Chronic Kidney Disease

CKD: Dietary Intake (2018)

• Assessment
  Is there evidence to support the use of food records or 24-hr recall for assessing dietary protein or energy intake in adults with CKD 1-5D and post-transplant?

  • Conclusion

    There is limited evidence demonstrating that food records/dairy can be valid tools to assess dietary intake in patients with CKD. However, validity of tools is dependent on factors such as: patient ability, tool administrator, tool used etc. Further research is needed to validate the use of specific tools in chronic kidney 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: Is there evidence to support the use of food records or 24-hr recall for assessing dietary protein or energy 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
      • Avesani C, Kamimura M, Draibe S, Cuppari L. Is energy intake underestimated in nondialyzed chronic kidney disease patients?. Journal of Renal Nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation 2005; 15:159-65
      • Bazanelli A, Kamimura M, Vasselai P, Draibe S, Cuppari L. Underreporting of energy intake in peritoneal dialysis patients. Journal of Renal Nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation 2010; 20:263-9
      • Griffiths A, Russell L, Breslin M, Russell G, Davies S. A comparison of two methods of dietary assessment in peritoneal dialysis patients. Journal of Renal Nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation 1999; 9:26-31
      • Kai H, Doi M, Okada M, Yamada K, Iwabe H, Sito C, Yamagata K. Evaluation of the validity of a novel CKD assessment checklist used in the frontier of renal outcome modifications in Japan study. Journal of Renal Nutrition 2016; 26:334-40
      • Kloppenburg W, Stegeman C, de Jong P, Huisman R. Anthropometry-based equations overestimate the urea distribution volume in hemodialysis patients. Kidney International 2001; 59:1165-74
      • Laxton J, Harrison S, Shaw A. Assessment of protein intake in early progressive renal disease. Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association 1991; 6:17-20
      • Shapiro B, Bross R, Morrison G, Kalantar-Zadeh K, Kopple J. Self-Reported Interview-Assisted Diet Records Underreport Energy Intake in Maintenance Hemodialysis Patients. Journal of Renal Nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation 2015; 25:357-63
  • Search Plan and Results: CKD: Assessment: Dietary Intake (2018)
     
  Is there evidence to support the use of FFQ for assessing protein or energy intake in adults with CKD 1-5D and post-transplant?

  • Conclusion

    There is no clear evidence to state that Food Frequency Questionnaire (FFQ) are a validated tool to assess dietary intake in patients with CKD. Further research is needed to validate their use in chronic kidney 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: Is there evidence to support the use of FFQ for assessing protein or energy 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
      • Delgado C, Ward P, Chertow G, Storer L, Dalrymple L, Block T, Kaysen G, Kornak J, Grimes B, Kutner N, Johansen K. Calibration of the brief food frequency questionnaire among patients on dialysis. Journal of Renal Nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation 2014; 24:151-156.e1
  • Search Plan and Results: CKD: Assessment: Dietary Intake (2018)
     
  Is there evidence to support the use of PNA/PCR for assessing dietary protein intake in adults with CKD 1-5D and post-transplant?

  • Conclusion

    There is no clear evidence to state that PNA/PCR is a validated method to assess protein intake in chronic kidney patients. However, it may be a useful measure of net protein degradation. Further research is needed to validate use of PCR for dietary assessment in patients with CKD.

  • 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: Is there evidence to support the use of PNA/PCR for assessing dietary protein 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
      • Laxton J, Harrison S, Shaw A. Assessment of protein intake in early progressive renal disease. Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association 1991; 6:17-20
      • Lorenzo V, de Bonis E, Rufino M, Hernández D, Rebollo S, Rodríguez A, Torres A. Caloric rather than protein deficiency predominates in stable chronic haemodialysis patients. Nephrology, Dialysis, Transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association 1995; 10:1885-9
      • Teo B, Toh Q, Chan X, Xu H, Li J, Lee E. Assessment of muscle mass and its association with protein intake in a multi-ethnic Asian population: relevance in chronic kidney disease. Asia Pacific Journal of Clinical Nutrition 2014; 23:619-25
      • Virga G, Viglino G, Gandolfo C, Aloi E, Cavalli P. Normalization of protein equivalent of nitrogen appearance and dialytic adequacy in CAPD. Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis 1996; 16:S185-9
  • Search Plan and Results: CKD: Assessment: Dietary Intake (2018)