What lifestyle modifications should I advise to a patient with early-stage chronic kidney disease?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 16 August 2025Updated: 16 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

Lifestyle modifications for a patient with early-stage chronic kidney disease (CKD) include:

  • Encourage regular physical exercise to help maintain overall health and support a healthy body weight.
  • Advise achieving and maintaining a healthy body weight, as obesity can worsen CKD progression.
  • Recommend a healthy, balanced diet with attention to potassium, phosphate, calorie, and salt intake appropriate to the severity of CKD; dietary advice should be tailored and supervised to prevent malnutrition.
  • Advise against the routine use of low-protein diets, as they are not recommended for all CKD patients to reduce progression risk.
  • Advise avoiding over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) and stopping herbal remedies or dietary supplements such as creatine, due to their potential to harm kidney function.
  • Encourage smoking cessation to reduce cardiovascular risk and CKD progression.
  • Advise drinking alcohol in moderation.

These lifestyle changes should be supported by education and information tailored to the patient's condition to enable self-management and informed decision-making.

References: ,,

Educational content only. Always verify information and use clinical judgement.