Chronic Kidney Disease

CKD: Nutrition Assessment and Best Predictors of CKD (2001)

Nutrition Assessment and CKD (2001)

• Assessment
  What is the best predictor of declining nutritional status in early kidney failure? (2001 CD)

  • Conclusion

    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: II
    • 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.
  • Evidence Summary: Nutrition Assessment and Intervention in Chronic Kidney Disease (2001)
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
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