Dietary Protein Intake and Kidney Disease in Western Diet

2007 ◽  
pp. 102-112 ◽  
Author(s):  
Roberto Pecoits-Filho
Keyword(s):  
Kidney Disease ◽  
Dietary Protein ◽  
Protein Intake ◽  
Western Diet ◽  
Dietary Protein Intake

scholarly journals Influence of dietary protein intake on body composition in chronic kidney disease patients in stages 3–5: A cross-sectional study

Nefrología ◽  
2018 ◽  
Vol 38 (6) ◽  
pp. 647-654
Author(s):  
Guillermina Barril ◽  
Angel Nogueira ◽  
Mar Ruperto López ◽  
Yone Castro ◽  
José Antonio Sánchez-Tomero
Keyword(s):  
Chronic Kidney Disease ◽  
Body Composition ◽  
Kidney Disease ◽  
Dietary Protein ◽  
Protein Intake ◽  
Cross Sectional Study ◽  
Dietary Protein Intake ◽  
Sectional Study ◽  
Cross Sectional

Abstract P100: Dietary Protein Intake and Chronic Kidney Disease in American Population with Hypertension and Diabetes

Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Jin-Liern Hong ◽  
Xia Li ◽  
Charles Poole
Keyword(s):  
Chronic Kidney Disease ◽  
High Risk ◽  
Kidney Disease ◽  
Energy Intake ◽  
Dietary Protein ◽  
Protein Intake ◽  
Level Energy ◽  
Dietary Protein Intake ◽  
Prevalence Odds Ratio ◽  
Renal Disease Progression

Background: Dietary protein intake has been associated with renal disease progression in patients with chronic kidney disease (CKD). Little is known about the renal impact of protein intake in persons with hypertension or diabetes who are at high risk for CKD. Objectives: This study aims to evaluate protein intake in relation to CKD in a representative sample of US adults, stratified by hypertension and diabetes. Methods: A cross-sectional study was conducted using data from the US NHANES 2003-2008. Subjects were excluded if they were pregnant, with known weak kidney, or following on special diet. There were 9,284 eligible participants age 20-80 with data from two 24-hour dietary recall questionnaires. Protein intake was adjusted for energy intake and categorized into four evenly spaced groups. CKD was defined as an estimated glomerular filtration rate <60mL/min/1.73m 2 . Logistical regression model was used to estimate the prevalence odds ratio (POR). Analyses were further stratified by hypertension and diabetes. Results: The median protein intake was 77 g/day (interquartile range, 66 to 89 g/day) in the study population, and was 59, 72, 83, and 100 g/day for the lowest to the highest quarter of protein intake, respectively. The prevalence of CKD was 4%. For a 25-g increase in protein intake, the POR was 1.18 (95% CI: 0.93 to 1.50), adjusting for age, sex, race, income adequacy, education level, energy intake, physical activity, cardiovascular disease, diabetes, and hypertension. The adjusted POR comparing the highest and the lowest quarter of protein intake was 1.12 (95%CI: 0.73 to 1.72). The stratified analysis showed the highest quarter is associated with CKD among persons with both hypertension and diabetes ( Table ). No association was found in persons with hypertension only, diabetes only, or neither. Conclusion: We observed a positive association between protein intake and CKD among American adults with both hypertension and diabetes. This finding adds to the concern of dietary protein intake in persons at high-risk for CKD. Table. Adjusted POR of CKD comparing the highest and the lowest quarter of protein intake. Disease Status Hypertension - + Diabetes - 1.05 (0.45 - 2.45) 0.80 (0.44 - 1.47) + 4.63 (0.33 - 65.70) 3.04 (1.13 - 8.19)

scholarly journals Dietary protein intake and chronic kidney disease

2017 ◽  
Vol 20 (1) ◽  
pp. 77-85 ◽  
Author(s):  
Gang Jee Ko ◽  
Yoshitsugu Obi ◽  
Amanda R. Tortorici ◽  
Kamyar Kalantar-Zadeh
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Dietary Protein ◽  
Protein Intake ◽  
Dietary Protein Intake

scholarly journals Dietary Protein Intake and Bone Across Stages of Chronic Kidney Disease

2020 ◽  
Vol 18 (3) ◽  
pp. 247-253 ◽  
Author(s):  
Elizabeth R. Stremke ◽  
Annabel Biruete ◽  
Kathleen M. Hill Gallant
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Dietary Protein ◽  
Protein Intake ◽  
Dietary Protein Intake

scholarly journals Is controlling phosphorus by decreasing dietary protein intake beneficial or harmful in persons with chronic kidney disease?

2008 ◽  
Vol 88 (6) ◽  
pp. 1511-1518 ◽  
Author(s):  
Christian S Shinaberger ◽  
Sander Greenland ◽  
Joel D Kopple ◽  
David Van Wyck ◽  
Rajnish Mehrotra ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Dietary Protein ◽  
Protein Intake ◽  
Dietary Protein Intake

scholarly journals Development and Validation of a Simple Equation to Evaluate Dietary Protein Intake Using the Blood Urea Nitrogen/Serum Creatinine Ratio in Patients With Stage 3 Chronic Kidney Disease

2020 ◽  
Author(s):  
Yanhui Wang ◽  
Zujiao Chen ◽  
Jing Li ◽  
Zhen Li ◽  
Jianteng Xie ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Regression Analysis ◽  
Kidney Disease ◽  
Serum Creatinine ◽  
Blood Urea Nitrogen ◽  
Dietary Protein ◽  
Protein Intake ◽  
Simple Equation ◽  
Dietary Protein Intake ◽  
Urea Nitrogen

Abstract Background: A simple, effective and convenient method to assess dietary protein intake (DPI) for chronic kidney disease (CKD) patients is urgently needed in clinical practice. We developed a simple equation to evaluate DPI in patients with stage 3 CKD with the blood urea nitrogen (BUN)/serum creatinine (SCr) ratio (BUN/SCr).Methods: In a prospective cohort of 136 inpatients with stage 3 CKD from 2 centres, we developed estimation equations based on BUN/SCr and the spot urinary urea nitrogen (UUN)/urinary creatinine (UCr) ratio (UUN/UCr) in combination with sex and body mass index (BMI). These equations were then internally and externally validated.Results: The following candidate parameters were derived from univariate regression analysis for 5 established models: sex, BMI, BUN/SCr, UUN and UUN/UCr. Sex and BMI were included in all models after variable evaluation using multiple regression analysis. UUN, UUN/UCr and BUN/SCr were included in model 3, model 4 and model 5, respectively. Both internal validation and external validation indicated that model 5 resulted in the lowest values of bias and root mean square error and the highest P30 compared with model 3 and model 4. Therefore, the model 5 equation, DPI= -5.18 (-14.49 if the patient is female) +1.89×BMI+1.38×BUN/SCr, was selected because of the higher correlation [r = 0.498 (95% confidence interval 0.163,0.719)] and the smaller distribution of the difference between the predicted and measured protein intakes than those of the other models.Conclusion: The DPI equation developed using BUN/SCr, sex and BMI may be used to estimate protein intake for patients with stage 3 CKD.Trial registrationChinese Clinical Trial Registry Center (ChiCTR-ROC-17011363). Registered in 11 May 2017, Retrospectively registered, http://www.chictr.org.cn/index.aspx

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