Document Detail

Nutritional status, delaying progression and risks associated with protein restriction.
MedLine Citation:
PMID:  11868747     Owner:  NLM     Status:  MEDLINE    
Low protein diets (LPD), providing < or = 0.6 g protein/kg body weight daily, have traditionally been used in the nutritional management of chronic renal failure (CRF). Initially they were advocated when dialysis availability was limited. More recently LPD have been proposed as a means of delaying the rate of CRF progression. Despite much research in this area, the value of protein restriction remains contentious. A major concern over their use is that they may induce malnutrition. This is of critical importance since mortality rates are significantly increased in individuals who are malnourished when dialysis is initiated. Other approaches to the nutritional management of CRF may be more appropriate. The primary goal of any nutritional therapy should be to optimise the patient's nutritional status. In the UK LPD are used in a minority of units. An alternative approach to the use of these diets is to view the prevention of malnutrition as being of paramount importance. For uraemic patients, dialysis is the best treatment.
G H Hartley
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  EDTNA/ERCA journal (English ed.)     Volume:  27     ISSN:  1019-083X     ISO Abbreviation:  EDTNA ERCA J     Publication Date:    2001 Apr-Jun
Date Detail:
Created Date:  2002-02-28     Completed Date:  2002-05-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9805754     Medline TA:  EDTNA ERCA J     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  101-4     Citation Subset:  N    
Dietetic Department, Freeman Hospital, Newcastle upon Tyne, England.
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MeSH Terms
Diet, Protein-Restricted / adverse effects*
Disease Progression
Kidney Failure, Chronic / diet therapy*,  physiopathology
Nutrition Disorders / etiology*
Risk Factors

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