| Theme |
Care of Patients with Chronic Renal Failure under Malnutrition -- The Teamplay of Physicians, Nutritionists, and Nurses |
| Title |
Nutritional management for renal transplant recipients |
| Author |
Nobuo Ishikawa |
Department of Urology, Kidney Center, Tokyo Women's Medical University |
| Author |
Kazunari Tanabe |
Department of Urology, Kidney Center, Tokyo Women's Medical University |
| [ Summary ] |
Nutritional management for renal transplant recipients is varied according to renal allograft functions. It is necessary for the recipients with good renal functioning to make a habit of having an adequate diet to prevent lifestyle related diseases, such as hypertension, hyperlipidemia and diabetes mellitus. On the other hand, it is necessary to advise recipients with renal insufficiency about their diet, which is one resembling that for those with chronic renal failure. It is recommended that recipients gain no more than 5% body weight during the first year after renal transplantation. In cases of nonedematous and nonhypertensive states, patients are able to receive adequate quantities of salt (from 8 to 10g per day). Recently, the Japanese diet has changed considerably and renal transplant recipients are also generally eating out more frequently. These changes are convenient for everyone. On the other hand, they have brought about problems with safety and nutritional imbalances from longterm consumption of excessive salt and fat. It is recommended that recipients to find ways of dealing with the situation. |