Guidelines for Nutrition in CKD

Guideline Organization

Sub-topic

CARI-Australia

Nutrition and Growth in CKD
(2005)

Nutrition and Growth in CKD

• Acidosis in pre-dialysis patients
• Anaemia and growth in children
• Bone disease and growth in children
• Carbohydrates in pre-dialysis patients
• Complementary medicines in pre-dialysis patients
• Dialysis adequacy in children
• Energy intake in children
• Energy intake in predialysis patients
• Evaluation & management of nutrition in children
• Lipids/fats in pre-dialysis patients
• Metabolic acidosis and growth in children
• Micronutrient intake in children
• Minerals in pre-dialysis patients
• Potassium in pre-dialysis patients
• Protein in pre-dialysis patients
• Protein intake in children
• Sodium chloride and water intake in children
• Sodium in pre-dialysis patients
• Vitamins in pre-dialysis patients
• Water/fluid in pre-dialysis patients

CSN-Canada

EBPG-Europe
Guideline for Nutrition
2007

• EBPG Guideline on Nutrition

KDOQI-US

Nutrition in CKD
2000

ADULT GUIDELINES
Maintenance Dialysis
Evaluation of Protein-Energy Nutritional Status

• Use of Panels of Nutritional Measures
• Panels of Nutritional Measures for Maintenance Dialysis Patients
• Serum Albumin
• Serum Prealbumin
• Serum Creatinine and the Creatinine Index
• Serum Cholesterol
• Dietary Interviews and Diaries
• Protein Equivalent of Total Nitrogen Appearance (PNA)
• Subjective Global Nutritional Assessment (SGA)
• Anthropometry
• Dual Energy X-Ray Absorptiometry (DXA)
• Adjusted Edema-Free Body Weight (aBWef)

Management of Acid-Base Status

• Measurement of Serum Bicarbonate
• Treatment of Low Serum Bicarbonate

Management of Protein and Energy Intake

• Dietary Protein Intake (DPI) in Maintenance Hemodialysis (MHD)
• Dietary Protein Intake (DPI) for Chronic Peritoneal Dialysis (CPD)
• Daily Energy Intake for Maintenance Dialysis Patients

Nutritional Counseling and Follow-Up

• Intensive Nutritional Counseling With Maintenance Dialysis (MD)
• Indications for Nutritional Support
• Protein Intake During Acute Illness
• Energy Intake During Acute Illness

Carnitine

• L-Carnitine for Maintenance Dialysis Patients

Advanced Chronic Renal Failure Without Dialysis

• Panels of Nutritional Measures for Nondialyzed Patients
• Dietary Protein Intake for Nondialyzed Patients
• Dietary Energy Intake (DEI) for Nondialyzed Patients
• Intensive Nutritional Counseling for Chronic Renal Failure (CRF)
• Indications for Renal Replacement Therapy

 
Appendices (Adult Guidelines)

• Appendix I. Methods for Measuring Serum Albumin
• Appendix II. Methods for Calculation and Use of the Creatinine Index
• Appendix III. Dietary Interviews and Diaries
• Appendix IV. Role of the Renal Dietitian
• Appendix V. Rationale and Methods for the Determination of the Protein Equivalent of Nitrogen Appearance (PNA)
• Appendix VI. Methods for Performing Subjective Global Assessment
• Appendix VII. Methods for Performing Anthropometry and Calculating Body Measurements and Reference Tables
• Appendix VIII. Serum Transferrin and Bioelectrical Impedance Analysis
• Appendix IX. Estimation of Glomerular Filtration Rate
• Appendix X. Potential Uses for L-Carnitine in Maintenance Dialysis Patients

PEDIATRIC NUTRITION GUIDELINES

• Patient Evaluation of Protein-Energy Nutritional Status
• Management of Acid-Base Status
• Urea Kinetic Modeling
• Interval Measurements
• Energy Intake for Children Treated With Maintenance Dialysis
• Protein Intake for Children Treated With Maintenance Dialysis
• Vitamin and Mineral Requirements
• Nutrition Management
• Nutritional Supplementation for Children Treated With Maintenance Dialysis
• Recommendations for the Use of Recombinant Human Growth Hormone (hGH) for Children Treated With Maintenance Dialysis

Appendix (Pediatric Guidelines)

• Appendix I. Procedures for Measuring Growth Parameters

UK-Renal Association

Module B:
Complication of CKD
2006

Management of Nutrition in CKD

• Nutritional Screening
• Assessment of nutrition in undernourished patients