| Theme | Practicing proper nutrition for kidney diseases | |
|---|---|---|
| Title | Nephrotic syndrome | |
| Publish Date | 1999/12 | |
| Author | Akira Kawashima | Department of Medicine, Kidney Center, School of Medicine, Tokyo Women's Medical University |
| Author | Junko Tanaka | Department of Medicine, Kidney Center, School of Medicine, Tokyo Women's Medical University |
| Author | Koichi Suzuki | Department of Medicine, Kidney Center, School of Medicine, Tokyo Women's Medical University |
| Author | Junko Arai | Department of Medicine, Kidney Center, School of Medicine, Tokyo Women's Medical University |
| Author | Shunichi Sasaki | Department of Nutrition, Tokyo Women's Medical University Hospital |
| [ Summary ] | The primary manifestation of nephrotic syndrome is a loss in urine of more than 3.5 grams of protein per day often with metabolic abnormalities of water such as edema, dehydration or overhydration, and hyperlipidemia. An appropriate diet for management of nephrotic syndrome is reviewed. Optimal dietary protein intake in nephrotic syndrome cases, with normal renal function, may be considered to be 1.0-1.2g/kg/day. Additional protein restriction should be required for patients with renal dysfunction. Energy requirements are basically more than 35kcal/kg/day. 5-7g/day of salt can be permitted in the steady state. |
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