A reasonably controlled diet for patients with chronic kidney disease can effectively reduce the burden on the kidneys and reduce the production of metabolic waste, thus delaying the deterioration of kidney function and postponing the time to enter renal replacement therapy. An important aspect of dietary control is the control of protein intake, but in reality, there are many patients and family members go into the misunderstanding that they can not eat this and that, they simply do not eat anything, long-term, but caused the body malnutrition, resistance to decline, and a variety of complications come. The assessment of the nutritional status of the human body can be considered from a combination of anthropometric measurements, subjective assessment, bioelectrical impedance and laboratory tests. The proportion of malnutrition in patients with chronic kidney disease is relatively high, and among the methods to improve malnutrition, rational diet takes a more important position. Reasonable diet can be arranged from the following aspects: 1, energy control?
Chronic kidney disease patients must have sufficient energy in their diet. You can arrange the total daily energy according to your body type and activity. General kidney disease patients under 60 years old can be given 35kcal/kg*d energy supply, over 60 years old can be given 30 – 35kcal/kg*d energy supply, if the body type is thin or fat, can be increased or decreased. 2.Protein intake?
If the kidney function is normal, give a normal amount of protein diet, i.e. 1–1.2g/kg*d. When the glomerular filtration rate drops below 50ml/(min*1.73m2), the protein intake should be reduced, generally 0.4–0.8g/kg*d, and the intake of high quality protein should account for more than 50% of the total protein, such as meat, eggs, milk, fish, etc., and less protein. Milk, fish, etc., and eat less vegetable protein, such as rice, noodles, etc. You can add corn starch, potato starch, wheat starch, etc. when you are not full, never rice, noodles, steamed buns eat enough. 3, reduce the intake of fat and cholesterol? No or less animal fat, consume vegetable oil, 20 – 30ml per day, such as corn oil, olive oil, edible oil blends, etc. 4, the intake of water? Ensure the balance of in and out, daily water intake including meals eaten, soup, water, drinks, etc., and water output including daily urine, feces, sweating, etc. 5, salt intake?
5 – 6g per day, when there is edema, hypertension, 2 – 3g per day, do not eat low sodium salt sold in the market, do not eat a variety of pickled products, canned food, in addition, soy sauce, MSG, etc. also contains sodium salt, should not eat more. You can use chili, mustard, onion, ginger, garlic, onion and other seasoning to meet the taste. 6, potassium intake?
Reduce the intake of potassium-rich foods such as various dried fruits, mushrooms, nori, oranges and bananas when the kidney function decreases and the urine volume decreases, and eat foods with low potassium, such as loofah, but low potassium foods should not be eaten in excess. In addition, when processing vegetables can be blanched before processing, which can remove some of the potassium. 7, reduce the intake of phosphorus? Do not eat phosphorus-rich food, such as animal offal, scaleless fish, processed meat products, etc. When roasting meat, you can first boil the meat in water for 3 minutes before stewing or roasting. 8, eat more fresh vegetables and fruits to supplement vitamins. Low purine diet when uric acid is elevated 9, simplify, specifically remember the daily dietary arrangements include 10, staple food: 6 – 8 taels Salt: 5g Oil: 25g Lean meat: 2 taels Vegetables and fruits: 1 pound Milk: 1 bag Egg: 1 This daily intake of protein is 40 – 46g, of which 28g of high quality protein, can be changed daily replacement according to their preferences, such as meat to chicken, beef, etc.