Managing protein-energy wasting in hemodialysis patients: A comparison of animal- and plant-based protein foods.

Managing protein-energy wasting in hemodialysis patients: A comparison of animal- and plant-based protein foods.
Semin Dial. 2018 Jul 15;:
Authors: St-Jules DE, Goldfarb DS, Popp CJ, Pompeii ML, Liebman SE
Abstract
Protein-energy wasting (PEW) is a major diet-related complication in hemodialysis (HD) patients. Nutrient-based dietary guidelines emphasize animal-based protein foods for preventing and managing PEW in HD patients. Although dietary protein intake is important for protein anabolism, other dietary factors contribute to PEW. In this article, we examine the diet-related etiologies of PEW in HD patients, and discuss how they may be affected differently by animal- and plant-based protein foods. In general, animal foods are superior sources of protein, but may contribute more to metabolic derangements that cause PEW. Given the potential mixed effects of animal-based protein foods on PEW, human research studies are needed to determine the impact of liberalizing the diet to allow plant-based protein foods on protein status.
PMID: 30009545 [PubMed - as supplied by publisher]

Source: Seminars in Dialysis - July 15, 2018 Category: Urology & Nephrology Authors: St-Jules DE, Goldfarb DS, Popp CJ, Pompeii ML, Liebman SE Tags: Semin Dial Source Type: research