Low-Protein Diets for Chronic Renal Failure

  • S. Giovannetti
Part of the Topics in Renal Medicine book series (TIRM, volume 7)


Considering the rationale and the purposes of low-protein diets (LPDs) for Chronic renal failure (CRF) (Chapter 18), it is evident that they should have several common properties: a) They should supply limited amounts of nitrogen that should, however, be qualitatively and quantitatively adequate for equilibrium of the nitrogen balance. b) They should supply limited amounts of Pi and Na but should ensure a high caloric intake (mostly from carbohydrates) to reduce protein (PR) breakdown. c) They should be satisfactorily accepted by patients so as to facilitate compliance. d) They should be as easy as possible to prepare and their cost should be as low as possible. e) The quality and amount of fats should be the same as in diets for lowering serum lipids, as CRF patients have often hyperlipemia (Chapter 8), which probably contributes to the decline of renal function [1]. Finally, f) the severity of the restrictions should correlate with the severity of CRF (see Chapter 24).


Chronic Renal Failure Essential Amino Acid Nitrogen Balance Mixed Diet Residual Renal Function 
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© Kluwer Academic Publishers, Boston 1989

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  • S. Giovannetti

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