Chronic Kidney Disease

CKD: Micronutrient Intake and Micronutrient Status (2018)

• Assessment
  What methods should be used to assess micronutrient intake in adults with CKD 1-5D and post-transplant?

  • Conclusion

    Based on the limited data, general recommendations cannot be made regarding tools/methods to assess dietary intake in those with CKD. Food frequency questionnaires (FFQs) can be used to assess dietary intake but have limitations.

  • Grade: III
    • 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: What methods should be used to assess micronutrient intake in adults with CKD 1-5D and post-transplant?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Holden R, Morton A, Garland J, Pavlov A, Day A, Booth S. Vitamins K and D status in stages 3-5 chronic kidney disease. Clinical Journal of the American Society of Nephrology 2010; 5:590-7
      • Reid D, Barr S, Leichter J. Effects of folate and zinc supplementation on patients undergoing chronic hemodialysis. Journal of the American Dietetic Association 1992; 92:574-9
      • Wang A, Sea M, Ip R, Law M, Chow K, Lui S, Li P, Woo J. Independent effects of residual renal function and dialysis adequacy on dietary micronutrient intakes in patients receiving continuous ambulatory peritoneal dialysis. The American Journal of Clinical Nutrition 2002; 76:569-576
  • Search Plan and Results: CKD: Micronutrients: Assessment (2018)
     
  What methods should be used to assess micronutrient status in adults with CKD 1-5D and post-transplant?

  • Conclusion

    There is insufficient evidence to make generalized conclusions regarding methods of micronutrient assessment in CKD patients. 

  • Grade: III
    • 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: What methods should be used to assess micronutrient status in adults with CKD 1-5D and post-transplant?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • D'Haese PC, Clement JP, Elseviers MM, Lamberts LV, Van de Vyver FL, Visser WJ, De Broe ME. Value of Serum Aluminium Monitoring in Dialysis Patients: A Multicentre Study. Nephrol Dial Transplant 1990; 5:45-53
      • Iqbal N, Azar D, Yun Y, Ghausi O, Ix J, Fitzgerald R. Serum methylmalonic acid and holotranscobalamin-II as markers for vitamin B12 deficiency in end-stage renal disease patients. Annals of Clinical and Laboratory Science 2013; 43:243-9
      • Janssen M, van Boven W. Efficacy of low-dose desferrioxamine for the estimation of aluminium overload in haemodialysis patients. Pharmacy World & Science 1996; 18:187-91
      • Kim J, Ihm C, Kim H. Evaluation of reticulocyte haemoglobin content as marker of iron deficiency and predictor of response to intravenous iron in haemodialysis patients. International Journal of Laboratory Hematology. 2008; 30:46-52
      • Tarng D, Huang T, Chen T. Mathematical approach for estimating iron needs in hemodialysis patients on erythropoietin therapy. American Journal of Nephrology 1997; 17:158-64
      • Tsuchiya K, Okano H, Teramura M, Iwamoto Y, Yamashita N, Suda A, Shimada K, Nihei H, Ando M. Content of reticulocyte hemoglobin is a reliable tool for determining iron deficiency in dialysis patients. Clinical Nephrology 2003; 59:115-23
  • Search Plan and Results: CKD: Micronutrients: Assessment (2018)