American Dietetic Association Publishes Evidence-Based Nutrition Practice Guidelines for Registered Dietitians on Chronic Kidney Disease and HIV/AIDS
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CHICAGO — The American Dietetic Association has published two new evidence-based practice guidelines for registered dietitians, on nutrition treatment for people with chronic kidney disease and with HIV/AIDS.
ADA's guidelines support the use of evidence-based practice by RDs to improve the quality of care they provide to clients and patients. Guidelines are developed by expert work groups that include experienced practitioners and researchers and are reviewed by multidisciplinary teams consisting of health professionals such as RDs, physicians, pharmacists and registered nurses.
Since 2005, ADA has published 15 guidelines on ADA's Evidence Analysis Library. In addition to chronic kidney disease and HIV, they include adult weight management; celiac disease; chronic obstructive pulmonary disease; critical illness; diabetes (types 1 and 2); disorders of lipid metabolism; gestational diabetes mellitus; heart failure; hypertension; oncology; pediatric weight management; spinal cord injury; and unintended weight loss for older adults.
Chronic Kidney Disease
The focus of ADA's practice guideline is on medical nutrition therapy for adults with chronic kidney disease stages 1 - 5, including post-kidney transplant but who are not on dialysis.
The primary goals of medical nutrition therapy for patients with chronic kidney disease are to "prevent and treat protein-energy malnutrition, mineral and electrolyte disorders" and to minimize the impact of other conditions on the progression of kidney disease, including calorie intake, protein, anemia, diabetes, obesity, hypertension and disorders of lipid metabolism, among others.
"The registered dietitian plays an integral role on the interdisciplinary care team by determining the optimal nutrition prescription and developing the nutrition care plan for patients undergoing therapy for chronic kidney disease," according to ADA's guideline.
ADA's practice guideline on nutrition treatment of people with HIV/AIDS recommends medical nutrition therapy provided by a registered dietitian. Numerous studies report improved outcomes related to a person's calorie intake, disease symptoms and cardiovascular risk. Studies regarding nutritional counseling also report improved outcomes related to weight gain and quality of life, according to ADA's guideline. And research has found people with HIV infection are more susceptible to foodborne illness and often lack knowledge regarding food safety.
"The registered dietitian should collaborate with other health care professionals, administrators and public policy decision-makers to ensure that all people with HIV infection are screened for nutrition-related problems, based on referral criteria regardless of setting, at every visit. People with HIV infection are at nutritional risk at any time-point during the course of their illness," according to ADA's guideline.
Recommendations in ADA's guidelines, as well as grades assigned to the strength of the scientific evidence used in supporting the recommendations, should not be interpreted as endorsements by the American Dietetic Association of any brand-name product or service. Consumers who want to know more about nutrition and health are encouraged to consult with a registered dietitian in their area.
Details on republishing information contained in ADA's guidelines are available on the Evidence Analysis Library.
The American Dietetic Association is the world's largest organization of food and nutrition professionals. ADA is committed to improving the nation's health and advancing the profession of dietetics through research, education and advocacy. Visit the American Dietetic Association at www.eatright.org.