CKD: Introduction (2010)
Chronic Kidney Disease (2010) Evidence-Based Nutrition Practice Guideline
Guideline Narrative Overview
The focus of this guideline is on medical nutrition therapy (MNT) for adults with chronic kidney disease (CKD stages 1 - 5, including post kidney transplant) not on dialysis.
The primary goals of MNT are to prevent and treat protein-energy malnutrition, mineral and electrolyte disorders, and to minimize the impact of other comorbidities on the progression of kidney disease, e.g. diabetes, obesity, hypertension and disorders of lipid metabolism.
This guideline is an update to the ADA 2001 Chronic Kidney Disease MNT Evidence-Based Guide for Practice and builds on the topic areas and recommendations that were made in the previous version.
- Recommendations: Twenty-four (24)
- Conclusion Statements: Seventeen (17)
- Evidence Summaries: Twenty-one (21)
- Article Worksheets: One hundred and fifty-eight (158).
Application of the Guideline
This guideline will be accompanied by a set of companion documents to assist the practitioner in applying the guideline. A toolkit will contain materials such as the Medical Nutrition Therapy protocol, documentation forms, outcomes management tools, client education resources and case studies. The toolkit is currently under development and will undergo pilot-testing through the ADA's Dietetic Practice-Based Research Network prior to publication.
The literature search will be repeated for each guideline topic on an annual basis to identify new research that has been published since the previous search was completed. Based on the quantity and quality of new research, a determination will be made about whether the new information could change the published recommendation or rating.
When the analysis is completed, the expert workgroup will approve and re-grade the conclusion statements and recommendations. The guideline will undergo a complete revision every three to five years.
Medical Nutrition Therapy and Chronic Kidney Disease
- Medical nutrition therapy and dietitian intervention
- Energy needs
- Protein needs
- CKD-bone mineral disorder
- Disorders of lipid metabolism
- Physical activity
- Fish oil therapy
This guideline applies to adults with chronic kidney disease (CKD stages 1 - 5, including post kidney transplant) not on dialysis.
Other Guideline Overview Material
For more details on the guideline components, use the links on the left to access:
- Scope of Guideline
- Statement of Intent
- Guideline Methods
- Implementation of the Guideline
- Benefits and Harms of Implementing the Recommendations
Clinical judgment is crucial in the application of these guidelines. Careful consideration should be given to the application of these guidelines for patients with significant medical co-morbidities.