Managing protein-energy wasting in hemodialysis patients: A comparison of animal- and plant-based protein foods

Seminars in Dialysis
David E St-JulesScott E Liebman

Abstract

Protein-energy wasting (PEW) is a major diet-related complication in hemodialysis (HD) patients. Nutrient-based dietary guidelines emphasize animal-based protein foods for preventing and managing PEW in HD patients. Although dietary protein intake is important for protein anabolism, other dietary factors contribute to PEW. In this article, we examine the diet-related etiologies of PEW in HD patients, and discuss how they may be affected differently by animal- and plant-based protein foods. In general, animal foods are superior sources of protein, but may contribute more to metabolic derangements that cause PEW. Given the potential mixed effects of animal-based protein foods on PEW, human research studies are needed to determine the impact of liberalizing the diet to allow plant-based protein foods on protein status.

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Citations

Jun 13, 2020·Nature Reviews. Nephrology·Juan J CarreroDenis Fouque
Dec 3, 2020·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·David E St-Jules, Denis Fouque
Jul 8, 2020·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Fiona N ByrneJoseph Eustace
Oct 17, 2020·Current Opinion in Clinical Nutrition and Metabolic Care·Floris K HendriksLuc J C van Loon
Aug 31, 2021·Frontiers in Nutrition·Giacomo GaribottoGiuliano Brunori

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