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This chapter provides an overview of the latest evidence associated with the assessment and management of nutritional status in kidney disease. This will encompass acute kidney injury (AKI) and chronic kidney disease (CKD) not requiring dialysis (predialysis) and end‐stage kidney disease (ESKD) requiring dialysis (peritoneal dialysis, haemodialysis). Undernutrition, assessed using Subjective Global Assessment (SGA), is present in up to 50% of patients with CKD predating dialysis commencement, increasing in prevalence with progressive deterioration of kidney function. Due to the high prevalence and significant consequences of undernutrition in kidney disease, a system of routine screening for undernutrition, followed by comprehensive assessment of nutritional status, is essential across AKI and CKD populations. The SGA and the Malnutrition Inflammation Score (MIS) are the most comprehensive and validated nutrition assessment tools to evaluate undernutrition in kidney disease. Oral nutrition supplements (ONS) can typically increase total energy and protein intake by 20‐50%.
|Title of host publication||Advanced Nutrition and Dietetics in Nutrition Support|
|Editors||Mary Hickson, Sara Smith, Kevin Whelan|
|Number of pages||13|
|Publication status||E-pub ahead of print - 26 Jan 2018|
Nutrition for Chronic Disease and Disability: Research to improve health related quality of life and bring forward the under-represented voice
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