CKD: Nutrition Assessment and Best Predictors of CKD (2001)
Nutrition Assessment and CKD (2001)
What is the best predictor of declining nutritional status in early kidney failure? (2001 CD)
The best predictor of declining nutritional status in early kidney failure is a GFR <60 ml/min. A GFR <60 ml/min is associated with decreases in the laboratory parameters of hemoglobin, serum albumin and bicarbonate, decreases in body weight/BMI and decreases in dietary intakes of protein and energy. Studies of various design (randomized controlled trials, cohort, nonrandomized controlled trials, and cross-sectional studies) have shown similar results. Therefore, patients with a GFR <60 ml/min/1.73 m2 should undergo a nutrition assessment to evaluate for protein calorie malnutrition followed with appropriate intervention.
- Grade I means there is Good/Strong evidence supporting the statement;
- Grade II is Fair;
- Grade III is Limited/Weak;
- Grade IV is Expert Opinion Only;
- Grade V is Not Assignable.
- High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
- Moderate (B) means we are moderately confident in the effect estimate;
- Low (C) means our confidence in the effect estimate is limited;
- Very Low (D) means we have very little confidence in the effect estimate.
- Ungraded means a grade is not assignable.
Evidence Summary: Nutrition Assessment and Intervention in Chronic Kidney Disease (2001)
- Quality Rating Summary
For a summary of the Quality Rating results, click here.
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