A practical approach to the nutritional management of chronic kidney disease patients in Cape Town, South Africa

 

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dc.contributor.author Ameh, Oluwatoyin I
dc.contributor.author Cilliers, Lynette
dc.contributor.author Okpechi, Ikechi G
dc.date.accessioned 2016-07-15T09:15:55Z
dc.date.available 2016-07-15T09:15:55Z
dc.date.issued 2016-07-08
dc.identifier.citation Ameh, O. I., Cilliers, L., & Okpechi, I. G. (2016). A practical approach to the nutritional management of chronic kidney disease patients in Cape Town, South Africa. BMC nephrology, 17(1), 68. en_ZA
dc.identifier.issn 1471-2369 en_ZA
dc.identifier.uri http://dx.doi.org/10.1186/s12882-016-0297-4
dc.identifier.uri http://hdl.handle.net/11427/20360
dc.description.abstract Background: The multi-racial and multi-ethnic population of South Africa has significant variation in their nutritional habits with many black South Africans undergoing a nutritional transition to Western type diets. In this review, we describe our practical approaches to the dietary and nutritional management of chronic kidney disease (CKD) patients in Cape Town, South Africa. Discussion: Due to poverty and socio-economic constraints, significant challenges still exist with regard to achieving the nutritional needs and adequate dietary counselling of many CKD patients (pre-dialysis and dialysis) in South Africa. Inadequate workforce to meet the educational and counselling needs of patients, inability of many patients to effectively come to terms with changing body and metabolic needs due to ongoing kidney disease, issues of adherence to fluid and food restrictions as well as adherence to medications and in some cases the inability to obtain adequate daily food supplies make up some of these challenges. A multi-disciplinary approach (dietitians, nurses and nephrologists) of regularly reminding and educating patients on dietary (especially low protein diets) and nutritional needs is practiced. The South African Renal exchange list consisting of groups of food items with the same nutritional content has been developed as a practical tool to be used by dietitians to convert individualized nutritional prescriptions into meal plan to meet the nutritional needs of patients in South Africa. The list is currently utilized in counselling CKD patients and provides varied options for food items within the same group (exchangeable) as well as offering ease for the description of suitable meal portions (sizes) to our patients. Summary: Regular and continuous education of CKD patients by a multi-disciplinary team in South Africa enables our patients to meet their nutritional goals and retard CKD progression. The South African renal exchange list has proved to be a very useful tool in meeting this need. en_ZA
dc.language eng en_ZA
dc.publisher BioMed Central en_ZA
dc.rights Creative Commons Attribution 4.0 International (CC BY 4.0) *
dc.rights.uri http://creativecommons.org/licenses/by/4.0/ en_ZA
dc.source BMC Nephrology en_ZA
dc.source.uri http://bmcnephrol.biomedcentral.com/
dc.subject protein
dc.subject potassium
dc.subject phosphate
dc.subject restriction
dc.subject nutrition
dc.subject kidney disease
dc.title A practical approach to the nutritional management of chronic kidney disease patients in Cape Town, South Africa en_ZA
dc.type Journal Article en_ZA
dc.date.updated 2016-07-08T18:03:11Z
dc.language.rfc3066 en
dc.rights.holder The Author(s).
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Division of Nephrology and Hypertension en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Ameh, O. I., Cilliers, L., & Okpechi, I. G. (2016). A practical approach to the nutritional management of chronic kidney disease patients in Cape Town, South Africa. <i>BMC Nephrology</i>, http://hdl.handle.net/11427/20360 en_ZA
dc.identifier.chicagocitation Ameh, Oluwatoyin I, Lynette Cilliers, and Ikechi G Okpechi "A practical approach to the nutritional management of chronic kidney disease patients in Cape Town, South Africa." <i>BMC Nephrology</i> (2016) http://hdl.handle.net/11427/20360 en_ZA
dc.identifier.vancouvercitation Ameh OI, Cilliers L, Okpechi IG. A practical approach to the nutritional management of chronic kidney disease patients in Cape Town, South Africa. BMC Nephrology. 2016; http://hdl.handle.net/11427/20360. en_ZA
dc.identifier.ris TY - Journal Article AU - Ameh, Oluwatoyin I AU - Cilliers, Lynette AU - Okpechi, Ikechi G AB - Background: The multi-racial and multi-ethnic population of South Africa has significant variation in their nutritional habits with many black South Africans undergoing a nutritional transition to Western type diets. In this review, we describe our practical approaches to the dietary and nutritional management of chronic kidney disease (CKD) patients in Cape Town, South Africa. Discussion: Due to poverty and socio-economic constraints, significant challenges still exist with regard to achieving the nutritional needs and adequate dietary counselling of many CKD patients (pre-dialysis and dialysis) in South Africa. Inadequate workforce to meet the educational and counselling needs of patients, inability of many patients to effectively come to terms with changing body and metabolic needs due to ongoing kidney disease, issues of adherence to fluid and food restrictions as well as adherence to medications and in some cases the inability to obtain adequate daily food supplies make up some of these challenges. A multi-disciplinary approach (dietitians, nurses and nephrologists) of regularly reminding and educating patients on dietary (especially low protein diets) and nutritional needs is practiced. The South African Renal exchange list consisting of groups of food items with the same nutritional content has been developed as a practical tool to be used by dietitians to convert individualized nutritional prescriptions into meal plan to meet the nutritional needs of patients in South Africa. The list is currently utilized in counselling CKD patients and provides varied options for food items within the same group (exchangeable) as well as offering ease for the description of suitable meal portions (sizes) to our patients. Summary: Regular and continuous education of CKD patients by a multi-disciplinary team in South Africa enables our patients to meet their nutritional goals and retard CKD progression. The South African renal exchange list has proved to be a very useful tool in meeting this need. DA - 2016-07-08 DB - OpenUCT DO - 10.1186/s12882-016-0297-4 DP - University of Cape Town J1 - BMC Nephrology KW - protein KW - potassium KW - phosphate KW - restriction KW - nutrition KW - kidney disease LK - https://open.uct.ac.za PB - University of Cape Town PY - 2016 SM - 1471-2369 T1 - A practical approach to the nutritional management of chronic kidney disease patients in Cape Town, South Africa TI - A practical approach to the nutritional management of chronic kidney disease patients in Cape Town, South Africa UR - http://hdl.handle.net/11427/20360 ER - en_ZA


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