Nutritional considerations and the indications for dialysis

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
W E Mitch, B J Maroni

Abstract

Evidence of a reduction in dietary protein intake and some indices of nutritional status in chronic renal failure (CRF) patients consuming unrestricted diets has led some individuals to recommend that low-protein diets be avoided and that dialysis should be initiated if the protein intake declines below 0.8 g protein/kg/day. However, evidence indicates that when properly implemented, low-protein diets are safe and can maintain lean body mass even during long-term therapy. This is because CRF patients are able to activate normal compensatory responses when protein intake is restricted, and their protein and energy requirements are similar to healthy subjects. Because low-protein diets ameliorate uremic symptoms and some of its metabolic complications, dietary therapy should be attempted in all patients with progressive CRF. The recommendation to initiate dialysis when the protein intake declines below 0.8 g/kg/day should be viewed with skepticism because mortality risk is increased in end-stage renal disease (ESRD) patients and dialysis therapy does not improve protein and energy intake or ameliorate malnutrition.

Citations

Aug 31, 1999·The Proceedings of the Nutrition Society·D J Millward
Mar 13, 2003·Kidney International·Benoît VendrelyMichel Aparicio
Sep 10, 2010·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Liliana Garneata, Gabriel Mircescu
Apr 28, 2007·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Gabriel MircescuCristina Căpuşă
Jun 28, 2002·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Lara B PupimT Alp Ikizler
Jun 28, 2002·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Robert Lindsay
Jul 3, 2004·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Adamasco CupistiGiuliano Barsotti
Apr 3, 2004·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Kelli Trindade CarvalhoRachel Bregman
Mar 31, 2005·American Journal of Physiology. Renal Physiology·Hideki InoueSerena M Bagnasco
Jun 11, 1999·Journal of the American Society of Nephrology : JASN·P AroraB J Pereira
Apr 9, 1999·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·H YounesC Rémésy

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