New studies point to the importance of diet for kidney health in the general population as well as for the longevity of patients on dialysis. The studies, which are both published in the Clinical Journal of the American Society of Nephrology (CJASN), suggest that more research is needed to fine-tune certain dietary recommendations.
The first study, by Casey Rebholz, PhD, MPH, of the Johns Hopkins Bloomberg School of Public Health, and her colleagues, was conducted to clarify the effects of certain beverages on kidney health.
“There is a lack of comprehensive information on the health implications
Diet plays an important role in the health of patients with chronic kidney disease, even after transplantation. New research published in the Clinical Journal of the American Society of Nephrology indicates that following the Mediterranean diet may help kidney transplant recipients maintain normal kidney function.
The Mediterranean diet—which focuses on high intake of fish, fruit, vegetables, legumes, nuts, and olive oil together with lower intake of dairy and meat products—has been linked with reduced risks of cardiovascular disease and early death in the general population, and a reduced risk of diabetes after kidney transplantation; however, whether the diet
Chronic, severe dehydration linked to working in hot, humid climates for long hours may be accelerating rates of chronic kidney disease (CKD). Research published in the Clinical Journal of the American Society of Nephrology (CJASN) suggests that a condition called heat stress nephropathy may represent a disease of neglected populations, but one that may emerge as a major cause of poor kidney health as the climate continues to change (Glaser J, et al. Clin J Am Soc Nephrol. doi:10.2215/CJN.13841215 [published online May 5, 2016]).
Over the next century, climate change and resulting water shortages are likely
Certain highly pervasive environmental pollutants may have a variety of negative effects on kidney health, according to an analysis of all relevant studies published on this topic to date.
In the Clinical Journal of the American Society of Nephrology analysis, researchers assessed studies on per- and polyfluoroalkyl substances (PFAS), which are a large group of manufactured non-biodegradable compounds used to provide stain and grease repelling properties to consumer products including textiles, papers, and food packaging. PFASs are also used in aqueous fire-fighting foams. Recently, they have been detected on military bases, as well as in public water supplies
For patients with end stage renal disease (ESRD), barriers to kidney transplantation can come from a range of sources. Referral to a transplant center is an essential first step for patients who may be transplant candidates, and it’s one that relies on actions taken by the leadership and staff at dialysis centers.
The Centers for Medicare & Medicaid Services, as well as the kidney community, have called for the development of quality measures for dialysis facilities to improve performance and equity in access to kidney transplantation, but little progress has been made. As described in a recent Clinical Journal
Type 2 diabetes and associated chronic kidney disease (CKD) disproportionately affect blacks. Yet when black and white individuals received comparable diabetes care within the context of a clinical trial, black race was not associated with faster development or progression of CKD. The findings are published in the Clinical Journal of the American Society of Nephrology (CJASN).
The prevalence of type 2 diabetes is higher in non-Hispanic blacks than in non-Hispanic whites, and blacks have an elevated risk of diabetes-related complications. In addition, after development of CKD, blacks with type 2 diabetes are more likely to progress to kidney
Fertility diminishes with declining kidney function, and it is challenging for women with kidney failure who are undergoing dialysis to become pregnant. Because there is limited information on current pregnancy rates in women on dialysis, a recent study examined pregnancy data in the United States by age, race, dialysis modality, time on dialysis, socioeconomic status, rurality, and cause of kidney failure, along with factors associated with pregnancy.
“Pregnancy in a woman with end stage kidney disease is not common, and many questions still remain unanswered. I was curious to know the nationwide incidence of conceptions and pregnancies among women undergoing
Individuals with kidney failure may face a higher risk of dying prematurely if they are exposed to air pollution from wildfires, according to new research published in the Journal of the American Society of Nephrology.
Large wildfires are occurring more frequently, and smoke generated from these fires contains high concentrations of fine particulate matter and other forms of pollution. When inhaled, fine particulate matter can travel into the respiratory tract and bloodstream and trigger oxidative stress and inflammation that may contribute to poor health, especially in sensitive populations including the elderly and individuals with chronic health conditions.
New research indicates that the success of a kidney transplant may rely in part on how the recipient and donor compare in terms of weight and sex. The findings, which are published in the Clinical Journal of the American Society of Nephrology, suggest that changes may be needed to current immunology-based protocols that match donors and recipients.
Several kidney transplantation studies have demonstrated that a smaller donor size relative to recipient is associated with a higher risk of graft loss, perhaps due to increased strain on the relatively smaller transplanted kidney. Very few studies have investigated the outcomes
Anewly developed method to quantify living kidney donors’ risk of end stage renal disease (ESRD) postdonation may be helpful for individuals considering donation, for living donors wishing to understand their long-term risk, and for clinicians who monitor the long-term health of living donors. The risk calculator is described in a recent Journal of the American Society of Nephrology study.
Although research suggests there are minimal health consequences for individuals who donate a kidney, comprehensive studies are lacking. Long-term studies of living kidney donors have reported low rates of premature death and kidney failure (with an estimated overall ESRD