A practical approach to low protein diets in Sweden- 45 years of clinical use

BMC Nephrol. 2016 Jul 19;17(1):89. doi: 10.1186/s12882-016-0295-6.


This review provides an overview of the development, implementation and practise of low protein diets (LPD) in Sweden. While the current practice is discussed in general terms emphasizing the interplay between nephrologists and dieticians, the "self-selected" LPD model is explained as a practical approach to facilitated patient's adherence to the nutritional therapy. This model is currently implemented in most clinics of the country and gives considerable flexibility regarding variation in meal planning, food selection, amounts consumed, cooking methods as well as adaptations to day-to-day changes. Current LPD use in Sweden is presented through analysis of the Swedish Renal Registry. Finally two patient cases are illustrated, with examples on their diets, attempts to reduce the protein content to the desired thresholds and their clinical course.

Keywords: Chronic Kidney failure; Diet; Dietary proteins; Nutrition therapy; Protein restriction.

Publication types

  • Case Reports
  • Letter
  • Review

MeSH terms

  • Aged
  • Diet, Protein-Restricted / methods*
  • Diet, Protein-Restricted / statistics & numerical data
  • Dietary Proteins / administration & dosage*
  • Dietetics
  • Feeding Behavior
  • Humans
  • Kidney Failure, Chronic / diet therapy*
  • Male
  • Patient Compliance
  • Patient Preference
  • Practice Guidelines as Topic
  • Sweden
  • Time Factors


  • Dietary Proteins