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- Title
Protein intake in patients with renal failure: comments on the current NKF-DOQI guidelines for nutrition in chronic renal failure.
- Authors
Lim, Victoria S.; Flanigan, Michael J.; Lim, V S; Flanigan, M J
- Abstract
The National Kidney Foundation Clinical Practice Dialysis Outcomes Quality Initiative (DOQI) guidelines recently recommended dietary protein intake for patients with chronic renal failure as follows: predialysis patients should receive 0.60 g/kg/day of protein and increase intake to 0.75 g/kg/day for subjects who cannot follow such a diet. For stable maintenance hemodialysis patients, the recommended protein intake is 1.2 g/kg/day, and for chronic peritoneal dialysis patients, 1.2-1.3 g/kg/day. We differ with these recommendations and believe that a dietary protein intake of 0.8 g/kg/day is appropriate for the predialysis population; an intake of 0.9-1.0 g/kg/day and 1.0-1.1 g/kg/day for maintenance hemodialysis patients and peritoneal dialysis patients, respectively, should be adequate. The rationale and the evidence supporting our arguments are outlined and discussed.
- Subjects
CHRONIC kidney failure; HEMODIALYSIS patients; LOW-protein diet; NUTRITION; DIET therapy
- Publication
Seminars in Dialysis, 2001, Vol 14, Issue 3, p150
- ISSN
0894-0959
- Publication type
editorial
- DOI
10.1046/j.1525-139X.2001.00041.x