Evaluating the composition of uremic diet in CKD hospitalized patient in educational hospital of Mashhad University of Medical Science in year 1393

for the importance of nutritional management in CKD patients before dialysis ¡uremic diet was one of the first dietary-therapeutic objectives in the treatment of patients in the pre-dialysis phase of CKD.This study was carriedout for the analyzes of hospitals uremic diet, and evaluation of its macronutrients and minerals in the teaching hospitals of Mashhad University of Medical Sciences .
This study is a clinical audit and was conducted in the winter of 1393 in Mashhad teaching hospitals.In order to analyze the diet meal¡ the meal plan of one week of three teaching hospitals in Mashhad were collected. The analysis of uremic diet was conducted with Nutritionist IV software .The data was entered in to the software daily and sum of the meals , the amount of macronutriets and micronutrient of each day, was calculated for each hospital. The data analysis was performed using Spss 11,then the data were compared whit references guidelines for CKD patients before dialysis . After evaluation of normalization of data, the level of significance was set at p overal Thirty-six meals served to CKD patients were studied, The average protein content was (2.8 g/kg day)¡carbohydrate content was (52%)¡ energy content was (39.5kcal /kg) and fat content was (21%) . The average of protein and energy content exceeded the recommendation levels. But the amount of carbohydrate and fat contents were almost near the recommendation level .The amounts of Mg (492.58 ± 54.04)¡P(2338.76 ±276.78)¡ K (5003.57 ± 623.97)and Na(2627.71 ±479.57) were higher than the recommended level .Na and K levels exceeded the Upper level. Ca content )1422.66 ± 140.80 (was inadequate for the end stage of CKD patient.
The oral hospital diet prepared for patients with CKD was considered unbalanced, and it was not designed for their nutritional needs.