title: Protein intake in patients with renal failure: comments on the current NKF-DOQI guidelines for nutrition in chronic renal failure.
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.
authors: V S
authors: VS
authors: Lim
authors: M J
authors: MJ
authors: Flanigan
mesh_terms: D002986:Clinical Trials as Topic; D004044:Dietary Proteins / Q000008:administration & dosage*; D005260:Female; D017408:Guidelines as Topic; D006801:Humans; D007676:Kidney Failure, Chronic / Q000178:diet therapy* / Q000628:therapy; D008297:Male; D009751:Nutritional Requirements; D009752:Nutritional Status; D011379:Prognosis; D006435:Renal Dialysis; D012680:Sensitivity and Specificity
chemical_list: D004044:Dietary Proteins