高蛋白飲食會傷害腎臟

#lpd

高蛋白飲食不利於腎臟健康: 釋放禁忌2020

https://academic.oup.com/ndt/article/35/1/1/5614387

1. 有這麼嚴重嗎？吃三明治只吃中間的肉，不敢吃外面的麵包？哈
「We feel compelled to eat only the meat patty of the sandwich and leave behind the bun when eating in front of others, otherwise we may lose credibility among friends and peers. If somebody dares to recommend a ‘low-protein diet’ (LPD) or, even worse, to imply that ‘HPD may cause harm’, then it would be considered a serious aberration to health and a taboo.」

2. 生酮飲食 ?? 為了腎臟好，還是不要試比較好
To save ourselves from an obese and diabetic destiny, we accepted the emerging data suggesting that we can lose weight by eating more protein. Subsequently, high-protein regimens such as the Atkins, Zone, South Beach and Ketogenic diets emerged in which daily protein intake increased to 20–25% or more of the total daily energy intake

3. 高蛋白飲食短期提高了eGFR，但是長期卻加速了腎功能的喪失。

「It is important to note that persons with higher versus lower DPI >1.2 versus <0.8 g/kg/day had a
higher versus lower eGFR of 82 +/- 18 versus 75 +/- 19 mL/min/1.73 m2, respectively. This makes sense, given that higher protein intake increases GFR in the short term, whereas it accelerates kidney function loss in the long term」