Globally, the shortage of nephrology-related dietitians is both a challenge and an opportunity

2022-06-18 0 By

Nutritional interventions are known to be an important component of chronic kidney disease (CKD) management and can delay disease progression in patients.However, in actual clinical work, some physicians found that patients did not have professional dietitians to provide advice on nutritional intervention.More importantly, patients have different levels of health knowledge and may have different understanding of nutritional intervention, resulting in different levels of nutritional intervention management, thus affecting the efficacy.In fact, this is a global phenomenon.In January 2022, the CJASN published an article showing that less than half of the 155 countries in the world have access to nephrology-related dietitians.Overall, 155 of 182 countries worldwide responded to the survey items related to nephrotic nutritional interventions.Of these, only 48% had access to a nephrotic dietitian for patients with kidney disease, and 41% had no nephrotic dietitian.What’s more, in the majority (65%) of low – and middle-income countries, dietitians do not provide dietary advice to individuals.In most countries around the world, communication between dietitians and nephrologists is limited to “sometimes” talking about kidney disease.The author of the study is Professor Angela Yee Moon Wang from the University of Hong Kong. She believes that understanding nutritional intervention services for kidney disease can help understand the global level of kidney disease treatment and management, which is conducive to understanding the challenges and opportunities of kidney disease treatment.In a press release, Dr. Wang said that in the long run, the problem of inadequate kidney nutrition interventions needs to be addressed by training sufficient numbers and quality of kidney dietitians to implement nutritional interventions for various kidney diseases.It is hoped that the government and medical institutions can consider the importance of nutritional intervention for kidney disease.Doctors, nurses and nutritionists need to communicate more in their daily work, which will benefit patient management.At the moment, approaching the Spring Festival, kidney patients should pay more attention to diet.Should be less salt, low protein, less intake of saturated fatty acids and so on.In short, the lack of nephrology dietitians is both a challenge and an opportunity.It is hoped that in the near future, kidney disease patients around the world can enjoy more professional nutritional intervention services, which will help the prognosis of the disease.Email: tougao@medlive.cn Typeset: Don1.WangAY, Okpechi IG, Ye F, et al. Assessing Global Kidney Nutrition Care. Clin J AmSoc Nephrol. 2022 Jan;14 (1):38-52.2.JulieS. Keenan.Nutrition-related Care globally limitedfor patients with kidney disease.2022.