The Role of Protein Restriction in the Progression of Chronic Kidney Disease

Pril (Makedon Akad Nauk Umet Odd Med Nauki). 2023 Jul 15;44(2):53-63. doi: 10.2478/prilozi-2023-0025. Print 2023 Jul 1.

Abstract

Even though nephrology has made much progress, reducing the progression of the chronic kidney disease remains, in fact, one of the biggest challenges. Long before the renal replacement therapy (RRT), it was known that limiting the protein could help almost all uremia symptoms. Although it was proposed as early as the 1960s, it only became widely used in the 1980s. By lowering the urea and other nitrogen wastes and lowering the metabolic acidosis, oxidative stress, and insulin resistance, limiting the amount of protein in your diet can help improve uremic symptoms. Also, limiting the protein in the diet positively controls the cardiovascular complications, including the arterial blood pressure and proteinuria reduction, which are risk factors for CKD progression. This mini-review examines the impact of protein restriction on the possibility of slowing CKD progression in depth.

Keywords: chronic kidney disease; progression; protein in diet; proteinuria.

Publication types

  • Review

MeSH terms

  • Diet, Protein-Restricted / adverse effects
  • Disease Progression
  • Humans
  • Kidney Failure, Chronic* / complications
  • Proteinuria / etiology
  • Renal Insufficiency, Chronic*
  • Renal Replacement Therapy
  • Risk Factors