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      The obsession with high dietary protein intake in ESRD patients on dialysis: is it justified?

      1
      Nephron
      S. Karger AG

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          Abstract

          The belief that dialysis patients require a much higher intake of protein than the average person is widely held among nephrologists and a recent editorial review on the care of patients undergoing hemodialysis advised a protein intake of at least 1.5 g/kg/day in this population. In theory, the requirements for daily protein intake of dialysis patients should be the same as normals plus whatever extra obligatory nitrogen losses are imposed by the dialytic process. Since the average loss of protein and/or amino acids is about 8 g/day in peritoneal dialysis and 8 g per session in hemodialysis patients, the daily intake of protein in dialysis patients needs to be increased only by this small magnitude.

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          Most cited references2

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          Care of patients undergoing hemodialysis.

          O Ifudu (1998)
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            Protein catabolic rate may underestimate dietary protein intake in hemodialysis patients.

            J Uribarri (1999)
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              Author and article information

              Journal
              Nephron
              Nephron
              S. Karger AG
              1660-8151
              1660-8151
              Oct 2000
              : 86
              : 2
              Affiliations
              [1 ] Department of Medicine, Mount Sinai School of Medicine, New York, NY 10029, USA. jaime.uribarri@smtplink.mssm.edu
              Article
              45726
              10.1159/000045726
              11014977
              57455000-039d-4f05-8a8c-e4c3877a6255
              History

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