Nutrition and Kidney Disease: A New Era (Contributions to by Hiromichi Suzuki, Paul L. Kimmel

By Hiromichi Suzuki, Paul L. Kimmel

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Differences of more than 20% were seen in calcium and cholesterol, while the other nutrients showed differences of less Kanno/Sasaki/Suzuki 32 Table 2. 2% 55 M 0 6 DHQ: protein intake calculated by Diet History Questionnaire. 30 days: protein intake calculated by diet records for 30 straight days. nPCR: protein intake calculated by normalized protein catabolic rate. The second row in each patient expresses the rate of DHQ/30 days and DHQ/nPCR, respectively. than 10% [7]. Although it is suggested that DHQ could be useful to examine the food intake in normal subjects from this investigation, only 3 days of food intake were recorded at the same time when DHQ was taken in this study.

The proportion of grains (classified in category 1 of the list of food exchange), as a source of protein and phosphorus intake was higher than the proportion of meat, fish, and dairy products (category 4 of the list of food exchange) in all patients receiving HD in our research. It constituted almost 50% of protein intake and inorganic phosphate. By adjusting intake of a certain category, an idea of what foods to be adjusted can be obtained. The results of our study showed that patients undergoing either HD or peritoneal dialysis [8] tended to have lower intake of nutrients than that recommended by the guidelines.

Morita, A. Yoshimura Department of Internal Medicine, Showa University Fujigaoka Hospital, Yokohama City, Japan Abstract Background: Although it is well-known that the restriction of protein intake in chronic renal failure (CRF) is effective in slowing the progressive loss of renal function, recent randomized controlled trials have not consistently shown a beneficial effect on CRF. There is controversy regarding the amount of protein intake that results in this effect. In this study, various amounts of protein intake were compared in CRF patients due to chronic glomerulonephritis (CGN) in order to explore effective restriction of dietary protein.

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