NKF releases 2020 clinical practice guideline for nutrition in CKD
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In collaboration with the Academy of Nutrition and Dietetics, the National Kidney Foundation has released the 2020 Kidney Disease Outcome Quality Initiative Clinical Practice Guideline for Nutrition in Chronic Kidney Disease.
The first version of the guideline was published in 2000 and applied only to patients with end-stage kidney disease, according to a press release from the NKF. Today, the guidelines assist health care practitioners to manage the nutritional intake of patients with all stages of kidney disease, including transplant recipients.
“Global adoption and implementation of the KDOQI guidelines has dramatically changed all aspects of chronic kidney disease care in the years since the original nutrition guideline was published,” Kerry Willis, PhD, chief scientific officer for NKF, said in the release. “This guideline update reflects the numerous advances in both guideline development and dietary management of patients with chronic kidney disease over the past 20 years.”
The 2020 guideline, developed by an international, multidisciplinary workgroup, addresses six primary areas of nutrition management, according to the release. These include the following:
- nutritional assessment;
- medical nutrition therapy;
- dietary protein and energy intake;
- nutritional supplementation;
- micronutrients; and
- electrolytes.
The release further stated that in addition to providing practical clinical recommendations to guide nutrition management, the guideline also examines areas where more research is needed to determine best practices (eg, whether including more plant-based vs. animal proteins will result in improved clinical outcomes for patients).
One of the chairs of the workgroup also provided perspective into how the guideline may serve health care professionals and their patients.
“Nutritional abnormalities are the hallmark of kidney disease and diet plays an important role in the day-to-day management of patients with CKD,” T. Alp Ikizler, PhD, of Vanderbilt University Medical Center in Nashville, said. “The updated guidelines reflect the significant improvements in the understanding and care of patients with CKD in terms of their metabolic and nutritional milieu. We are hopeful that our colleagues will embrace these guidelines and implement them into their practice in the most effective way to improve the lives of those with CKD.”
For more information, and to read the guideline in full, visit: https://www.ajkd.org/article/S0272-6386(20)30726-5/fulltext#secsectitle0300.
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