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A Journal on Nephrology and Urology

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Minerva Urologica e Nefrologica 2005 March;57(1):33-45

language: Italian

Nutritional management of patients suffering of chronic renal failure: an up-to-date

Rondanelli M. 1, Opizzi A. 1, Bonisio A. 1, Lingua S. 2, Cena H. 2, Giacosa A. 3, Roggi C. 2

1 Servizio Endocrino-Nutrizionale Istituzioni Assistenziali Riunite, Pavia,
2 Sezione Nutrizione Dipartimento di Scienze Sanitarie Applicate Università degli Studi di Pavia, Pavia
3 S.C. di Gastroenterologia e Nutrizione Clinica Istituto Nazionale per la Ricerca sul Cancro, Genova


Nutritional support constitutes a fundamental approach to favour the management of chronic renal failure and to postpone the need of kidney dialysis. The specific goals of the nutrition intervention are: control of protein intake, control of phosphate and of calcium intake, control of potassium intake, control of energy intake, control of lipid intake with clear identification of the polyunsaturated vs monounsaturated vs saturated fatty acid rate, control of vitamin intake, prevention of malnutrition and intervention with oral supplements or artificial nutrition (even if for short time) if malnutrition occurs. The proper management of the nutritional problems of patients with chronic renal failure slowens the disease progression, prevents or controls symptoms associated with uremia and postpones the beginning of substitutive treatment that is of emodialysis or of peritoneal dialysis, thus allowing a better quality of life either in the short or long term for patients suffering of chronic renal failure.

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