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Nutrición Hospitalaria

versión On-line ISSN 1699-5198versión impresa ISSN 0212-1611


ALHAMBRA-EXPOSITO, María-Rosa et al. Recommendations of the GARIN group for dietary managing of patient with chronic kidney disease. Nutr. Hosp. [online]. 2019, vol.36, n.1, pp.183-217. ISSN 1699-5198.

Background and objectives:

by means of this update, the GARIN working group aims to define its position regarding the dietary treatment of patients with chronic kidney disease (CKD). In this area there are many aspects of uncertainty.

Material and methods:

bibliographical review and specific questions in advance were discussed and answered at a meeting in the form of conclusions.


the therapeutic action must be individualized and taking into account the degree of renal failure that the patient presents and their comorbidities. Regarding nutritional medical therapy, our group proposes three different levels of action, in which the recommendations of protein intake, fiber, fatty acids or potassium are different. In addition, we suggest using the phosphorus/protein ratio concept in adjusting the diet of the patient with CKD. We give recommendations regarding treatment in diabetes and artificial supplementation.


these recommendations about dietary issues in patients with CKD can add value to clinical work.

Palabras clave : Renal insufficiency; Diet; Nutrition; Chronic kidney disease.

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