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Table 2 Goals and relevant guidelines for cardiovascular risk factors in MASTERPLAN

From: Multifactorial approach and superior treatment efficacy in renal patients with the aid of nurse practitioners. Design of The MASTERPLAN Study [ISRCTN73187232]

Risk factors

Goal

Guideline

Blood pressure

</= 130/85 mm Hga

NFNb8, KDOQIc[10]

Proteinuria Protein excretion in urine

< 0.5 g/day

KDOQIc[10]

Lipids

 

KDOQIc[11,44]

Fasting LDL

< 2.6 mmol/l

 

Anemia

 

NFNb[45],

Hemoglobin concentration

> 6.8 mmol/l

KDOQIc[46]

Glucose

 

NHGd [47]

Fasting glucose

< 7.0 mmol/l

 

Non Fasting glucose

< 9.0 mmol/l

 

Calcium and Phosphate metabolism

 

NFNb[8],

Phosphate

</= 1.8 mmol/l

KDOQIc[48]

PTH

< 18 pMol/l**

 

Healthy Nutrition

 

GRf[49]

Protein

0.8–1.0 g/kg ideal bodyweight/day

 

Sodium

2000 mg/day

 

Fat

Reduce fat, unsaturated fats preferred

 

Energy

30–35 kcal/kg ideal bodyweight/day

 

Overweight Body mass Index

<25 kg/m2

 

Physical exercise

5×/week 30 minutes moderate exercise

NNGBg[50]

Smoking

To Quit

NFNb[8]

  1. a In case of proteinuria > 1 g/day: 125/75 mm Hg
  2. b NFN: Nederlandse Federatie voor Nefrologie (Dutch Federation for Nephrology)
  3. c KDOQI: Kidney Disease Outcomes Quality Initiative
  4. d NHG: Nederlands huisartsen genootschap (Dutch College of General Practitioners)
  5. e smaller than three times the upper limit of the normal range f GR: Gezondheidsraad (Health Council of the Netherlands)
  6. g NNGB: Nederlandse Norm voor Gezond Bewegen (Dutch Standard of Healthful Physical Activity)