Nutrition prescription to achieve positive outcomes in Chronic Kidney Disease : a systematic review

Ash, Susan, Campbell, Katrina L., Bogard, Jessica, & Millichamp, Anna (2014) Nutrition prescription to achieve positive outcomes in Chronic Kidney Disease : a systematic review. Nutrients, 6(1), pp. 416-451.

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Abstract

In Chronic Kidney Disease (CKD), management of diet is important in prevention of disease progression and symptom management, however evidence on nutrition prescription is limited. Recent international CKD guidelines and literature was reviewed to address the following question “What is the appropriate nutrition prescription to achieve positive outcomes in adult patients with chronic kidney disease?” Databases included in the search were Medline and CINAHL using EBSCOhost search engine, Embase and the Cochrane Database of Systematic Reviews published from 2000 to 2009. International guidelines pertaining to nutrition prescription in CKD were also reviewed from 2000 to 2013. Three hundred and eleven papers and eight guidelines were reviewed by three reviewers. Evidence was graded as per the National Health and Medical Research Council of Australia criteria. The evidence from thirty six papers was tabulated under the following headings: protein, weight loss, enteral support, vitamin D, sodium, fat, fibre, oral nutrition supplements, nutrition counselling, including protein and phosphate, nutrients in peritoneal dialysis solution and intradialytic parenteral nutrition, and was compared to international guidelines. While more evidence based studies are warranted, the customary nutrition prescription remains satisfactory with the exception of Vitamin D and phosphate. In these two areas, additional research is urgently needed given the potential of adverse outcomes for the CKD patient.

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ID Code: 66678
Item Type: Journal Article
Refereed: Yes
Keywords: chronic kidney disease, dietetics, evidence based practice, diet therapy, nutrition prescription
DOI: 10.3390/nu6010416
ISSN: 2072-6643
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NUTRITION AND DIETETICS (111100)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Exercise & Nutrition Sciences
Copyright Owner: Copyright 2014 by the authors; licensee MDPI, Basel, Switzerland
Copyright Statement: This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license
(http://creativecommons.org/Licenses/by/3.0/).
Deposited On: 28 Jan 2014 01:39
Last Modified: 28 Feb 2014 12:38

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