Low-Protein Diets: Guidelines for Chronic Kidney Disease - Nutrition

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Low-protein diet


What is considered a low-protein food? How much protein content should be less than in 100g to qualify as low-protein? My mother has chronic kidney disease, and her urine protein levels have been consistently high.
Is the commercially available San-Duo low-protein milk powder suitable for her? How much can she consume in a day? Thank you.

Pipi, 40~49 year old female. Ask Date: 2007/11/20

Dr. Cai Xiuwen reply Nutrition


Hello! A general balanced diet typically consists of protein making up about 12-14% of total caloric intake.
A low-protein diet, on the other hand, has protein contributing approximately 6-8% of total calories.
Protein is an essential substance needed by the body.
Under normal circumstances, protein is absorbed and utilized by the kidneys.
The presence of protein in urine may indicate inflammation or damage to the kidneys, leading to proteinuria.

The amount of protein that should be restricted daily depends on the stage of kidney function, and impaired kidney function can lead to various electrolyte imbalances, which should be adjusted based on individual circumstances.
Generally, a renal diet is quite complex, and restrictions should be tailored to the individual's condition.

Regarding the low-protein formula with approximately 6% protein, the amount to be consumed should be determined based on your mother's height, weight, kidney function, and dietary status.
I recommend consulting a nutritionist at your mother's treatment hospital for the best nutritional care.
Wishing you peace and health.
This response is provided by Dietitian Tsai Hsiu-Wen from Nantou Hospital, Department of Health.

Reply Date: 2007/11/20

More Info


A low-protein diet is a dietary approach that restricts the intake of protein to help manage chronic kidney disease (CKD) and prevent further deterioration of kidney function. In general, a balanced diet for healthy individuals consists of protein contributing about 12-14% of total caloric intake. However, for individuals with CKD, particularly those in later stages, a low-protein diet typically reduces protein intake to about 6-8% of total calories. This means that the protein content in food should be limited to less than 0.6-0.8 grams of protein per kilogram of body weight, depending on the stage of kidney disease and individual health conditions.

To define what constitutes a low-protein food, it is generally accepted that foods containing less than 10 grams of protein per 100 grams can be considered low-protein. However, this threshold can vary based on individual dietary needs and restrictions. For someone with CKD, it is crucial to monitor not only protein intake but also other nutrients such as sodium, potassium, and phosphorus, as these can also impact kidney health.

In the case of your mother, who has chronic kidney disease and high levels of urinary protein, it is essential to consult with a healthcare professional or a registered dietitian to tailor her diet specifically to her needs. The "三多低蛋白奶粉" (San Duo Low-Protein Milk Powder) you mentioned contains approximately 6% protein, which is relatively low and may be suitable for her, but the exact amount she can consume daily should be determined based on her overall dietary plan, kidney function, and any other health considerations.

When considering how much of this low-protein milk powder your mother can drink, it is vital to take into account her total daily protein allowance, which should be calculated based on her weight and kidney function. For example, if her protein allowance is set at 40 grams per day, and the milk powder provides 6 grams of protein per serving, she could potentially have several servings throughout the day, but this must be balanced with other protein sources in her diet.

In addition to managing protein intake, it is also important to focus on other dietary aspects. A low-sodium diet is crucial for individuals with CKD to help control blood pressure and reduce the risk of cardiovascular complications. Similarly, potassium and phosphorus levels should be monitored, as high levels of these minerals can lead to serious health issues in patients with compromised kidney function.

To summarize, a low-protein diet for chronic kidney disease patients involves careful planning and monitoring of protein intake, along with other dietary restrictions. It is advisable to work closely with a healthcare provider or a registered dietitian who specializes in renal nutrition to create a personalized meal plan that meets your mother's specific health needs while ensuring she receives adequate nutrition. This approach will help manage her condition effectively and improve her overall quality of life.

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