Published in:
Open Access
01-12-2016 | Review
Adherence to ketoacids/essential amino acids-supplemented low protein diets and new indications for patients with chronic kidney disease
Authors:
Denis Fouque, Jing Chen, Wei Chen, Liliana Garneata, SJ Hwang, Kamyar Kalantar-Zadeh, Joel D. Kopple, William E. Mitch, Giorgina Piccoli, Vladimir Teplan, Philippe Chauveau
Published in:
BMC Nephrology
|
Issue 1/2016
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Abstract
Background
Low protein diets (LPD) have long been prescribed to chronic kidney disease patients with the goals of improving metabolic abnormalities and postpone the start of maintenance dialysis.
Methods
We reviewed the recent literature addressing low protein diets supplemented with ketoacids/essential aminoacids prescribed during chronic kidney disease and their effects on metabolic, nutritional and renal parameters since 2013.
Results
We show new information on how to improve adherence to these diets, on metabolic improvement and delay of the dialysis needs, and preliminary data in chronic kidney disease associated pregnancy. In addition, data on incremental dialysis have been reviewed, as well as potential strategies to reverse protein energy wasting in patients undergoing maintenance dialysis.
Conclusion
These recent data help to better identify the use of low protein diets supplemented with ketoacids/essential aminoacids during chronic kidney disease.