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Table 1 Protocol of nutrition care

From: A practical approach to dietary interventions for nondialysis-dependent CKD patients: the experience of a reference nephrology center in Brazil

CKDstage/Level

 

3a and 3b Level 1

4 and 5 Level 2

  

Yes

No

Yes

No

Parameters of nutritional assessment

- Body weight and height

*

 

*

 

- Body mass index

*

 

*

 
 

- Waist circumference

*

 

*

 

- Handgrip strength

*

 

*

 

- 7-point subjective global assessment (SGA)

*

 

*

 

- Diet history

*

 

*

 

- Midarm circumference

 

*

*

 

- Triceps skinfold thickness

 

*

*

 

- Midarm muscle circumference

 

*

*

 

- Diet history and 3-day food records

 

*

*

 

- Protein equivalent of nitrogen appearance

 

*

*

 

Laboratory parameters

- Serum urea and creatinine

*

 

*

 

- Sodium and potassium

*

 

*

 

- Calcium, phosphorus, parathyroid hormone, total alkaline phosphatase and 25(OH) vitamin D

*

 

*

 

- Hemoglobin, iron, transferrin and ferritin

*

 

*

 

- Bicarbonate and pH

*

 

*

 

- Lipid profile

*

 

*

 

- Fasting glucose and HbA1C

*

 

*

 

- 24 h urinary urea (when requested)

 

*

*

 

Dietary approaches

- Focus on controlling protein intake by providing lists of protein equivalent food choices.

*

  

*

- Individualized dietary plan.

 

*

*

 

- Lists of protein and energy equivalent food choices.

 

*

*

 

- Lists of foods with low and high potassium content.

*

 

*

 

- Tips for reducing sodium intake.

*

 

*

 

Follow-up

Same day of the nephrologist visit or on a separate day depending on nutritional condition.

*

 

*

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