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01.10.2016 | Position Papers and Guidelines

A Delphi consensus panel on nutritional therapy in chronic kidney disease

verfasst von: Vincenzo Bellizzi, Stefano Bianchi, Piergiorgio Bolasco, Giuliano Brunori, Adamasco Cupisti, Giovanni Gambaro, Loreto Gesualdo, Pasquale Polito, Domenico Santoro, Antonio Santoro

Erschienen in: Journal of Nephrology | Ausgabe 5/2016

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Abstract

The conservative management of chronic kidney disease (CKD) includes nutritional therapy (NT) with the aim to reduce the intake of proteins, phosphorus, organic acids, sodium, and potassium, while ensuring adequate caloric intake. While there is evidence that NT may help to prevent and control metabolic alterations in CKD, the criteria for implementing a low-protein regimen in CKD are still debated. There is no final consensus on the composition of the diet, nor indications for specific patient settings or different stages of CKD. Also when and how to start dietary manipulation of different nutrients in CKD is not well defined. A group of Italian nephrologists participated, under the auspices of the Italian Society of Nephrology, in a Delphi exercise to explore the consensus on some open questions regarding the nutritional treatment in CKD in Italy, generating a consensus opinion for 23 statements on: (1) general principles of NT; (2) indications for and initiation of NT; (3) role of protein-free products; (4) NT safety; (5) integrated management of NT. This Delphi exercise shows that there is broad consensus regarding NT in CKD across a wide range of management areas. These clinician-led consensus statements provide a framework for appropriate guidance on NT in patients with CKD, and are intended as a guide in decision-making whenever possible.

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Titel: A Delphi consensus panel on nutritional therapy in chronic kidney disease
verfasst von: Vincenzo Bellizzi
Stefano Bianchi
Piergiorgio Bolasco
Giuliano Brunori
Adamasco Cupisti
Giovanni Gambaro
Loreto Gesualdo
Pasquale Polito
Domenico Santoro
Antonio Santoro
Publikationsdatum: 01.10.2016
Verlag: Springer International Publishing
Erschienen in: Journal of Nephrology / Ausgabe 5/2016
Print ISSN: 1121-8428
Elektronische ISSN: 1724-6059
DOI: https://doi.org/10.1007/s40620-016-0323-4

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A Delphi consensus panel on nutritional therapy in chronic kidney disease

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