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Stage 5 Kidney Failure: Improve Poor Nutritional Health

Stage 5 Kidney Failure: Improve Poor Nutritional HealthPoor nutritional health is a more frequent finding in Stage 5 Kidney Failure (present in 30-40% of patients) and is associated with reduced patient survival. Hence, it is of great importance to improve undernutrition in ESRD with diet and supplements.

1. Diet

Protein. The recommended amount of protein to eat in non-dialysis Stage 5 Kidney Failure patient is 0.6-0.75 g/kg body weight/d. Patients on dialysis need higher amount of protein: clinically stable maintenance hemodialysis (1.2 g/kg body weight/d) and peritoneal dialysis (1.2-1.3 g/kg body weight/d). Sources of protein include red meats (beef, veal, lamb), pork, poultry (chicken and turkey), fish, eggs, etc.

Fluid. It is essential that Stage 5 Kidney Failure patients restrict their fluid intake. Typical fluid allowance for Dialysis patients is 700-1,000 mL/day, plus urine output.

Potassium. A low-potassium diet is need if patient's urine out put is less than one liter per day (about 32 ounces), and potassium level exceed 5.0. The amount is usually 2,000-3,000 mg/day depends on the lab results and urine output. Limit or avoid foods like bananas, melons, oranges, potatoes, tomatoes, dried fruits, nuts, avocados, leafy green vegetables and some juices, etc.

Calories. Some dialysis patients may experience undesired weight loss. It is necessary to add calories by healthy ways. Vegetable oils such as safflower oil and olive oil can be used liberally on rice, noodles and breads. Avoid butter and margarine.

2. Supplements

Nutritional supplements can comes in the form of liquid drinks, juices, soups, puddings, cookies and more. Such examples for dialysis patients include Magnacal Renal®, Nepro® with Carb Steady™, Novasource®, Renal n Re/Gen®, etc. Consult your doctor which supplement is most suitable for your condition.

Kindly notice that not all people with Stage 5 Kidney Failure have the same nutritional needs. Your dietitian will help you choose the right foods and supplements for you. If you want more information, please leave a message in the below or email us at

  • Tag: ESRD Healthy Lifestyle
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