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Main > Kidney Disease > Renal Failure > Renal Failure Diet >
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Nutrition for Hemodialysis in Patients with ESRD

2012-11-23 16:49

High calories, high quality protein, high calcium, low phosphorus, low salt, low fat, low potassium, and strictly control the intake of fluid. Plus, supplement proper water soluble vitamins (including vitamin C, B and folic acid).

High calories

Supplement enough calories can stop tissue protein from resolving. By doing so, to improve the use ratio of proteins. Ratio of sugar and fat is 3:1.


The intake of protein per day is in line with dialytic number. 1.5g/kg per day of protein supplement for those who take dialysis three times a week. For those with twice a week, 1.2g/kg body weight per day will be enough. High quality protein such as egg, lean, milk and fish etc. is recommended.


40-60g per day is enough for patients on dialysis. Please try to avoid foods like alepidote fish, animal plucks or crab cream etc.

Salt and fluid

The consumption of salt and fluid depends on patients’ urine output and dialytic number. The general rule is that try to control ponderal growth within 5% of his or her body weight during dialysis.

If the patients experience anuria:

3-4g/day of salt and 1000ml/day of water if the patients take dialysis twice a week

4-5g/day of salt and 1500ml/day of water if patients take dialysis three times a week

Please note that the water they take should include fluid from foods and fruits.


There’s no need to restrict intake of potassium in patients who still have remaining kidney function and certain amount of urine output because those patients might have hypokalemia. Things become different among those with oliguria or anuria, their potassium intake should be strictly restricted. Dried fruit, orange, banana, lemon hawthorn etc. contain high levels of potassium.

Calcium and phosphorus

Beef, dairy products, nuts, plucks, roe and clam etc. contains high levels of phosphorus.

Phosphorus binder should be used in patients who are living with high level of phosphorus. Speaking of calcium, calcium preparation should be adopted under the instruction of doctors.

Patients on dialysis are prone to suffer from iron and zinc deficiency, so as water soluble vitamin deficiency, such as vitamin C and folic acid etc.

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