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May 1 , 1999
In an effort to improve the survival rate of dialysis patients in the U.S., the National Kidney Foundation (NKF) today announced preliminary results of a workgroup convened to develop nutrition guidelines for both adults and children receiving chronic dialysis treatment. A draft of the guidelines was presented at the foundation's annual clinical nephrology meetings, held here. NKF plans to release the guidelines for public review in late summer.
Says Joel Kopple, MD, NKF President and chairman of the nutrition workgroup for NKF's Dialysis Outcomes Quality Initiative, "Malnutrition is a high predictor of mortality in maintenance dialysis patients. We anticipate that the publication of these guidelines will lead to an improvement in the nutritional status of dialysis patients and hopefully, boost their overall health, quality of life and survival rates."
Key highlights of the nutrition guidelines focus on dietary protein and energy requirements and methods of nutritional assessment. The following are the recommendations for protein and energy intake:
In terms of measuring nutritional status, the NKF recommends the following tools for use in adult dialysis patients:
The pediatric guidelines also cover nutritional supplements for children who are not growing normally due to kidney failure, vitamin and mineral requirements, performance of appropriate nutritional measurements, nutrition for hospitalized children on dialysis and evaluation for human growth hormone.
The NKF-DOQI nutrition guidelines are funded by an unrestricted grant from Sigma-Tau Pharmaceuticals, Inc, the worldwide leader in carnitine and metabolic research.
The National Kidney Foundation is dedicated to preventing kidney and urinary tract diseases, improving the health and well-being of individuals and families affected by these diseases and increasing the availability of all organs for transplantation. To obtain copies of the draft guidelines, which will be available for public review in late summer, call (800) 622-9010 x126.