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Restricted Protein Diet

Restricted Protein Diets  


Protein is one of the nutrients needed by the body for growth, replacement of tissues and maintenance of muscle.

Although protein consumed in moderation is generally good for health, a restricted protein diet is needed under some conditions, for example in diseases of the kidney when the kidneys are not functioning well.

 

Why Restrict Protein?


The breakdown of protein in the body results in the production of ammonia, a highly toxic substance. In the human liver, ammonia is converted to urea and excreted in the urine.

If the kidneys are unable to excrete this waste product, it will accumulate in the body and cause harm. By reducing protein intake, we can help to reduce the production of this waste material.

 

Foods High In Protein

1) Animal protein-eggs, milk and milk products, meat, organ meat, fish and shellfish.

2) Plant protein-soya bean products (soy milk, tofu), nuts, peas, beans
and lentils.

Protein from animal sources is of better quality and should make up most of the protein in the diet. This is because it produces less waste products compared to plant protein. Increased waste products will burden the kidneys even more.

The amount of protein allowed in the diet depends on the severity of the disease. For variety in your daily food intake, you can eat different sources of protein. Do not exceed the amount of protein recommended in your diet. To help you calculate the amount of protein that you eat, you may use the protein exchange list provided below.

Protein allowance per day ___ g/day

 

Protein Exchanges

Meat:
Egg 1 medium size
Egg white or yolk 2 medium size
Meat/fish (cooked) 30 grams or 1 matchbox size
Tinned fish 2 tablespoons (30 grams)
Prawns 3 medium size
Dried prawns/cuttlefish/ikan bilis
1 tablespoon or 15 grams
 
Milk & Milk Products:
Milk (fresh or UHT) 1 cup (200 ml)
Milk powder 2 heaped dessertspoons
Cottage cheese 3 table spoons
 
Legumes:
Peas/beans (cooked) 1 cup (100 grams)
Baked beans 1 small cup
Hard tofu (towka) 1 piece (60 grams)
Soft tofu 1 small piece (90 grams)
Soya bean milk 2 packets (500ml)
 
Nuts and Seeds:
Nuts/peanuts/melon seeds 1/3 cup (30 grams)
Peanut butter 2 level dessertspoons (25 grams)

 

General Guidelines For The Management Of A Protein Restricted Diet

  • For better body utilization, spread the consumption of protein foods evenly throughout the day instead of eating all protein foods at one meal.
  • Obtain energy needs from other sources such as carbohydrates to prevent the use of protein for energy.
  • For variety, use the protein exchange list in meal planning.
  • If possible, exercise to prevent muscle wastage.

 

Other Considerations

To compensate for the reduction in energy intake, other non-protein high calorie foods should be taken to ensure adequate calorie intake. These foods are:
  • Refined sugar - sweets, sugar, glucose, honey, syrup, soft drinks and cordials. These foods should be taken in moderation and are not recommended to people with diabetes.
  • Fats and oil - eg. margarine and salad dressing (in moderation)
  • Cornflour, tapioca flour, sago, tanghoon and agar-agar

 




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