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 Kovesdy, Connie M. Rhee, Alison Steiber, Peter Stenvinkel, Pieter ter Wee, Daniel Teta, Angela Y.M. Wang, Kamyar Kalantar-Zadeh

Research output: Contribution to journalReview article

15 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 (US)
Pages (from-to)4-12
Number of pages9
JournalJournal of Renal Nutrition
Volume28
Issue number1
DOIs
StatePublished - Jan 1 2018

Fingerprint

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

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Nutrition and Dietetics
  • Nephrology

Cite this

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

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; 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, 01.01.2018, p. 4-12.

Research output: Contribution to journalReview article

Kistler, BM, Benner, D, Burrowes, JD, Campbell, KL, Fouque, D, Garibotto, G, Kopple, JD, Kovesdy, C, 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
Kistler, Brandon M. ; Benner, Debbie ; Burrowes, Jerrilynn D. ; Campbell, Katrina L. ; Fouque, Denis ; Garibotto, Giacomo ; Kopple, Joel D. ; Kovesdy, Csaba ; 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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