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Med Clin North Am. 2016 Nov;100(6):1265-1283. doi: 10.1016/j.mcna.2016.06.008. Epub 2016 Sep 13.

Nutrition Interventions in Chronic Kidney Disease.

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Department of Family Medicine and Public Health, UC San Diego School of Medicine, 9500 Gilman Drive, MC 0725, La Jolla, CA 92093-0725, USA. Electronic address:
Department of Nephrology and Hypertension, UCSD Medical Center, 200 West Arbor Drive, San Diego, CA 92102, USA.
Department of Nephrology and Hypertension, VA San Diego Healthcare System, 3350 La Jolla Drive, San Diego, CA 92161, USA.


Dietary modification is recommended in the management of chronic kidney disease (CKD). Individuals with CKD often have multiple comorbidities, such as high blood pressure, diabetes, obesity, and cardiovascular disease, for which dietary modification is also recommended. As CKD progresses, nutrition plays an important role in mitigating risk for cardiovascular disease and decline in kidney function. The objectives of nutrition interventions in CKD include management of risk factors, ensuring optimal nutritional status throughout all stages of CKD, preventing buildup of toxic metabolic products, and avoiding complications of CKD. Recommended dietary changes should be feasible, sustainable, and suited for patients' food preferences and clinical needs.


Chronic kidney disease; Interventions; Nutrition

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