Adherence to ketoacids/essential amino acids-supplemented low protein diets and new indications for patients with chronic kidney disease

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. We reviewed the recent literature addressing low protein diets supplemented with ketoacids/essential aminoacids pre...

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Bibliographic Details
Published in:BMC nephrology 2016-07, Vol.17 (1), p.63-63, Article 63
Main Authors: Fouque, Denis, Chen, Jing, Chen, Wei, Garneata, Liliana, Hwang, S J, Kalantar-Zadeh, Kamyar, Kopple, Joel D, Mitch, William E, Piccoli, Giorgina, Teplan, Vladimir, Chauveau, Philippe
Format: Article
Language:English
Subjects:
Amino Acids - therapeutic use
Analysis
Care and treatment
Chronic kidney failure
Diet, Protein-Restricted
Dietary Supplements
Health aspects
Humans
Keto Acids - therapeutic use
Life Sciences
Low-protein diet
Nephrology
Patient Compliance
Patient Selection
Renal Insufficiency, Chronic - diet therapy
Renal Insufficiency, Chronic - drug therapy
Review
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Summary: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. 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. 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. These recent data help to better identify the use of low protein diets supplemented with ketoacids/essential aminoacids during chronic kidney disease.
ISSN:1471-2369
1471-2369
DOI:10.1186/s12882-016-0278-7