The Ultimate Nutrition Guide for Chronic Kidney Disease

As reported in Newswise; this week, researchers across the world have been given access to a new guide that could fundamentally better the outcomes of people living with chronic kidney disease.  The National Kidney Foundation and the Academy of Nutrition and Dietetics worked together for the first time to devise the 2020 ‘KDOQI Clinical Practice Guideline on Nutrition in Chronic Kidney Disease’  to update safe practices for all health practitioners treating patients with kidney disease. Dr. T Alp Ikizler of the study, explained, “Nutritional abnormalities are the hallmark of kidney disease and diet plays an important role in the day to day management of patients with CKD.” They expect their new work will guide many professionals to help people with CKD stay healthy.

The New Nutrition Standards

The 2020 release is improving upon a version of nutritional guidelines released 20 years earlier.  Through an incredibly comprehensive literature review, the authors crafted a guide to address the many aspects of nutrition, with sections including: nutritional assessment; medical nutrition therapy; protein and energy intake; nutritional supplementation; micronutrients; and electrolytes.  The guide accounts for the advances medicine and nutrition have made in the past 20 years.

Their Creative Methodology

The new version covers patients with all 5 stages of CKD or with a functional kidney transplant, expanding on the prior version that gave guidance for end-stage renal disease and more advanced CKD.
They took their time researching and gathering evidence- the report explains they found over 15,000 studies which they considered in two literature reviews to shape their guidelines. They created a systematic method to analyze the data which they reviewed using the GRADE criteria (Grading of Recommendations, Assessment, Development and Evaluation.) While this method of evaluation is now common, it did not exist yet when the guide was originally created in 2000 and thus makes the newer addition more aligned to the common scientific method.
The creators of the new nutritional guidelines hope their work can help patients with the widely varied types of CKD. In the journal they explain that the nutritional needs of CKD patients change significantly during the progression of the disease, meaning that they constantly needs to pay attention or risk metabolic and nutritional abnormalities. That is why the journal states that, “understanding the applicable nutritional principles, the available methods for assessing nutritional status, establishing patient-specific dietary needs, and preventing or treating potential or ongoing nutritional deficiencies and derangements is therefore essential for optimal care of the patients with CKD.”

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