{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T21:24:35Z","timestamp":1783632275580,"version":"3.55.0"},"reference-count":71,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2017,10,11]],"date-time":"2017-10-11T00:00:00Z","timestamp":1507680000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>In advanced chronic kidney disease, obesity may bring a survival advantage, but many transplant centres demand weight loss before wait-listing for kidney graft. The case here described regards a 71-year-old man, with obesity-related glomerulopathy; referral data were: weight 110 kg, Body Mass Index (BMI) 37 kg\/m2, serum creatinine (sCr) 5 mg\/dL, estimated glomerular filtration rate (eGFR) 23 mL\/min, blood urea nitrogen (BUN) 75 mg\/dL, proteinuria 2.3 g\/day. A moderately restricted, low-protein diet allowed reduction in BUN (45\u201355 mg\/dL) and good metabolic and kidney function stability, with a weight increase of 6 kg. Therefore, he asked to be enrolled in a weight-loss program to be wait-listed (the two nearest transplant centres required a BMI below 30 or 35 kg\/m2). Since previous low-calorie diets were not successful and he was against a surgical approach, we chose a qualitative, ad libitum coach-assisted diet, freely available in our unit. In the first phase, the diet is dissociated; he lost 16 kg in 2 months, without need for dialysis. In the second maintenance phase, in which foods are progressively combined, he lost 4 kg in 5 months, allowing wait-listing. Dialysis started one year later, and was followed by weight gain of about 5 kg. He resumed the maintenance diet, and his current body weight, 35 months after the start of the diet, is 94 kg, with a BMI of 31.7 kg\/m2, without clinical or biochemical signs of malnutrition. This case suggests that our patients can benefit from the same options available to non-CKD (chronic kidney disease) individuals, provided that strict multidisciplinary surveillance is assured.<\/jats:p>","DOI":"10.3390\/nu9101109","type":"journal-article","created":{"date-parts":[[2017,10,11]],"date-time":"2017-10-11T12:17:47Z","timestamp":1507724267000},"page":"1109","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Weight Loss in Advanced Chronic Kidney Disease: Should We Consider Individualised, Qualitative, ad Libitum Diets? A Narrative Review and Case Study"],"prefix":"10.3390","volume":"9","author":[{"given":"Irene","family":"Capizzi","sequence":"first","affiliation":[{"name":"Department of Clinical and Biological Sciences, University of Torino (TO), 10100 Torino, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luigi","family":"Teta","sequence":"additional","affiliation":[{"name":"Bioimis Accademia Alimentare, Bassano del Grappa (VI), 36061 Vicenza, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federica Neve","family":"Vigotti","sequence":"additional","affiliation":[{"name":"Nephrology, Chivasso Hospital (Torino), 10034 Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuliana","family":"Tognarelli","sequence":"additional","affiliation":[{"name":"Department of Clinical and Biological Sciences, University of Torino (TO), 10100 Torino, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentina","family":"Consiglio","sequence":"additional","affiliation":[{"name":"Department of Clinical and Biological Sciences, University of Torino (TO), 10100 Torino, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefania","family":"Scognamiglio","sequence":"additional","affiliation":[{"name":"Department of Clinical and Biological Sciences, University of Torino (TO), 10100 Torino, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2632-4009","authenticated-orcid":false,"given":"Giorgina Barbara","family":"Piccoli","sequence":"additional","affiliation":[{"name":"Department of Clinical and Biological Sciences, University of Torino (TO), 10100 Torino, Italy"},{"name":"N\u00e9phrologie, Centre Hospitalier Le Mans, 72000 Le Mans, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2017,10,11]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Lazo, M., Nwankwo, C., Daya, N.R., Thomas, D.L., Mehta, S.H., Juraschek, S., Willis, K., and Selvin, E. 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