American Journal of Clinical Nutrition, Vol 31, 1812-1820, Copyright © 1978 by The American Society for Clinical Nutrition, Inc

ORIGINAL RESEARCH COMMUNICATIONS

Protein requirements in maintenance hemodialysis

R Kluthe, FM Luttgen, T Capetianu, V Heinze, N Katz and A Sudhoff

Protein requirements in maintenance hemodialysis patients are still unclear. Based on nitrogen balance studies and different analyses of protein and amino acid metabolism, the recommendations until recently were 1 g/kg of body weight, primarily of high biological value protein. According to the results of controlled long-term studies the 1 g recommendation now seems too low. The paper reports on the results of a controlled study undertaken to define protein requirements. The effect of supplementation with a special protein mixture is studied on the basis of 1 g of protein per kilogram of body weight intake and about 20 hr standard dialysis per week. The results suggest that 1.2 g of protein per kilogram of body weight primarily of high biological value protein and 35 kcal/kg of body weight should be prescribed for dialysis patients. In case of complications (bleeding, infection, and other stress situations) additional supplements are necessary.

This article has been cited by other articles:

				A. Y.-M. Wang, J. Sanderson, M. M.-M. Sea, M. Wang, C. W.-K. Lam, P. K.-T. Li, S.-F. Lui, and J. Woo Important factors other than dialysis adequacy associated with inadequate dietary protein and energy intakes in patients receiving maintenance peritoneal dialysis Am. J. Clinical Nutrition, April 1, 2003; 77(4): 834 - 841. [Abstract] [Full Text] [PDF]

				C. Chazot, G. Laurent, B. Charra, C. Blanc, C. VoVan, G. Jean, T. Vanel, J. C. Terrat, and M. Ruffet Malnutrition in long-term haemodialysis survivors Nephrol. Dial. Transplant., January 1, 2001; 16(1): 61 - 69. [Abstract] [Full Text] [PDF]