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

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

...Nutrition Assessment...

...e Nutrition AssessmentIn adults with CKD 3-5D o...


...ThicknessIn adults with CKD 1-5D or post...


...D: Waist CircumferenceIn adults with CKD 5...


...Conicity IndexIn adults with CKD 5...


...nine KineticsIn adults with CKD 5D, we...


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


...BMI as a Predictor of Mortality, Peritoneal...


...a Predictor of Mortality, Non-DialyzedIn adults...


...redictor of Mortality, Post-Transp...


...: Body Composition and Body Weight/BMIIn a...


...Frequency of Body Weight/BMI and Body Compositi...


...essment of Body WeightIn adults with CKD 1-5D or...


...rotein Energy Wasting (PEW)In adults with...


...al Impedance for Patients on MHDIn adults wit...


...lectrical Impedance for Patients, Non...


...X-Ray Absorptiometry (DXA) for Body Com...


...omarker MeasurementsIn adults with...


...Albumin LevelsIn adults with CKD 5D on MHD,, ser...


...p StrengthIn adults with CKD 1-5D, we suggest...


CKD: Assessment of Resting Energy Expe...


...KD: Resting Energy Expenditure EquationsIn adult...


...: 7-Point Subjective Global Assessment (SGA)In a...


...trition Inflammation Score (MIS)In adults...


...siderations when Assessing Dietary Int...


...Day Food Records to Assess Dietary IntakeIn adul...


...KD: Alternative Methods of Assessing D...


Nutrition Intervention

...Nutritio...

...Macro...

...Dietary Patterns: Mediterranean DietIn...

...KD: Dietary Patterns: Fruits and Ve...

...A Nutritional Supplements for Lipid...

...FA Nutritional Supplements for Lipid Profil...

...-3 PUFA Nutritional Supplements for Lipid...

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

...PUFA Nutritional Supplements for Mortality and C...

...ein Restriction, Non-Dialysis, Non-DiabeticIn adu...

...KD: Dietary Protein Intake, Maintenance...

...tein Intake, Peritoneal Dialysis, N...

...D: Macronutrients: Protein TypeIn adults...

...nutrients: Protein Type, Post-Transpla...

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

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

...r fistulas. (F, Imperative, 2(A))30...

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

...n-Energy Supplementation for CKD 3-5DI...

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

...teral Nutrition SupplementationIn adults w...

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

...Protein-Energy SupplementationIn adul...

...ein Restriction, Non-Dialysis with DiabetesIn a...

CKD: Dietary Protein Intake, Maintenance Hemodial...

...tatement on Energy Intake in CKD 1-5DIn adults...

...: Statement on Energy Intake in Post-Trans...


...Micronutrient...

...tary Micronutrient IntakeIn adults with CKD 3-5D...

CKD: Micronutrient Assessment and Supplementa...

...nt Supplementation, DialysisIn adults w...

...Folic Acid Supplementation for Hyperhomo...

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

...id Supplementation for Folic Acid Deficiency a...

...amin C SupplementationIn adults with CKD 1-5D or...

...D: Vitamins E and A Supplementation and Toxici...

...lant Medication and Vitamin K Supple...

...nd Zinc SupplementationIn adults with CKD 1-5D, we...

...Vitamin D Supplementation for Vitamin D...

...Vitamin D Supplementation for Vita...

...Vitamin D with ProteinuriaIn adults with CKD 1-5...

...Electrolytes and...

...Dietary Phosphorus AmountIn adults with CKD 3-5...

...Dietary Phosphorus SourceIn adults with CKD...

...horus Intake with HypophosphatemiaFor post...

...Sodium Intake and Blood Pressure, C...

...um Intake and Blood Pressure, CKD 5D a...

...Sodium Intake and ProteinuriaIn adults w...

...dium Intake and Dry Body WeightIn adults w...

...Potassium AmountIn adults with CKD 3...

...: Dietary and Supplemental Potassium Inta...

...d Supplemental Potassium Intake for Hyperk...

...Management of NEAPIn adults with CKD 1-4, we su...

...arbonate SupplementationIn adults with...

...e MaintenanceIn adults with CKD 3-5D, it is...

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

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


...Medical Nutritio...

...KD: MNT to Improve OutcomesIn adults with CKD...

...ContentIn adults with CKD 1-5D or posttra...


Nutrition Monitoring and Evaluation

...Nutr...

...Monitoring and EvaluationIn adults w...