We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
A practical approach to dietary interventions for nondialysis-dependent CKD patients: the experience of a reference nephrology center in Brazil.
- Authors
Cuppari, Lilian; Baggio Nerbass, Fabiana; Avesani, Carla Maria; Ayako Kamimura, Maria; Nerbass, Fabiana Baggio; Kamimura, Maria Ayako
- 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.
- Subjects
CHRONIC kidney failure; CHRONIC diseases; LOW-protein diet; DIET in disease; DIETARY proteins
- Publication
BMC Nephrology, 2016, Vol 17, p1
- ISSN
1471-2369
- Publication type
letter
- DOI
10.1186/s12882-016-0282-y