CKDstage/Level | Â | 3a and 3b Level 1 | 4 and 5 Level 2 | ||
---|---|---|---|---|---|
 |  | Yes | No | Yes | No |
Parameters of nutritional assessment | - Body weight and height | * | Â | * | Â |
- Body mass index | * | Â | * | Â | |
 | - Waist circumference | * |  | * |  |
- Handgrip strength | * | Â | * | Â | |
- 7-point subjective global assessment (SGA) | * | Â | * | Â | |
- Diet history | * | Â | * | Â | |
- Midarm circumference | Â | * | * | Â | |
- Triceps skinfold thickness | Â | * | * | Â | |
- Midarm muscle circumference | Â | * | * | Â | |
- Diet history and 3-day food records | Â | * | * | Â | |
- Protein equivalent of nitrogen appearance | Â | * | * | Â | |
Laboratory parameters | - Serum urea and creatinine | * | Â | * | Â |
- Sodium and potassium | * | Â | * | Â | |
- Calcium, phosphorus, parathyroid hormone, total alkaline phosphatase and 25(OH) vitamin D | * | Â | * | Â | |
- Hemoglobin, iron, transferrin and ferritin | * | Â | * | Â | |
- Bicarbonate and pH | * | Â | * | Â | |
- Lipid profile | * | Â | * | Â | |
- Fasting glucose and HbA1C | * | Â | * | Â | |
- 24Â h urinary urea (when requested) | Â | * | * | Â | |
Dietary approaches | - Focus on controlling protein intake by providing lists of protein equivalent food choices. | * | Â | Â | * |
- Individualized dietary plan. | Â | * | * | Â | |
- Lists of protein and energy equivalent food choices. | Â | * | * | Â | |
- Lists of foods with low and high potassium content. | * | Â | * | Â | |
- Tips for reducing sodium intake. | * | Â | * | Â | |
Follow-up | Same day of the nephrologist visit or on a separate day depending on nutritional condition. | * | Â | * | Â |