Nutrition care for chronic kidney disease during pregnancy: an updated review

María Angélica Reyes-López, Giorgina B. Piccoli, Filomena Leone, Alejandra Orozco-Guillén, Otilia Perichart-Perera

Research output: Contribution to journalReview articlepeer-review

13 Scopus citations

Abstract

Cases of chronic kidney disease (CKD), including CKD in pregnant women, have increased globally in recent years. CKD during pregnancy is associated with a higher risk of adverse outcomes, including gestational hypertension, preeclampsia, intrauterine growth restriction, and preterm birth, among others. Nutrition plays a significant role in many metabolic and physiological changes during pregnancy. Women with CKD are at increased risk of nutrition deficiencies and metabolic issues than women without CKD. Currently, we lack evidence regarding metabolic and nutritional adaptations during pregnancy in women with CKD and how these adaptations relate to perinatal outcomes. In this review, dietary and supplementation recommendations for CKD in adults and pregnant women are summarized from current clinical guidelines. We present the main nutrition care practices that have been studied in CKD pregnancies. This review will be helpful to health professionals as a preliminary reference for nutrition assessment and therapy in pregnant women with CKD.

Original languageEnglish
Pages (from-to)983-990
Number of pages8
JournalEuropean Journal of Clinical Nutrition
Volume74
Issue number7
DOIs
StatePublished - 01 Jul 2020
Externally publishedYes

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