Calories and protein requirement
Calories and protein requirement
Dialysis, General
Creatinine is a waste product in your blood that comes from the normal function of your muscles.
Your creatinine level may rise as your kidney function falls.
Creatinine levels can be lowered by dialysis and by any remaining kidney function.
Creatinine can also be lowered by not eating enough calories and protein and by weight loss.
For stable CKD patients with a normal BMI, both the Academy and the KDOQI recommend the following guidelines:
35 kcals/kg of actual weight for those younger than the age of 60;
30 to 35 kcals/kg of actual weight for those older than 60;
23 kcals/kg of actual weight to promote weight loss in patients who are overweight without fear of initiating malnutrition; and
50 kcals/kg of actual weight to promote weight gain in patients who are underweight or prevent weight loss during times of stress.
