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Dietary Assessment in Kidney Disease

  • Linda W. Moore
Chapter
Part of the Nutrition and Health book series (NH)

Abstract

Understanding the dietary intake of people with kidney disease is fundamental to addressing their treatment or for the prevention or progression of disease. Several recent guidelines on chronic kidney disease (CKD) vary on recommendations for assessing the dietary intake of patients (Table 3.1) [1–8]. Whether the approach to assessing dietary intake is considered warranted is not discussed in these guidelines, so perhaps it is not an issue of the reliability of dietary intake assessment methods but rather one of the origin of the guidelines. For example, the guidelines from the National Kidney Foundation Kidney Disease Outcomes Quality Initiative (NKF KDOQI) on nutrition [1] are written to be multidisciplinary and include guidelines for dietitians. The guidelines for CKD that were produced by the Academy of Nutrition and Dietetics are written specifically for dietitians [4]. However, many of the other guidelines for CKD are physician specific, and obtaining the dietary record is not included in their guidelines, perhaps because physicians do not normally collect this information. In contrast, assessment of dietary intake is a significant practice of dietetics, and they routinely evaluate dietary intake in assessing the nutritional status of patients.

Keywords

Dietary intake assessment Dietary record Food Frequency Questionnaire Recommended dietary allowance Chronic kidney disease Acute kidney injury Hemodialysis Kidney transplantation Biomarkers 

Abbreviations

AI

Adequate intake

AMDR

Acceptable macronutrient distribution range

AMPM

Automated Multiple-Pass Method

ASA24™

Automated self-administered 24-h recall

BMI

Body mass index

BMR

Basal metabolic rate

CKD

Chronic kidney disease

DEI

Dietary energy intake

DHQ

Diet History Questionnaire

DPI

Dietary protein intake

DRI

Dietary Reference Intakes

EAR

Estimated average requirement

EBPG

Evidence-based practice guideline

EER

Estimated energy requirement

EI

Energy intake

ELMP

Exchange Lists for Meal Planning

FFQ

Food Frequency Questionnaire

FNDDS

Food and Nutrient Database for Dietary Surveys

IOM

Institute of Medicine

KDOQI

Kidney Disease Outcomes Quality Initiative

Kt/V

Dialyzer solute clearance (K), time on dialysis (t), volume of solute distribution (V)

NCDS

National Cooperative Dialysis Study

NHANES

National Health and Nutrition Examination Survey

OPEN

Observing protein and energy nutrition

PCR

Protein catabolic rate

RDA

Recommended dietary allowance

REE

Resting energy expenditure

TEE

Total energy expenditure

UL

Tolerable upper intake level

USDA

United States Department of Agriculture

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Department of Surgery, Research ProgramsHouston Methodist HospitalHoustonUSA

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