Kleinknecht C, Salusky I, Broyer M, Gubler M C
Kidney Int. 1979 May;15(5):534-41. doi: 10.1038/ki.1979.68.
The effects on growth, renal function, and survival of three isocaloric diets of various protein content (14, 27, and 37 g/100 g in diets I, II, and III, respectively) were compared in uremic rats and in controls. Diet I provided the minimal requirements in all amino acids for gorwing rats. In controls fed ad lib, weight and length gain were better with high protein diets, whereas they were inversely related to the diet protein content in uremic rats. The higher the protein intake, the higher the progressive elevation of BUN and serum creatinine and the mortality rate. Because proteins were supplied by fish flour, their increase was associated with increased mineral content, and the conclusions are restricted to the use of natural proteins: a moderately restricted protein diet securing only the minimal requirements had a beneficial effect on growth and survival of rats with reduced kidney mass. Avoiding any excess in proteins from the early stage of renal disease is suggested.
在尿毒症大鼠和对照组中,比较了三种不同蛋白质含量(分别为饮食I、II和III中14、27和37克/100克)的等热量饮食对生长、肾功能和存活率的影响。饮食I提供了生长中大鼠所有氨基酸的最低需求量。在自由采食的对照组中,高蛋白饮食的体重和体长增加情况更好,而在尿毒症大鼠中,它们与饮食蛋白质含量呈负相关。蛋白质摄入量越高,血尿素氮和血清肌酐的渐进性升高以及死亡率就越高。由于蛋白质由鱼粉提供,其增加与矿物质含量增加相关,并且结论仅限于天然蛋白质的使用:一种仅满足最低需求的适度限制蛋白质饮食对肾质量降低的大鼠的生长和存活具有有益作用。建议从肾病早期就避免蛋白质摄入过量。