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Chronic Kidney Disease

CKD: Major Recommendations (2010)

Recommendations are categorized in terms of either conditional or imperative statements. While conditional statements clearly define a specific situation, imperative statements are broadly applicable to the target population and do not impose restraints on their application.

Conditional recommendations are presented in an if/then format, such that:

If CONDITION then ACTION(S) because REASON(S)

Fulfillment of the condition triggers one or more guideline-specified actions. In contrast, imperative recommendations include terms such as “require, ” “must, ” and “should, ” and do not contain conditional text that would limit their applicability to specified circumstances.

Resources Available with Each Recommendation

In addition to the recommendation statement and strength rating, you will find on each recommendation page:

  • A brief narrative summary of the evidence analyzed to reach the recommendation
  • A statement of justification, or reason for the strength of the recommendation
  • Detailed information on the evidence supporting the recommendations and background narrative (available in the Supporting Evidence section toward the bottom of each recommendation page)
  • A reference list at the end of each recommendation page that includes all the sources used in the evidence analysis for the particular recommendation (each reference is hyperlinked to a summary of the article analyzed in the evidence analysis).

Below, you will find a list of the Chronic Kidney Disease Recommendations, organized according to the stage of the Nutrition Care Process and by topic. To see the Recommendation Summary, just click on the Recommendation title.

Also view the Executive Summary of Recommendations or print the guideline in PDF format.

 CKD Recommendations:

Chronic Kidney Disease (CKD): Medical Nutrition Therapy (Non-Dialysis)

  • CKD: Medical Nutrition Therapy
  • CKD: Initiation of Medical Nutrition Therapy
  • CKD: Frequency of Medical Nutrition Therapy

Assessment

Chronic Kidney Disease (CKD): Assessment of Food/Nutrition-Related History

  • CKD: Initial Assessment of Food/Nutrition-Related History
  • CKD: Reassessment of Food/Nutrition-Related History

Chronic Kidney Disease (CKD): Anthropometric Assessment Options

  • CKD: Use Clinical Judgment in Assessing Body Weight
  • CKD: Use Published Weight Norms with Caution
  • CKD: Assessment of Body Composition
  • CKD: Methodologies for Body Composition Assessment

Chronic Kidney Disease (CKD): Assessment of Biochemical Parameters

  • CKD: Assess Biochemical Parameters

Chronic Kidney Disease (CKD): Assess CKD-Mineral and Bone Disorders

Chronic Kidney Disease (CKD): Assessment of Medical/Health History

Intervention 

Chronic Kidney Disease (CKD): Protein Intake

  • CKD: Protein Intake for eGFR 
  • CKD: Very Low Protein Intake for eGFR
  • CKD: Protein Intake for Diabetic Nephropathy
  • CKD: Protein Intake for Kidney Transplant

Chronic Kidney Disease (CKD): Energy Intake

Chronic Kidney Disease (CKD): Phosphorus

  • CKD: Phosphorus
  • CKD: Adjust Phosphate Binders
  • CKD: Phosphorus Management for Kidney Transplant

Chronic Kidney Disease (CKD): Calcium

Chronic Kidney Disease (CKD): Vitamin D Therapy

  • CKD: Vitamin D Supplementation

Chronic Kidney Disease (CKD): Anemia

  • CKD: Iron Supplementation
  • CKD: Vitamin B12 and Folic Acid for Anemia
  • CKD: Vitamin C for Treatment of Anemia
  • CKD: L-Carnitine for Treatment of Anemia

Chronic Kidney Disease (CKD): Management of Hyperglycemia in Diabetes and CKD

Chronic Kidney Disease (CKD): Multi-Faceted Approach to Intervention in Diabetes and CKD

Chronic Kidney Disease (CKD): Multi-Faceted Approach to Intervention in Dyslipidemias and CKD

Chronic Kidney Disease (CKD): Education on Self-Management Behaviors

Chronic Kidney Disease (CKD): Sodium

  • CKD: Control Sodium Intake in CKD

Chronic Kidney Disease (CKD): Fish Oil/Omega-3 Fatty Acids

Chronic Kidney Disease (CKD):Physical Activity

Chronic Kidney Disease (CKD): Coordination of Care

Chronic Kidney Disease (CKD): Multivitamin Supplementation

Chronic Kidney Disease (CKD): Potassium

  • CKD: Control Potassium Intake in CKD

Monitoring and Evaluation

Chronic Kidney Disease (CKD): Monitor and Evaluate Biochemical Parameters

Chronic Kidney Disease (CKD): Monitor and Evaluate Adherence to Nutrition and Lifestyle Recommendations