Eating during hemodialysis treatment: A consensus statement from the International Society of Renal Nutrition and Metabolism

Brandon M. Kistler, Debbie Benner, Jerrilynn D. Burrowes, Katrina L. Campbell, Denis Fouque, Giacomo Garibotto, Joel D. Kopple, Csaba P. Kovesdy, Connie M. Rhee, Alison Steiber, Peter Stenvinkel, Pieter ter Wee, Daniel Teta, Angela Y.M. Wang, Kamyar Kalantar-Zadeh

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12 Citations (Scopus)

Abstract

Poor nutritional status and protein-energy wasting are common among maintenance dialysis patients and associated with unfavorable outcomes. Providing foods, meal trays, snack boxes, and/or oral nutritional supplements during hemodialysis can improve nutritional status and might also reduce inflammation, enhance health-related quality of life, boost patient satisfaction, and improve survival. Potential challenges include postprandial hypotension and other hemodynamic instabilities, aspiration risk, gastrointestinal symptoms, hygiene issues, staff burden, reduced solute removal, and increased costs. Differing in-center nutrition policies exist within organizations and countries around the world. Recent studies have demonstrated clinical benefits and highlight the need to work toward clear guidelines. Meals or supplements during hemodialysis may be an effective strategy to improve nutritional status with limited reports of complications in real-world scenarios. Whereas larger multicenter randomized trials are needed, meals and supplements during hemodialysis should be considered as a part of the standard-of-care practice for patients without contraindications.

Original languageEnglish
Pages (from-to)4-12
Number of pages9
JournalJournal of Renal Nutrition
Volume28
Issue number1
DOIs
Publication statusPublished - Jan 2018

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Nutritional Status
Meals
Renal Dialysis
Eating
Nutrition Policy
Snacks
Standard of Care
Hygiene
Patient Satisfaction
Hypotension
Multicenter Studies
Dialysis
Therapeutics
Hemodynamics
Maintenance
Quality of Life
Organizations
Guidelines
Inflammation
Costs and Cost Analysis

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Kistler, B. M., Benner, D., Burrowes, J. D., Campbell, K. L., Fouque, D., Garibotto, G., ... Kalantar-Zadeh, K. (2018). Eating during hemodialysis treatment: A consensus statement from the International Society of Renal Nutrition and Metabolism. Journal of Renal Nutrition, 28(1), 4-12. https://doi.org/10.1053/j.jrn.2017.10.003
Kistler, Brandon M. ; Benner, Debbie ; Burrowes, Jerrilynn D. ; Campbell, Katrina L. ; Fouque, Denis ; Garibotto, Giacomo ; Kopple, Joel D. ; Kovesdy, Csaba P. ; Rhee, Connie M. ; Steiber, Alison ; Stenvinkel, Peter ; ter Wee, Pieter ; Teta, Daniel ; Wang, Angela Y.M. ; Kalantar-Zadeh, Kamyar. / Eating during hemodialysis treatment : A consensus statement from the International Society of Renal Nutrition and Metabolism. In: Journal of Renal Nutrition. 2018 ; Vol. 28, No. 1. pp. 4-12.
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abstract = "Poor nutritional status and protein-energy wasting are common among maintenance dialysis patients and associated with unfavorable outcomes. Providing foods, meal trays, snack boxes, and/or oral nutritional supplements during hemodialysis can improve nutritional status and might also reduce inflammation, enhance health-related quality of life, boost patient satisfaction, and improve survival. Potential challenges include postprandial hypotension and other hemodynamic instabilities, aspiration risk, gastrointestinal symptoms, hygiene issues, staff burden, reduced solute removal, and increased costs. Differing in-center nutrition policies exist within organizations and countries around the world. Recent studies have demonstrated clinical benefits and highlight the need to work toward clear guidelines. Meals or supplements during hemodialysis may be an effective strategy to improve nutritional status with limited reports of complications in real-world scenarios. Whereas larger multicenter randomized trials are needed, meals and supplements during hemodialysis should be considered as a part of the standard-of-care practice for patients without contraindications.",
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Kistler, BM, Benner, D, Burrowes, JD, Campbell, KL, Fouque, D, Garibotto, G, Kopple, JD, Kovesdy, CP, Rhee, CM, Steiber, A, Stenvinkel, P, ter Wee, P, Teta, D, Wang, AYM & Kalantar-Zadeh, K 2018, 'Eating during hemodialysis treatment: A consensus statement from the International Society of Renal Nutrition and Metabolism' Journal of Renal Nutrition, vol. 28, no. 1, pp. 4-12. https://doi.org/10.1053/j.jrn.2017.10.003

Eating during hemodialysis treatment : A consensus statement from the International Society of Renal Nutrition and Metabolism. / Kistler, Brandon M.; Benner, Debbie; Burrowes, Jerrilynn D.; Campbell, Katrina L.; Fouque, Denis; Garibotto, Giacomo; Kopple, Joel D.; Kovesdy, Csaba P.; Rhee, Connie M.; Steiber, Alison; Stenvinkel, Peter; ter Wee, Pieter; Teta, Daniel; Wang, Angela Y.M.; Kalantar-Zadeh, Kamyar.

In: Journal of Renal Nutrition, Vol. 28, No. 1, 01.2018, p. 4-12.

Research output: Contribution to journalReview articleResearchpeer-review

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T1 - Eating during hemodialysis treatment

T2 - A consensus statement from the International Society of Renal Nutrition and Metabolism

AU - Kistler, Brandon M.

AU - Benner, Debbie

AU - Burrowes, Jerrilynn D.

AU - Campbell, Katrina L.

AU - Fouque, Denis

AU - Garibotto, Giacomo

AU - Kopple, Joel D.

AU - Kovesdy, Csaba P.

AU - Rhee, Connie M.

AU - Steiber, Alison

AU - Stenvinkel, Peter

AU - ter Wee, Pieter

AU - Teta, Daniel

AU - Wang, Angela Y.M.

AU - Kalantar-Zadeh, Kamyar

PY - 2018/1

Y1 - 2018/1

N2 - Poor nutritional status and protein-energy wasting are common among maintenance dialysis patients and associated with unfavorable outcomes. Providing foods, meal trays, snack boxes, and/or oral nutritional supplements during hemodialysis can improve nutritional status and might also reduce inflammation, enhance health-related quality of life, boost patient satisfaction, and improve survival. Potential challenges include postprandial hypotension and other hemodynamic instabilities, aspiration risk, gastrointestinal symptoms, hygiene issues, staff burden, reduced solute removal, and increased costs. Differing in-center nutrition policies exist within organizations and countries around the world. Recent studies have demonstrated clinical benefits and highlight the need to work toward clear guidelines. Meals or supplements during hemodialysis may be an effective strategy to improve nutritional status with limited reports of complications in real-world scenarios. Whereas larger multicenter randomized trials are needed, meals and supplements during hemodialysis should be considered as a part of the standard-of-care practice for patients without contraindications.

AB - Poor nutritional status and protein-energy wasting are common among maintenance dialysis patients and associated with unfavorable outcomes. Providing foods, meal trays, snack boxes, and/or oral nutritional supplements during hemodialysis can improve nutritional status and might also reduce inflammation, enhance health-related quality of life, boost patient satisfaction, and improve survival. Potential challenges include postprandial hypotension and other hemodynamic instabilities, aspiration risk, gastrointestinal symptoms, hygiene issues, staff burden, reduced solute removal, and increased costs. Differing in-center nutrition policies exist within organizations and countries around the world. Recent studies have demonstrated clinical benefits and highlight the need to work toward clear guidelines. Meals or supplements during hemodialysis may be an effective strategy to improve nutritional status with limited reports of complications in real-world scenarios. Whereas larger multicenter randomized trials are needed, meals and supplements during hemodialysis should be considered as a part of the standard-of-care practice for patients without contraindications.

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U2 - 10.1053/j.jrn.2017.10.003

DO - 10.1053/j.jrn.2017.10.003

M3 - Review article

VL - 28

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JO - Journal of Renal Nutrition

JF - Journal of Renal Nutrition

SN - 1051-2276

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