Chronic Kidney Disease Evidence-Based Nutrition

Publication Date: August 26, 2020

Screening and Referral

Screening and Referral

CKD: Routine Nutrition Screening

In adults with chronic kidney disease (CKD) 3-5D or posttransplantation, it is reasonable to consider routine nutrition screening at least biannually with the intent of identifying those at risk of protein-energy wasting. (C, Conditional, O)
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CKD: Nutrition Screening Tools

In adults with CKD 3-5D or posttransplantation, there is limited evidence to suggest the use of one tool over others for identifying those at risk of protein-energy wasting. (W, Conditional, 2(D))
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Stages of Chronic Kidney Disease

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CKD often progresses slowly over a period of years. The National Kidney Foundation created a guideline to help physicians identify each level of kidney disease. Glomerular Filtration Rate (GFR) measures kidney function. CKD was divided into five stages to help guide treatment:
Stage GFR
Stage 1 With normal or high GFR (GFR >90 mL/min)
Stage 2 Mild CKD (GFR = 60–89 mL/min)
Stage 3A Moderate CKD (GFR = 45–59 mL/min)
Stage 3B Moderate CKD (GFR = 30–44 mL/min)
Stage 4 Severe CKD 9GFR = 15–29 mL/min)
Stage 5 End Stage CKD (GFR <15 mL/min)

Nutrition Assessment

...trition Assessm...

...Nutrition AssessmentIn adults with CKD 3-5...


...D: Skinfold ThicknessIn adults with CKD 1-5...


...mferenceIn adults with CKD 5D, we sugge...


...city IndexIn adults with CKD 5D on MHD, we sugg...


...Creatinine KineticsIn adults with CKD 5D, we su...


...ss Index (BMI) as a Predictor of Mortal...


...I as a Predictor of Mortality, Peritoneal Dialy...


...MI as a Predictor of Mortality, Non-DialyzedIn...


...a Predictor of Mortality, Post-Transplant...


...sition and Body Weight/BMIIn adults with CKD...


CKD: Frequency of Body Weight/BMI and Bo...


...D: Assessment of Body WeightIn adults with...


CKD: BMI and Protein Energy Wasting...


...Bioelectrical Impedance for Patients on MHDIn adul...


...ectrical Impedance for Patients, Non-Dialyzed...


...l-Energy X-Ray Absorptiometry (DXA) for Bod...


...le Biomarker MeasurementsIn adults with...


...D: Serum Albumin LevelsIn adults with CKD...


...D: Handgrip StrengthIn adults with CKD 1...


...of Resting Energy ExpenditureIn adults with CKD...


...Resting Energy Expenditure Equatio...


...7-Point Subjective Global Assessment (SGA)In adu...


...nutrition Inflammation Score (MIS)In adult...


...ons when Assessing Dietary IntakeIn adul...


...3-Day Food Records to Assess Dietary...


...lternative Methods of Assessing Dietary...


Nutrition Intervention

...rition Intervention...

Macronutrients

...ary Patterns: Mediterranean DietIn...

...terns: Fruits and VegetablesIn adu...

...D: LC n-3 PUFA Nutritional Supplements...

...A Nutritional Supplements for Lipid Profile,...

...PUFA Nutritional Supplements for Lipid...

...D: LC n-3 PUFA Nutritional Supplements for M...

...D: LC n-3 PUFA Nutritional Suppleme...

...otein Restriction, Non-Dialysis, Non-DiabeticIn...

...D: Dietary Protein Intake, Maintenance Hemodia...

...rotein Intake, Peritoneal Dialysis...

...rients: Protein TypeIn adults with CKD 1...

...ents: Protein Type, Post-TransplantIn adults with...

...LC n-3 PUFA Nutritional Supplements for AV...

...CKD 5D on MHD, we suggest not routinely prescri...

...las. (F, Imperative, 2(A))307777...

...: LC n-3 PUFA Nutritional Supplements for Ki...

...ein-Energy Supplementation for CKD 3-5DIn a...

...KD: Oral Protein-Energy Supplementation for Post-...

...Enteral Nutrition SupplementationIn a...

...: Total Parenteral Nutrition (TPN)...

...ysate Protein-Energy Supplementati...

...rotein Restriction, Non-Dialysis with...

...rotein Intake, Maintenance Hemodialysis and...

...ent on Energy Intake in CKD 1-5DIn adults with CK...

...on Energy Intake in Post-TransplantIn adults with...


...onutrients...

...D: Dietary Micronutrient IntakeIn adults with...

...trient Assessment and Supplementati...

...onutrient Supplementation, DialysisI...

...olic Acid Supplementation for Hyperhomocystein...

...D: Folic Acid Supplementation for...

...c Acid Supplementation for Folic Acid Defici...

...KD: Vitamin C SupplementationIn adults with...

...: Vitamins E and A Supplementation and T...

...lant Medication and Vitamin K Supplementat...

...d Zinc SupplementationIn adults with CK...

CKD: Vitamin D Supplementation for Vita...

...n D Supplementation for Vitamin D De...

...D: Vitamin D with ProteinuriaIn adults with CKD...

...ctrolytes and Other Nutrients

...Dietary Phosphorus AmountIn adults with CKD...

...Phosphorus SourceIn adults with CKD 1-5...

CKD: Phosphorus Intake with Hypophosph...

...Intake and Blood Pressure, CKD 3-5, Non-DialyzedI...

...ake and Blood Pressure, CKD 5D and Post-Transplant...

...um Intake and ProteinuriaIn adults with...

...Intake and Dry Body WeightIn adults...

...assium AmountIn adults with CKD 3-5D or postt...

...Dietary and Supplemental Potassium Intake for...

...and Supplemental Potassium Intake for Hy...

...ry Management of NEAPIn adults with C...

...e SupplementationIn adults with CKD...

...Bicarbonate MaintenanceIn adults with CKD 3-...

...l Calcium Intake, CKD 3-4In adults...

...otal Calcium Intake, CKD 5DIn adults...


...dical Nutrition Therapy (MNT)

...to Improve OutcomesIn adults with CKD 1-5D, we re...

...MNT ContentIn adults with CKD 1-5D or posttransp...


Nutrition Monitoring and Evaluation

...Monitoring and Evaluation...

...itoring and EvaluationIn adults with CKD...