What dietary change is most recommended for patients with ESKD?

For patients with end-stage kidney disease (ESKD), a low-sodium diet is highly recommended to help manage their condition effectively. Sodium can contribute to fluid retention and hypertension, both of which are common issues for individuals with ESKD. Reducing sodium intake helps to minimize the risk of complications such as heart failure and edema, which can exacerbate their overall health status.

Moreover, a low-sodium diet encourages patients to be more mindful of their food choices, leading to an overall healthier diet. This dietary adjustment is essential for patients undergoing dialysis or those with severely impaired kidney function, as it supports better fluid management and helps maintain optimal blood pressure levels.

In contrast, increased protein intake is usually not advised in ESKD unless the patient is on dialysis, where protein needs may be reassessed. High-fat and high-sugar diets do not provide the necessary nutrients to support kidney health and can lead to other metabolic complications. Therefore, a low-sodium diet stands out as the most beneficial dietary change for patients with ESKD.