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...

...tine Nutrition AssessmentIn adults wi...


...d ThicknessIn adults with CKD 1-5D or po...


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


...dexIn adults with CKD 5D on MHD, we sug...


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


...KD: Body Mass Index (BMI) as a Predictor of Mor...


...edictor of Mortality, Peritoneal D...


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


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


...KD: Body Composition and Body Weight/BMII...


...ncy of Body Weight/BMI and Body Composition As...


...Assessment of Body WeightIn adults with CKD...


...d Protein Energy Wasting (PEW)In adults with CKD 1...


...ctrical Impedance for Patients on MH...


...rical Impedance for Patients, Non-Dialyzed and on...


...Dual-Energy X-Ray Absorptiometry (DXA) for Bo...


CKD: Single Biomarker MeasurementsIn adults...


...: Serum Albumin LevelsIn adults wit...


...grip StrengthIn adults with CKD 1-5D, we sugges...


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


...Energy Expenditure EquationsIn adults with...


...bjective Global Assessment (SGA)In adults with...


...D: Malnutrition Inflammation Score (MIS)In adu...


...Considerations when Assessing Dietary In...


...Food Records to Assess Dietary Intak...


...ve Methods of Assessing Dietary Intak...


Nutrition Intervention

...rition Intervention...

...ronutrients...

...tterns: Mediterranean DietIn adults with CKD 1...

...tary Patterns: Fruits and VegetablesIn...

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

...A Nutritional Supplements for Lipid Pro...

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

...FA Nutritional Supplements for Mortality and C...

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

...Protein Restriction, Non-Dialysis, Non-DiabeticI...

...Dietary Protein Intake, Maintenance Hemodialysis,...

...rotein Intake, Peritoneal Dialysis, N...

...acronutrients: Protein TypeIn adults with CKD 1-...

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

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

...n adults with CKD 5D on MHD, we sugge...

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

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

...rotein-Energy Supplementation for C...

...Protein-Energy Supplementation for Pos...

...KD: Enteral Nutrition SupplementationIn...

...Total Parenteral Nutrition (TPN) and Intradi...

...Protein-Energy SupplementationIn adul...

...D: Protein Restriction, Non-Dialysis with D...

...etary Protein Intake, Maintenance Hemodialysis a...

...: Statement on Energy Intake in CKD 1...

...tatement on Energy Intake in Post-Transpl...


...onutrients...

...tary Micronutrient IntakeIn adults wit...

...icronutrient Assessment and Supplementati...

CKD: Micronutrient Supplementation, Dialys...

...Folic Acid Supplementation for Hyp...

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

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

...tamin C SupplementationIn adults w...

...Vitamins E and A Supplementation a...

...D: Anticoagulant Medication and Vitamin...

...d Zinc SupplementationIn adults with CKD 1-5D, w...

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

...amin D Supplementation for Vitamin D Defic...

...D with ProteinuriaIn adults with CKD 1...

...rolytes and Other Nutrient...

...ietary Phosphorus AmountIn adults with C...

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

...s Intake with HypophosphatemiaFor p...

CKD: Sodium Intake and Blood Pressu...

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

...m Intake and ProteinuriaIn adults with CKD...

...odium Intake and Dry Body WeightIn adults with...

...y Potassium AmountIn adults with CKD 3-5D or pos...

...nd Supplemental Potassium Intake for Hyperkalemia...

...Dietary and Supplemental Potassium Intake...

...y Management of NEAPIn adults with CKD 1-...

...SupplementationIn adults with CKD...

...carbonate MaintenanceIn adults wit...

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

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


...l Nutrition Therapy (MNT)

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

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


Nutrition Monitoring and Evaluation

...n Monitoring and Evaluatio...

...ing and EvaluationIn adults with CKD 3-5D or...