Chronic Kidney Disease

Chronic Kidney Disease

Welcome to the Chronic Kidney Disease (CKD) Guideline and Systematic Review

The focus of the 2010 CKD Guideline is on medical nutrition therapy (MNT) for adults with chronic kidney disease stage 1 – 5, including post kidney transplant not on dialysis.

The CKD Guideline includes recommendations based on the systematic review, plus from the evidence-based guidelines developed by KDOQI. Recommendation topics include:

  • Medical Nutrition Therapy (Non-Dialysis)
  • Assessment of Food/Nutrition-Related History
  • Anthropometric Assessment Options
  • Assessment of Biochemical Parameters
  • Assess CKD-Mineral and Bone Disorders
  • Assessment of Medical/Health History
  • Protein Intake
  • Energy Intake
  • Phosphorus
  • Calcium
  • Vitamin D Therapy
  • Anemia
  • Management of Hyperglycemia in Diabetes and CKD
  • Multi-Faceted Approach to Intervention in Diabetes and CKD
  • Multi-Faceted Approach to Intervention in Dyslipidemias and CKD
  • Education on Self-Management Behaviors
  • Sodium
  • Fish Oil/Omega-3 Fatty Acids
  • Physical Activity
  • Coordination of Care
  • Multivitamin Supplementation
  • Potassium
  • Monitor and Evaluate Biochemical Parameters
  • Monitor and Evaluate Adherence to Nutrition and Lifestyle Recommendations

For the Systematic Review, is supports the guideline, the expert workgroup concentrated its efforts on four sub-topics:

  • Medical Nutrition Therapy (MNT)
  • Measuring Body Composition
  • Nutrition Needs and Disease Progression
  • Wound Management

Use the left navigation bar to view the CKD guideline and systematic review. Expand the section titled Project Team for a listing of individuals who contributed to the development of the CKD project, workgroup disclosures and funding information.

This guideline is being updated in collaboration with the National Kidney Foundation. Anticipated release is January 2018.

  • Project Team
    The following individuals contributed their valuable time and expertise to this project:

    Expert Workgroup
    • Jessie Pavlinac, MS, RD, CSR, LD, Chair
    • Arianna Aoun, MS, RD, CSR, LD
    • Laura Byham-Gray, PhD, RD
    • Carolyn C. Cochran, MS, RD, LD, CDE
    • Barbara A. Hutson, RD, LD
    • Joni Pagenkemper, MS, MA, RD, LMNT, CDE
    Former Workgroup Members
    • Pamela S. Kent, MS, RD, CSR, LD
    • Jinette S. Lichter, RD, LMNT
    • Cathi J. Martin, RD, CSR, LDN
    Project Manager
    • Mei Chung, PhD, MPH
    Lead Evidence Analyst
    • Erica K. Gradwell, MS, RD
    Evidence Analysts
    • Carly D. Gustafson, MS, RD, CD, LDN
    • Haewook Han, PhD, RD, LDN
    • Jodi A. Kingley, MS, RD, CNSD
    • Francoise Knox Kazimierczuk, MS, RD
    • Linda Massey, PhD, RD
    • Christiane Meireles, PhD, RD, LD
    • Carmen Tatum, MS, RD, CSP
    • Elisa Trigalo, RD, MS
    • Lee S. Wallace, MS, RD, FADA
    • Madelyn L. Wheeler, MS, RD, FADA
    Guideline Reviewers
    • Karen Basinger, RD
    • Debbie Benner, MA, RD, CSR
    • Jerrilyn Burrowes, PhD, RD, CDN
    • Louise Clement, MS,RD, CSR, LD
    • Charles J.Foulks, MD,FACP,FACN
    • Kathy Schiro Harvey, MS, RD, CSR
    • Maria Karalis, MBA, RD, LDN
    • Pamela S.Kent, MS, RD, CSR, LD
    • Elizabeth Kern, MD, MS
    • Nadiya Lakhani, RD, LD
    • Maureen McCarthy, MPH, RD,CSR, LD
    • Sharon R. Schatz, MS, RD, CSR, CDE
    Academy Staff
    • Deborah Cummins, PhD
    • Kari Kren, MPH, RD
    • Joan Schwaba, MS, RD, LDN
    • Esther F. Myers, PhD, RD

    Disclosures of Potential Conflicts of Interest: In the interest of full disclosure, the Academy has adopted the policy of revealing relationships workgroup members have with companies that sell products or services that are relevant to this topic. Workgroup members are required to disclose potential conflicts of interest by completing the Academy Conflict of Interest Form. It should not be assumed that these financial interests will have an adverse impact on the content, but they are noted here to fully inform readers.
    • None of the workgroup members listed above disclosed potential conflicts.

    Financial Contributors
    • Academy of Nutrition and Dietetics
  • Project Resources
    The following resources based on this project were developed:
    • Academy CKD Guideline Presentation - this 64-slide MS PowerPoint presentation includes all recommendations and ratings of the 2010 CKD evidence-based nutrition practice guidelines. Ideal for use for meetings, in-service presentations and classes (not designed for the consumer). Click to purchase.
       
    • Chronic Kidney Disease Toolkit is designed to assist the registered dietitian in applying the Academy's 2010 Chronic Kidney Disease Evidence-based Nutrition Practice Guidelines. The toolkit includes materials such as interactive sample documentation forms, interactive sample documentation forms, encounter process instructions, outcomes monitoring forms, case studies and client education resources. PDF format; 179 pages. Click to purchase.