What are the recommendations for protein intake in patients with chronic kidney disease? The majority of practical guides and researchers in the a...
What are the recommendations for protein intake in patients with chronic kidney disease?
The majority of practical guides and researchers in the area recommend diets containing between 0.6 and 0.8 g/kg/day of protein for patients in stages 3 to 5 of CKD.
For patients with poorly controlled diabetes, the amount of protein can be slightly higher (0.8 g/kg/day) to compensate for the increased muscle protein catabolism resulting from glycemic control.
For patients with proteinuria, a maximum of 0.8 g/kg/day is recommended, and if protein loss is greater than 3 g/24 h, 1 g of protein should be added to the diet for each gram excreted.
a) Only statement I is correct.
b) Statements I and II are correct.
c) Statements I and III are correct.
d) All statements are correct.
The majority of practical guides and researchers in the area recommend diets containing between 0.6 and 0.8 g/kg/day of protein for patients in stages 3 to 5 of CKD.
For patients with poorly controlled diabetes, the amount of protein can be slightly higher (0.8 g/kg/day) to compensate for the increased muscle protein catabolism resulting from glycemic control.
For patients with proteinuria, a maximum of 0.8 g/kg/day is recommended, and if protein loss is greater than 3 g/24 h, 1 g of protein should be added to the diet for each gram excreted.
a) Only statement I is correct.
b) Statements I and II are correct.
c) Statements I and III are correct.
d) All statements are correct.
💡 1 Resposta
Ed 
A recomendação para a ingestão de proteínas em pacientes com doença renal crônica é de 0,6 a 0,8 g/kg/dia para pacientes nos estágios 3 a 5 da DRC. Para pacientes com diabetes mal controlada, a quantidade de proteína pode ser ligeiramente maior (0,8 g/kg/dia) para compensar o aumento do catabolismo da proteína muscular resultante do controle glicêmico. Para pacientes com proteinúria, é recomendado um máximo de 0,8 g/kg/dia, e se a perda de proteína for maior que 3 g/24 h, 1 g de proteína deve ser adicionado à dieta para cada grama excretada. Portanto, a alternativa correta é a letra C) As afirmações I e III estão corretas.
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