Fact sheetDiet specifications

Published on 1 Nov 2011


Protein diet - controlled - 60g

This document is part of the ACI Diet Specifications for Adult Inpatients. It is not to be used for patient education.

Aim

To limit protein intake to 60g per day.

Characteristics

At least half the protein should be from foods with high biological value (such as meat, eggs and dairy), with grains, vegetables and fruit providing the rest.

Indications

Acute or chronic kidney disease with a reduced glomerular filtration rate.

Nutritional adequacy

This diet is not nutritionally adequate in protein and is likely to be inadequate in thiamin, riboflavin, niacin, folate, iron and calcium.

Precautions

In renal failure, sodium, potassium, phosphate and fluid restrictions may be combined with this diet. Long-term use of low-protein and very-low-protein diets can lead to patient decline in nutritional status, with decreases in serum albumin, serum transferrin, body weight, per cent body fat, arm muscle area and urine creatinine excretion.

Paediatrics

Suitable for use in paediatrics when combined with an age-appropriate diet.

Suggested meal structure

  • Breakfast: <12g
  • Morning tea: <2g
  • Lunch: <20g
  • Afternoon tea: <2g
  • Dinner: <20g
  • Supper: <4g

Main hot dish, or salad or sandwich – limit to one meal only per day

Specific menu planning guidelines

 Allowed Not allowed
Hot main dishes<15g protein per serve -
Sauces, gravies All (at 30g serve) -
Starchy vegetables / pasta / rice All -
Vegetables All -
Soups All <5g protein per serve -
Sandwiches All <15g protein per serve -
Salads, dressings All <15g protein per serve -
Breads, cereals All -
Spreads All -
Hot breakfast choicesAll <10g protein per serve-
Fruit All fruit -
Yoghurt Yoghurt <5g protein per serve -
Desserts All <5g protein per serve -
Milk and cheese

Whole or skim milk – limit to 250mL per day

Cheese as allowed in salad or sandwich limits

Protein-enriched milk milk (e.g. Shape™)
Beverages Tea, coffee, soft drinks, cordial Milk
Biscuits All -
Miscellaneous

Sugar, cream

-

References

  1. Food Standards Australia New Zealand. NUTTAB Online searchable database: foods that contain protein.
  2. Dietitians Association of Australia. Nutrition manual. 8th ed. Canberra: DAA; 2009.
  3. American Dietetic Association. Nutrition care manual. Chicago: ADA; 2009. [accessed 26 April 2010].
  4. Fouque D, Laville M. Low protein diets for chronic kidney disease in non diabetic adults. Cochrane Database Sys Rev 2009;(3):CD001892.
  5. Maher AK, editor; Iowa Dietetic Association. Simplified diet manual. 10th ed. Ames: Blackwell; 2007.
  6. Dietitians Association of Australia: Australia and New Zealand Renal Guidelines Taskforce. Evidence based practice guidelines for the nutritional management of chronic kidney disease. Nutr Diet 2006;63 Suppl 2:S35-45.
  7. Kopple JD, Levey AS, Greene T, Chumlea WC, Gassman JJ, Hollinger DL et al. Effect of dietary protein restriction on nutritional status in the Modification of Diet in Renal Disease Study. Kidney Int 1997;52:778-91.
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