Abstract
This study was performed to evaluate the effect of dietary treatment in hemodialysis patients. The subjects were 17 patients on standard, regular hemodialysis, who were principally not administered phosphate binders. A free diet before admission and a low-protein, high-energy, low-phosphate diet (protein 40g/day, energy 2, 200 kcal/day, NaCl 3g/day, phosphorus 530mg/day) for 2 weeks after admission were compared. The parameters were blood urea nitrogen (BUN), serum phosphorus (P), serum calcium (Ca), Ca×P level and serum protein. The blood chemical values decreased significantly (p<0.01) as follows; BUN from 75±17mg/dl to 57±15mg/dl, serum P from 7.5±2.1mg/dl to 4.5±1.3mg/dl, Ca×P level from 69±22 to 44±12. The serum Ca was significantly (p<0.01) elevated after dietary treatment. Serum protein was not significantly changed. From these results, low-protein, high-energy, low-phosphate dietary treatment without phosphate binders was proved to be effective in controlling not only BUN level, but also serum P level in hemodialysis patients.
