Nutrition Education Models for Patients With Chronic Kidney Disease

Khor BH 1 , Sumida K 2 , Scholes-Robertson N 3 , Chan M 4 , Lambert K 5 , Kramer H 6 Show all authors , Lui SF 7 , Wang AY 8

Affiliations 

  • 1 Faculty of Food Science and Nutrition, University Malaysia Sabah, Sabah, Malaysia. Electronic address: khorbanhock@gmail.com
  • 2 Division of Nephrology, Department of Medicine, University of Tennessee Health Science Center, Memphis, TN, USA
  • 3 Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, New South Wales, Australia
  • 4 Department of Nutrition and Dietetics, The St. George Hospital, Kogarah, New South Wales, Australia
  • 5 School of Medicine, Indigenous and Health Sciences, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia
  • 6 Departments of Public Health Sciences and Medicine, Loyola University, Chicago, IL, USA
  • 7 Hong Kong Kidney Foundation, Hong Kong, China
  • 8 Department of Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong, China
Semin Nephrol, 2023 Mar;43(2):151404.
PMID: 37598539 DOI: 10.1016/j.semnephrol.2023.151404

Abstract

Nutrition is an integral component in the management of chronic kidney disease (CKD), and kidney health professionals play a crucial role in educating patients on dietary interventions for CKD. Several dietary modifications are indicated for CKD that require frequent adaptations with CKD progression and with underlying metabolic disturbances. However, poor adherence to dietary interventions is not uncommon among patients with CKD. An effective education program on nutrition intervention consists of providing knowledge and developing skills that are necessary to support behavioral change. The application of theoretical models of behavioral change such as social cognitive theory and the transtheoretical model in nutrition intervention has been reported to be effective in promoting changes in dietary habits. This review summarizes the evidence supporting the application of theoretical models as strategies to enhance nutrition education for patients with CKD. In addition, digital technologies are gaining interest in empowering patients and facilitating nutrition management in patients with CKD. This review also examines the applications of the latest digital technologies guided by behavioral theory in facilitating patients' changes in dietary intake patterns and lifestyle habits.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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