Abstract:
:This paper describes the 30-year experience on nutritional management of non-dialysis dependent chronic kidney disease (CKD) patients in a public outpatient clinic located in the city of São Paulo, Brazil. A team of specialized dietitians in renal nutrition is responsible to provide individual dietary counseling for patients on stages 3 to 5 of CKD. Two different types of nutrition care protocols are employed depending on the level of renal function. For patients with CKD stage 3 a simplified nutritional assessment is performed and the main dietary focus is on the control of protein intake particularly from animal sources. A more complete nutritional assessment as well as a detailed dietary plan focusing not only on the control of protein but also on energy supply and on specific micronutrients is provided for patients on stages 4 or 5 of CKD. Practical approaches and tools used by the dietitians in our clinic for improving patient´s adherence to protein, sodium and potassium restriction while maintaining a healthy diet are described in detail in the sections of the article.
journal_name
BMC Nephroljournal_title
BMC nephrologyauthors
Cuppari L,Nerbass FB,Avesani CM,Kamimura MAdoi
10.1186/s12882-016-0282-ysubject
Has Abstractpub_date
2016-07-16 00:00:00pages
85issue
1issn
1471-2369pii
10.1186/s12882-016-0282-yjournal_volume
17pub_type
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