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

...ion Assessment...

...D: Routine Nutrition AssessmentIn adults with CK...


...icknessIn adults with CKD 1-5D or posttr...


...CircumferenceIn adults with CKD 5D, we sugges...


CKD: Conicity IndexIn adults with CKD 5D on M...


...KineticsIn adults with CKD 5D, we suggest that...


...: Body Mass Index (BMI) as a Predicto...


...Predictor of Mortality, Peritoneal Dialysis (P...


...Predictor of Mortality, Non-Dialyz...


...MI as a Predictor of Mortality, Post-Transp...


...Body Composition and Body Weight/BMIIn adul...


...cy of Body Weight/BMI and Body Composition...


...sessment of Body WeightIn adults with...


...and Protein Energy Wasting (PEW)In adults wi...


...ioelectrical Impedance for Patients on...


...ctrical Impedance for Patients, No...


...y X-Ray Absorptiometry (DXA) for Bod...


...gle Biomarker MeasurementsIn adults with CKD st...


...: Serum Albumin LevelsIn adults with CKD 5D...


CKD: Handgrip StrengthIn adults wi...


...Assessment of Resting Energy ExpenditureIn adults...


CKD: Resting Energy Expenditure EquationsIn a...


...Subjective Global Assessment (SGA)In adults w...


...utrition Inflammation Score (MIS)In adults w...


...derations when Assessing Dietary IntakeIn...


...Food Records to Assess Dietary IntakeIn adu...


...ternative Methods of Assessing Dietary In...


Nutrition Intervention

...utrition Interv...

...cronutrients

CKD: Dietary Patterns: Mediterranean DietIn...

...Dietary Patterns: Fruits and VegetablesI...

...Nutritional Supplements for Lipid Profil...

...FA Nutritional Supplements for Lipid Pro...

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

...UFA Nutritional Supplements for Morta...

...C n-3 PUFA Nutritional Supplements for...

...striction, Non-Dialysis, Non-DiabeticIn adu...

...tein Intake, Maintenance Hemodialysis, Non-Diab...

...ary Protein Intake, Peritoneal Dialysis, N...

...rients: Protein TypeIn adults with CKD 1-5D, there...

...acronutrients: Protein Type, Post-Transpl...

...LC n-3 PUFA Nutritional Supplements f...

...lts with CKD 5D on MHD, we suggest not r...

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

...-3 PUFA Nutritional Supplements fo...

...al Protein-Energy Supplementation for CKD 3-5DI...

...Oral Protein-Energy Supplementation f...

...eral Nutrition SupplementationIn adu...

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

...ialysate Protein-Energy SupplementationIn...

...KD: Protein Restriction, Non-Dialysis...

...Protein Intake, Maintenance Hemodialy...

...D: Statement on Energy Intake in CKD 1-5D...

...atement on Energy Intake in Post-Tra...


...icronutrien...

...ary Micronutrient IntakeIn adults with CKD 3-5...

...ronutrient Assessment and SupplementationIn...

...ient Supplementation, DialysisIn adu...

...olic Acid Supplementation for Hyperhomocyst...

...Folic Acid Supplementation for Folic Acid Defic...

...: Folic Acid Supplementation for Folic Ac...

...SupplementationIn adults with CKD 1-5D or po...

...and A Supplementation and ToxicityIn adults wit...

...ticoagulant Medication and Vitamin K Supplemen...

...: Selenium and Zinc SupplementationIn adults wit...

...KD: Vitamin D Supplementation for Vitamin D...

...KD: Vitamin D Supplementation for Vitamin D D...

...itamin D with ProteinuriaIn adults...

...es and Other Nutrients...

...D: Dietary Phosphorus AmountIn adult...

CKD: Dietary Phosphorus SourceIn adults w...

...Intake with HypophosphatemiaFor posttransplantatio...

...: Sodium Intake and Blood Pressure, CKD 3-5, N...

...Intake and Blood Pressure, CKD 5D and Post-Tran...

...Sodium Intake and ProteinuriaIn adults with CKD 3-...

...dium Intake and Dry Body WeightIn...

CKD: Dietary Potassium AmountIn adults wit...

...KD: Dietary and Supplemental Potassium Intake for...

...ry and Supplemental Potassium Intake for...

...anagement of NEAPIn adults with CKD 1-4, w...

...rbonate SupplementationIn adults with CKD 3-...

...onate MaintenanceIn adults with CKD 3-5D,...

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

...al Calcium Intake, CKD 5DIn adults with CKD 5...


...utrition Therapy (MNT)...

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

...In adults with CKD 1-5D or posttransplantati...


Nutrition Monitoring and Evaluation

...Monitoring and Evaluation

...T Monitoring and EvaluationIn adults wi...