Reasonable diet of patients with nephrotic syndrome

Patients with nephrotic syndrome need to add the "quantity of the protein
Nephrotic syndrome due to a large number of protein loss from the urine of serum albumin levels were significantly reduced, patients with decreased resistance, appear malnourished children will affect the growth and development, it is very necessary to increase plasma albumin. The past have advocated high-protein diet (> 1.6 g / kg / day), some competition as much as 3 to 4 g / kg / day, attempt to compensate for the loss of protein in the urine, maintaining blood levels of albumin, to prevent malnutrition . Numerous studies have demonstrated no benefit of high-protein diet on patients with nephrotic syndrome. For patients with renal function has been damage, such as high-protein diet but is "worse", but can not be used. In addition, the tendency to an error, that the strict control of protein intake can reduce proteinuria in patients with kidney disease. In fact, the intake of protein is too small, <0.3 g / kg / day, can only further decline in plasma protein, to make the patient more vulnerable to infection, edema repeated exacerbations, malnutrition, the same is not desirable. Studies have shown that to ensure adequate calories (35 kcal / kg / day) and moderate protein diet, the general protein quality of 0.8 to 1.0 g / kg / day. In case of severe hypoalbuminemia (serum albumin <20 g / l) can be relaxed protein restriction, can be 1.0 to 1.2 g / kg / day; such as renal insufficiency, serum creatinine> 200 micro mol / l, The protein content of 0.5 to 0.7 g / kg / day.
Patients with nephrotic syndrome need to add the "quality of the protein
Here related to kidney patients are very concerned about the issue of whether eating beans and soy products. Past the vast majority of scholars advocate high-quality protein, strict restrictions on the plant protein (legumes and soy products). But in recent years, new studies show that soy protein is beneficial to kidney disease. Patients with nephrotic syndrome soy foods, urinary protein excretion decreased, and also reduces blood lipids. Soy protein and animal protein in reducing proteinuria, lipid, and the protection of renal function is more superiority.
We believe that: 0.8 to 1.0 g / kg / day protein supplement is appropriate, animal protein and soy protein. Such as egg protein, chickens and ducks and other poultry, beef, lean pork and so on. Generally the former accounting for 1/2 to 2/3.