Evidence based practice guidelines for the nutritional management of chronic kidney disease

Ash, Susan; Campbell, Katrina L.; MacLaughlin, Helen; McCoy, E. Gordon; Chan, Maria; Anderson, Kathryn; Corke, Karen; Dumont, Ruth; Lloyd, Lyn; Meade, Anthony; Montgomery-Johnson, Robyn; Tasker, Tracey; Thrift, Paulett; Trotter, Bernadeen

doi:10.1111/j.1747-0080.2006.00100.x

Cited by 114 publications

(171 citation statements)

References 9 publications

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“…The program focused on sustainable diet and behavior change to assist with weight loss. The dietitian therapy complied with the Evidence-Based Practice Guidelines for Nutritional Management of CKD for patients with eGFR between 25 and 60 ml/min per 1.73 m 2 (18).…”

Section: Exercise Training and Lifestyle Interventionmentioning

confidence: 99%

Effects of Exercise and Lifestyle Intervention on Cardiovascular Function in CKD

Howden

Leano

Petchey

et al. 2013

Clinical Journal of the American Society of Nephrology

118

131

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SummaryBackground and objectives CKD is associated with poor cardiorespiratory fitness (CRF). This predefined substudy determined the effect of exercise training and lifestyle intervention on CRF and explored the effect on cardiovascular risk factors and cardiac and vascular function. Results Ten percent of randomized patients had subclinical myocardial ischemia at screening and completed the study without incident. There was no baseline difference among 72 patients who completed follow-up (36 in the lifestyle intervention group and 36 in the control group). The intervention increased peak _ VO 2 (2.860.7 ml/kg per minute versus 20.360.9 ml/kg per minute; P=0.004). There was small weight loss (21.864.2 kg versus 0.763.7 kg; P=0.02) but no change in BP or lipids. Diastolic function improved (increased e' of 0.7561.16 cm/s versus 20.4761.0 cm/s; P=0.001) but systolic function was well preserved and did not change. The change in arterial elastance was attenuated (0.1160.76 mmHg/ml versus 0.7660.96 mmHg/ml; P=0.01). D peak _ VO 2 was associated with group allocation and improved body composition.Conclusions Exercise training and lifestyle intervention in patients with CKD produces improvements in CRF, body composition, and diastolic function.

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Section: Exercise Training and Lifestyle Interventionmentioning

confidence: 99%

Effects of Exercise and Lifestyle Intervention on Cardiovascular Function in CKD

Howden

Leano

Petchey

et al. 2013

Clinical Journal of the American Society of Nephrology

118

131

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“…It is recommended, therefore, that individuals undergoing PD periodically should maintain dietary training for changing wrong eating habits, and proposals should be developed to facilitate compliance with the dietary advice and 3-day dietary records periodically followed by dietary interviews via calculating nutrient intake from the diaries and interviews, for example, a registered dietitian, preferably with experience in renal disease. 8,28,29 In conclusion, patients not meeting their dietary prescription did not adjust their intake to match the recommended advice they had been given from a dietitian. According to the food consumption results, subjects consumed less than the recommended intakes for energy and protein.…”

Section: Discussionmentioning

confidence: 99%

“…8,26,27 There is no metabolic or pathological reason for not giving a standard energy intake to stable adult maintenance dialysis patients. Indeed, their metabolic needs, based on resting energy expenditure, are similar to those of normal adults, that is, 35 kcal/kg BW/day.…”

Section: Discussionmentioning

confidence: 99%

“…Protein requirements are a key area of importance for the dietary management of patients on dialysis. 8 Anthropometric measurements are valid and clinically useful indicators of protein-energy nutritional status in maintenance dialysis patients. The anthropometric parameters that are generally assessed include body weight, height, percent of the body fat mass, percent of usual body weight (%UBW), percent of standard body weight (%SBW), and body mass index (BMI, kg/m 2 ).…”

Section: Introductionmentioning

confidence: 99%

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Daily Dietary Energy and Macronutrient Intake and Anthropometric Measurements of the Peritoneal Dialysis Patients

et al. 2012

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Introduction: This study was planned to investigate the relation between dietary macronutrient status and anthropometric measurements in peritoneal dialysis (PD) patients. Materials and methods: A total of 28 clinically stable patients were enrolled in this study. All patients were taken a dietary therapy according to the guidelines of the American Journal of Kidney Foundation for 12 weeks. The anthropometric measurements were taken by bioelectrical impedance analyzer. The daily macronutrient intakes of the patients were calculated by the food consumption records. Results: The mean age was 48.3 AE 13.10 years [56.3 AE 7.41 years for males (n ¼ 14) and 40.3 AE 12.84 years for females (n ¼ 14)]. There were significant changes in fat percentage (%), total body water (TBW; %, L), extracellular water (ECW; %, L), basal metabolic rate over body weight (BMR/BW), and body fat mass index (BMFI) in males (p < 0.05), but there was no change in females (p > 0.05). The daily dietary energy and protein intakes were under the recommended level in the study period. Conclusion: Patients undergoing PD frequently have low intakes of protein and energy. It is recommended that individuals undergoing PD periodically maintain 3-day dietary records followed by dietary interviews conducted by a dietitian.

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“…Management of CKD partly involves restriction of Potassium intake due to the anticipated danger of hyperkalemia that may result from either decreased renal function or an increased dietary intake 2,3 . The recommended daily intake of potassium among patients with CKD is <4g/day for stage 1 and stage 2 patients, and <2.4g/day for patients with stage 3 and 4 disease 4 .…”

Section: Introductionmentioning

confidence: 99%

Overnight soaking or boiling of “Matooke” to reduce potassium content for patients with chronic kidney disease: Does it really work?

Asiimwe¹,

Sembajwe²,

Senoga³

et al. 2013

Afr H. Sci.

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Background: There is an increase in number of patients with chronic kidney disease (CKD) in Uganda's health facilities looking for different options of preparing matooke (bananas), their staple food. Objective: To establish and evaluate an effective method of removing potassium from bananas (matooke). Methods: Bananas were sampled from 5markets in Kampala, Uganda. Deionized water was used to soak the bananas and the potassium concentration was determined using an atomic absorption spectrophotometer in both the bananas and water after soaking for varying time intervals. We also determined the potassium concentrations in the bananas and the water after boiling the bananas at 200 degrees Celsius at intervals of 10 minutes (for 60 minutes). Results: The potassium concentration did not appear to change on soaking alone without boiling. However, on boiling, the concentration in the bananas decreased from about 1.4ppm to approx. 1ppm after 60min; yet the concentration of potassium released into deionized water increased steadily from 0.0ppm to about 1.2ppm after 60min of boiling. Conclusion: This study demonstrates that boiling the bananas is a more effective way of removing the potassium from bananas than simply soaking them.

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Evidence based practice guidelines for the nutritional management of chronic kidney disease

Cited by 114 publications

References 9 publications

Effects of Exercise and Lifestyle Intervention on Cardiovascular Function in CKD

Effects of Exercise and Lifestyle Intervention on Cardiovascular Function in CKD

Daily Dietary Energy and Macronutrient Intake and Anthropometric Measurements of the Peritoneal Dialysis Patients

Overnight soaking or boiling of “Matooke” to reduce potassium content for patients with chronic kidney disease: Does it really work?

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