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January 1, 1973

Nutritional Therapy for Adults With Renal Disease

Author Affiliations

From the Division of Nephrology and Internal Medicine (Drs. Anderson, Johnson, and Hunt) and the Section of Clinical Nutrition (Dr. Nelson and J. D. Margie), Mayo Clinic and Mayo Foundation, Rochester, Minn.

JAMA. 1973;223(1):68-72. doi:10.1001/jama.1973.03220010054016

During the past decade, advances in nutritional therapy, along with development of long-term hemodialysis therapy and renal transplantation, have added immeasurably to the possibilities of treatment for chronic uremia. Of the three methods, only nutritional therapy is applicable in every case. If the patient is able to ingest a diet containing adequate essential amino acids, 1,800 to 3,500 kcal, and essential vitamins and minerals, lessening of uremic symptoms and a positive nitrogen balance often ensue. Similar attention to the protein, calorie, mineral, and vitamin content of the diet will benefit patients with the nephrotic syndrome or acute renal failure.