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      The kidney: medical nutrition therapy--yesterday and today.

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          Abstract

          For many years, those who studied renal disease recognized a strong correlation between diet and disease progression. Diet therapy, now referred to as medical nutrition therapy, has long been investigated in the treatment of kidney insufficiency and kidney failure. Given that the kidneys have numerous vital functions, including a primary role in the excretion of waste products and urine, the diminishing effects of aging and disease on the kidney require adaptation of the nutrition consumed. Over the years, numerous theories have evolved as treatment modalities. This article explores the history of dietary management of kidney disease going back to leading researchers including Borst, Giovannetti, and Kopple, along with others. Clinicians have witnessed the historic development of national guidelines and protocols for nutrition treatment of chronic kidney disease and acute kidney injury, leading to improved uniformity among practitioners. Some of the changes in medical nutrition therapy and specialized nutrition support are addressed.

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          Author and article information

          Affiliations
          [1 ] Nutrition Department, Cedar Crest College, Allentown, PA, USA. mak37@psu.edu
          Journal
          Nutr Clin Pract
          Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition
          SAGE Publications
          1941-2452
          0884-5336
          Apr 2011
          : 26
          : 2
          26/2/143
          10.1177/0884533611399923
          21447766

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