialysis) undergoing significantly upper gastrointestinal symptoms, nausea, vomiting, anorexia, dry sore mouth malnutrition. impaired confound medicine-related strategies deserves Frailty low physical strength considerations determining diseases. Lee al21Lee Y.L. Jin Lim J.Y. S.Y. Relationship between handgrip KNHANES 2014-2017.J 57-63Abstract relevant measures 18,765 South Korean participated Korea National Health Examination Survey during 2014 2017 era. prevalence 4 times Stages 5, 91% 57% men women, respectively.21Lee highlight examine muscle sarcopenia tailored activity exercise function.22Kalantar-Zadeh Improving preventing Cachexia Transplanted exercise.J 465-466Abstract attention. Hyperphosphatemia difficult many patients, its adds substantially existing pill burden. holds hyperphosphatemia-associated Rastogi al23Rastogi Bhatt Rossetti Beto Management hyperphosphatemia paradigm.J 21-34Abstract (12) summarized control based literature trials real-world observational phosphorus hemodialysis patients. integrated incorporating measurement multiple biomarkers mineral bone disorders correlation adjustments medications facilitate improved management. Byrne al24Byrne F.N. Gillman Kiely al.Translation nutrient level recommendations phosphate into food-based advice.J 43-48Abstract suggested should translate guidance restricting nutrient-based advice follow. argued aspects described literature, neither challenges concurrently altering while continuing nutrients potassium. discuss updated nutrient-level advice, medicine.24Byrne could constipation, increase hyperkalemia receiving dialysis. multicenter Brazil, Dos Santos al25Dos R.G. Scatone N.K. Malinovski al.Higher Frequency fruit constipation patients: Multicenter study.J 85-89Abstract showed foods 305 constipation. fact, almost third reported independent determinant intake.25Dos Another interesting report Daugirdas26Daugirdas J.T. Equations estimate normalized creatinine generation (CGRn) 3/Week without residual function.J 90-95Abstract (2) introduced equations thrice-weekly function. His suggests use broader investigation measure status outcome therapy. Data importance randomized, double-blind, placebo controlled trial 100 Chile urine albumin-to-creatinine ratio ?30 mg/g, Bunout al27Bunout Barrera G. Hirsch Lorca placebo-controlled omega-3 fatty acid supplement Predialysis 64-72Abstract randomly assigned months 3,666 mg/day docosahexaenoic eicosapentaenoic acids (i.e., supplement) versus corn oil (placebo). 20% observed 19 13 predefined P .27, and, hence, declared negative pulse wave velocity triglyceride levels supplementation.27Bunout beneficial stone prevention. types stones derived calcium oxalate. Avila-Nava al28Avila-Nava Medina-Vera I. Rodriguez-Hernandez P. al.Oxalate antioxidant Ethnic foods.J 73-79Abstract evaluated oxalate 400 Mexican overweight obesity 24-hour recalls main raw spinach, huanzontle (similar amaranth), purslane, chard, almond, toasted sweetened roasted amaranth highest strawberries, all chocolates, roselle, morita peppers, pinolillo (a cacao-based sweet cornmeal-based beverage). exceeded recommendation.28Avila-Nava considered navigate ongoing pandemic. Mafra al29Mafra Cardozo L. Moraes al.Coronavirus 2019: Quick 39-42Abstract presents recommended coronavirus (COVID-19) note recommendations30Kalantar-Zadeh Impact COVID-19 infection 179-181Abstract (33) opinion caution until rigorously studied bearing COVID-19. summary, research continues evolve disease, findings further support because approach. one-size-fits-all ignores extreme complexity complications.17Kalantar-Zadeh expands knowledge multitude affect highlights incredible counseling