Abstract: Objective: To evaluate the effect of chart diet therapy on nutrition management in patients with IgA nephropathy. Methods: Totally 72 IgA nephropathy patients were randomly divided into experimental group and control group. The experimental group used the chart diet therapy to create meal plans, while the control group used the traditonal calories calculation method following up in 6 month and evaluating the nutrition status, SGA, Alb, TG, CHOL and other physiological indexes at three different times, first day of admission, 3 month follow up and 6 month follow up.Result: Compared with control group, the nutrition statu, SGA, Alb, Hb, 24-UP, BMI of experimental group were better.Conclusion: The chart diet therapy was easy to operate, and could improve the compliance and nutrition status.