Protein diet - controlled - 70g
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 70g 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
Nutritionally adequate.
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: <20g
- Morning tea: <5g
- Lunch: <20g
- Afternoon tea: <5g
- Dinner: <20g
- Supper: <5g
Specific menu planning guidelines
| Allowed | Not allowed | |
|---|---|---|
| Hot main dishes | <20g protein per serve | - |
| Sauces, gravies | All (at 30g serve) | - |
| Starchy vegetables / pasta / rice | All | - |
| Vegetables | All | - |
| Soups | All <5g protein per serve | - |
| Sandwiches | All <20g protein per serve | - |
| Salads, dressings | All <20g protein per serve | - |
| Breads, cereals | All | - |
| Spreads | All | - |
| Hot breakfast choices | All <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 Cheese as allowed in salad or sandwich limits | High-protein milk (e.g. Shape™) |
| Beverages | All | - |
| Biscuits | All | - |
| Miscellaneous | Sugar, cream | - |
References
- Food Standards Australia New Zealand. NUTTAB Online searchable database: foods that contain protein
- 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];
- Fouque D, Laville M. Low protein diets for chronic kidney disease in non diabetic adults. Cochrane Database Sys Rev 2009;(3):CD001892.
- Maher AK, editor; Iowa Dietetic Association. Simplified diet manual. 10th ed. Ames: Blackwell; 2007.
- 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.
- 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.