title: [Chronic renal failure: what is the optimal diet?].
abstract: The optimal diet for chronic kidney disease (CKD) is an issue frequently brought up by patients and/or their relatives during outpatient visits. For patients without malnutrition who are motivated and supported by an experienced multidisciplinary team, the optimal protein intake of 0,6 g/kg of ideal body weight/day is recommended to halt the progression of CKD. A calorie intake of 30 to 35 kcal/kg of ideal body weight/day is necessary to reduce the risk of malnutrition from a low protein diet and to maintain a neutral nitrogen balance. A low-salt diet, namely 5 to 6 g/d, is useful to optimize the treatment of hypertension associated with CKD and to limit fluid overload. At the advanced stage of CKD, it is also necessary to restrict the intake of phosphorus and sometimes potassium. Given the complexity of optimal renal diet, coordination between general practitioners, nephrologists and dietitians is essential to foster optimal care.
authors: Service de Néphrologie et d'Hypertension, Centre Hospitalier Universitaire Vaudois, Lausanne.
authors: Yimin
authors: Y
authors: Lu
authors: Service de Néphrologie et d'Hypertension, Centre Hospitalier Universitaire Vaudois, Lausanne.
authors: Nima
authors: N
authors: Vakilzadeh
authors: Service de Néphrologie et d'Hypertension, Centre Hospitalier Universitaire Vaudois, Lausanne.
authors: Daniel
authors: D
authors: Teta
mesh_terms: D002136:Calcium, Dietary / Q000008:administration & dosage; D018753:Diet, Protein-Restricted; D004039:Diet, Sodium-Restricted; D002149:Energy Intake / Q000502:physiology; D006801:Humans; D007676:Kidney Failure, Chronic / Q000178:diet therapy* / Q000503:physiopathology; D009751:Nutritional Requirements; D010710:Phosphates / Q000008:administration & dosage; D017419:Potassium, Dietary / Q000008:administration & dosage; D014882:Water-Electrolyte Balance / Q000502:physiology
chemical_list: D002136:Calcium, Dietary; D010710:Phosphates; D017419:Potassium, Dietary
keywords: Ernährung; Kalorien; Natrium; Protein; acidose métabolique; calories; chronic kidney disease; chronische Niereninsuffizienz; maladie rénale chronique; metabolic acidosis; metabolische Azidose; nutrition; protein; protéine; sodium