Homemade formulas for nutrition support in chronic kidney disease: A narrative review of the opportunity for education, research, and innovation

Brandon M. Kistler and Annabel Biruete and Wong, Michelle M. Y. and Wang, Angela Yee‐Moon and Fabiola Martin‐del‐Campo and Fabiana B. Nerbass and Anna Hardy and Qiwei Zhu and Khor, Ban Hock and Lloyd Vincent and Zarina Ebrahim and Ana Figueiredo (2025) Homemade formulas for nutrition support in chronic kidney disease: A narrative review of the opportunity for education, research, and innovation. Nutrition in Clinical Practice, 40. pp. 307-318. ISSN 0884-5336

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Abstract

Protein-energy wasting is common in people with chronic kidney disease (CKD), especially in those undergoing kidney replacement therapy. Oral nutrition supplements and enteral nutrition are strategies that have been shown to improve nutrition status, and potentially outcomes. However, access to specialized commercial products for people with CKD is limited by factors including cost and regional availability. Homemade formulas represent a potentially cheaper, accessible, and more flexible option than commercial products, but they come with their own unique set of challenges. Furthermore, some aspects of homemade products, including consistency of nutrients, physical properties, and food safety, may pose challenges in the context of physiological changes that occur in CKD. Despite evidence of their use in CKD clinics, there have been few studies using homemade formulas in this population. This narrative review article summarizes the available literature on the potential usage, benefits, and concerns related to homemade formulas, emphasizing the unique challenges in people with CKD. Given the potential usage and limited research on homemade formulas in people with CKD, additional education and research are warranted to optimize the use of these tools in this clinical population.

Item Type:	Article
Keyword:	Bioaccessibility, Enteral nutrition, Kidney disease, Oral nutritional supplements, Protein energy wasting
Subjects:	R Medicine > RA Public aspects of medicine > RA1-1270 Public aspects of medicine > RA421-790.95 Public health. Hygiene. Preventive medicine > RA773-788 Personal health and hygiene Including clothing, bathing, exercise, travel, nutrition, sleep, sex hygiene T Technology > TX Home economics > TX1-1110 Home economics > TX341-641 Nutrition. Foods and food supply
Department:	FACULTY > Faculty of Food Science and Nutrition
Depositing User:	SITI AZIZAH BINTI IDRIS -
Date Deposited:	21 Apr 2025 11:48
Last Modified:	21 Apr 2025 11:48
URI:	https://eprints.ums.edu.my/id/eprint/43546

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