LOW PROTEIN DIET IN THE MANAGEMENT OF CHRONIC KIDNEY DISEASE IMPROVES NUTRITIONAL STATUS AND RENAL FUNCTION

Abstract

To delay progression of chronic kidney disease (CKD) and dialysis treatment using low protein diets and controlled intakes of potassium (K), sodium (Na) and phosphate (P). 28 patients with diagnosis of CKD stage V KDOQI and with indication for dialytic treatment were subjected to a low protein diet (0,6 gr/kg ideal weight/day) and reduced diet electrolyte content of K (1,5 -2 g/day), Na (2-3 gr/day) and P (600-1000 mg/day). Patients were evaluated at time 0 and after 6 months monitoring the following parameters: body weight (BW), body mass index (BMI), handgrip strenght (HS) and creatinine (CR) and glomerular filtration rate (GFR) values. 20 patients showed good diet compliance, 8 patients suspended the dietetic treatment and were considered as control group. The statistical analysis (student t-test) showed significant reduction of BW (p This study strongly showes that low protein dietary treatment improves nutritional status and renal function in CDK stage V HDOQI patients and prevents the onset of complications and delays dialysis treatment.