Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA,
Oswaldo Ramos Foundation-Hrim, Federal University of São Paulo, São Paulo, Brazil.
Blood Purif. 2021;50(4-5):667-671. doi: 10.1159/000513698. Epub 2021 Mar 2.
Over the last 2 decades, there has been a great accumulation of new evidence regarding the management of nutritional and metabolic aspects of kidney disease. The 2020 update to the KDOQI Clinical Practice Guideline for Nutrition in CKD provides a comprehensive up-to-date information on the understanding and care of patients with CKD. It provides updated information on nutritional aspects of kidney disease for the practicing clinician and allied health-care workers. The current manuscript provides an overview of the updated guideline statements on major subjects including nutritional assessment, dietary protein and energy intake, nutritional supplementation, micronutrients, and electrolytes. The guidelines are focused on dietary management rather than all possible nutritional interventions.
在过去的 20 年中，有关肾脏疾病营养和代谢方面管理的新证据大量积累。2020 年版 KDOQI 慢性肾脏病营养临床实践指南更新版为慢性肾脏病患者的理解和护理提供了全面的最新信息。它为执业临床医生和联合保健工作者提供了肾脏病营养方面的最新信息。本手稿概述了更新后的指南中关于主要主题的陈述，包括营养评估、膳食蛋白质和能量摄入、营养补充、微量营养素和电解质。该指南侧重于饮食管理，而不是所有可能的营养干预措施。
