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

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

Author Cuppari, Lilian Autor UNIFESP Google Scholar
Nerbass, Fabiana Baggio Google Scholar
Avesani, Carla Maria Google Scholar
Kamimura, Maria Ayako Autor UNIFESP Google Scholar
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 Sao 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.
Keywords Chronic kidney disease
Diet
Brazil
Dietary protein
xmlui.dri2xhtml.METS-1.0.item-coverage London
Language English
Sponsor Oswaldo Ramos Foundation
Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq Brazil)
Date 2016
Published in Bmc Nephrology. London, v. 17, p. -, 2016.
ISSN 1471-2369 (Sherpa/Romeo, impact factor)
Publisher Biomed Central Ltd
Extent -
Origin http://dx.doi.org/10.1186/s12882-016-0282-y
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000379820100002
URI https://repositorio.unifesp.br/handle/11600/57536

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