Perspectives on the nutritional management of renal disease in Asia: People, practice, and programs
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作者:
Karupaiah, Tilakavati
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机构:
Univ Kebangsaan Malaysia, Dept Nutr & Dietet, Fac Allied Hlth Sci, Kuala Lumpur 50300, MalaysiaUniv Kebangsaan Malaysia, Dept Nutr & Dietet, Fac Allied Hlth Sci, Kuala Lumpur 50300, Malaysia
Karupaiah, Tilakavati
[1
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Morad, Z.
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机构:Univ Kebangsaan Malaysia, Dept Nutr & Dietet, Fac Allied Hlth Sci, Kuala Lumpur 50300, Malaysia
Morad, Z.
机构:
[1] Univ Kebangsaan Malaysia, Dept Nutr & Dietet, Fac Allied Hlth Sci, Kuala Lumpur 50300, Malaysia
[2] Hosp Kuala Lumpur, Dept Nephrol, Inst Nephrol, Kuala Lumpur, Malaysia
The high prevalence of end-stage renal disease (ESRD) in many Asian countries is attributed to diabetes and hypertension. Health care expenditure in relation to per capita income and government share of this expenditure vary among Asian countries and are affected by large populations and the poverty factor. The impact of ESRD on nutritional management in Asia reveals the need for clinicians to balance the requirements for higher standards of dietetic practice as they implement optimal care algorithms with the goal of improving outcomes, against the backdrop of staffing limitations, limited expertise in renal nutrition practice, and cultural diversity among Asian people. This paper discusses current aspects of dietetic practice and the likelihood that a change in practice is required if dietitians are to play an active role in preventing or slowing down ESRD. (c) 2007 by the National Kidney Foundation, Inc.
机构:
London South Bank Univ, Sch Hlth & Social Care, 103 Borough Rd, London SE1 0AA, EnglandUniv Nottingham, Sch Biosci, Sutton Bonington Campus, Loughborough LE12 5RD, Leics, England