david st jules

David St-Jules

Assistant Professor


St-Jules’ research broadly investigates the distribution and determinants of dietary intakes of individuals with adiposity-based chronic diseases, and the role of nutrition in the pathogenesis and progression of these conditions. He currently studies dietary recommendations for managing potassium and phosphorus homeostasis, and preventing protein-energy wasting in patients with chronic kidney disease, particularly those on hemodialysis.


BSc - University of British Columbia, 2008
PhD - University of Hawaii at Manoa, 2013


Publications are listed below.

Book Chapter(s)

Management of Potassium in Chronic Kidney Disease and Acute Kidney Injury.


In Nutritional Management of Renal Disease, 4E. Elsevier, Inc.

St-Jules, D., & Shah, A.


Current Controversies in Kidney Nutrition


Seminars in Dialysis

St-Jules, D.

Helping people undergoing dialysis to modify their diet to slow kidney disease progression and manage disease-related complications can be challenging. This editorial provides an update on and...

Seeing the Whole Picture: Evaluating the Contribution of Whole Grains to Phosphorus Exposure in People With Kidney Failure Undergoing Dialysis Treatment


Seminars in Dialysis

Winkleman, D., Hill Gallant, K., Moe, S., and St-Jules, D.

Determinants and the role of self-efficacy in a sodium-reduction trial in hemodialysis patients.


J Ren Nutr.

Hu L, St-Jules DE, Popp CJ, Sevick MA.

OBJECTIVE: This study was to assess the impact of baseline dietary self-efficacy on the effect of a dietary intervention to reduce sodium intake in patients undergoing hemodialysis (HD) and to...

Evaluating steady-state resting energy expenditure using indirect calorimetry in adults with overweight and obesity.


Clin Nutr.

Popp CJ, Butler M, Curran M, Illiano P, Sevick MA, St-Jules DE.

Background Determining a period of steady state (SS) is recommended when estimating resting energy expenditure (REE) using a metabolic cart. However, this practice may be unnecessarily burdensome and...

Managing hyperkalemia: Another benefit of exercise in people with chronic kidney disease?


J Ren Nutr.

St-Jules DE, Marinaro M, Goldfarb DS, Byham-Gray LD, Wilund KR.

People with chronic kidney disease (CKD) are at increased risk of hyperkalemia, an electrolyte abnormality that can cause serious, sometimes fatal, cardiac arrhythmias. Muscle contraction causes...

Managing protein-energy wasting in hemodialysis patients: A comparison of animal- and plant-based protein foods.


Semin Dial.

St-Jules DE, Goldfarb DS, Popp CJ, Pompeii ML, Liebman SE.

Protein-energy wasting (PEW) is a major diet-related complication in hemodialysis (HD) patients. Nutrient-based dietary guidelines emphasize animal-based protein foods for preventing and managing PEW...

Assessment and misassessment of potassium, phosphorus, and protein in the hemodialysis diet.


Semin Dial.

St-Jules DE, Goldfarb DS, Pompeii ML, Liebman SE, Sherman RA.

Diet is a key determinant of several common and serious disease complications in hemodialysis (HD) patients. The recommended balance and variety of foods in the HD diet is designed to limit high...

The Healthy Hearts and Kidneys (HHK) study: Design of a 2x2 RCT of technology-supported self-monitoring and social cognitive theory-based counseling to engage overweight people with diabetes and chronic kidney disease in multiple lifestyle changes.


Contemp Clin Trials.

Sevick MA, Woolf K, Mattoo A, Katz SD, Li H, St-Jules DE, et al.

Patients with complex chronic diseases usually must make multiple lifestyle changes to limit and manage their conditions. Numerous studies have shown that education alone is insufficient for engaging...

Examining the dietary intake of hemodialysis patients on treatment days and non-treatment days.


Top Clin Nutr.

Mirza M, Shahsavarian N, St-Jules DE, Rhee CM, Pompeii ML, Kalantar-Zadeh K, Sevick MA.

Previous literature has shown that hemodialysis patients have impaired dietary intakes on dialysis days (DDs), which may contribute to malnutrition and poor outcomes. In this study, we...

Examining the proportion of dietary phosphorus from plants, animals, and food additives excreted in urine.


J Ren Nutr.

St-Jules DE, Jagannathan R, Gutekunst L, Kalantar-Zadeh K, Sevick MA.

Phosphorus bioavailability is an emerging topic of interest in the field of renal nutrition that has important research and clinical implications. Estimates of phosphorus bioavailability, based on...

Phosphate additive avoidance in chronic kidney disease.


Diabetes Spectr.

St-Jules DE, Goldfarb DS, Pompeii ML, Sevick MA.

Dietary guidelines for patients with diabetes extend beyond glycemic management to include recommendations for mitigating chronic disease risk. This review summarizes the literature suggesting that...

Effect of high-protein meals during hemodialysis combined with lanthanum carbonate in hypoalbuminemic dialysis patients: Findings from the FrEDI randomized clinical trial.


Nephrol Dial Transplant.

Rhee CM, You AS, Parsons TK, Tortorici AR, Bross R, St-Jules DE, et al.

BACKGROUND: Inadequate protein intake and hypoalbuminemia, indicators of protein-energy wasting, are among the strongest mortality predictors in hemodialysis patients. Hemodialysis patients are...

Exploring problems in following the hemodialysis diet, and their relation to energy and nutrient intakes: The BalanceWise Study


J Ren Nutr

St-Jules DE, Woolf K, Pompeii M, Sevick MA.

OBJECTIVE: To identify the problems experienced by hemodialysis (HD) patients in attempting to follow the HD diet and their relation to energy and nutrient intakes. DESIGN: Cross-sectional...

No difference in average interdialytic weight gain observed in a randomized trial in adults undergoing maintenance hemodialysis in the United States: Primary outcomes of the BalanceWise Study.


J Ren Nutr.

Sevick MA, Piraino BM, St-Jules DE, Hough LJ, Hanlon JT, et al.

OBJECTIVE: To evaluate the efficacy of behavioral counseling combined with technology-based self-monitoring for sodium restriction in hemodialysis (HD) patients. DESIGN: Randomized clinical...

North American experience with low protein diet for non-dialysis-dependent chronic kidney disease.


BMC Nephrol.

Kalantar-Zadeh K, Moore LW, Tortorici AR, Chou JA, St-Jules DE, Aoun A, et al.

Whereas in many parts of the world a low protein diet (LPD, 0.6-0.8 g/kg/day) is routinely prescribed for the management of patients with non-dialysis-dependent chronic kidney disease (CKD), this...

Nutrient non-equivalence: Does restricting high-potassium plant foods help to prevent hyperkalemia in hemodialysis patients?


J Ren Nutr.

St-Jules DE, Goldfarb DS, Sevick MA.

Hemodialysis patients are often advised to limit their intake of high-potassium foods to help manage hyperkalemia. However, the benefits of this practice are entirely theoretical and not supported by...

Re-examining the phosphorus-protein dilemma: Does phosphorus restriction compromise protein status?


J Ren Nutr.

St-Jules DE, Woolf K, Pompeii M, Kalantar-Zadeh K, Sevick MA.

Dietary phosphorus restriction is recommended to help control hyperphosphatemia in hemodialysis patients, but many high-phosphorus foods are important sources of protein. In this review, we examine...


Professional Papers