What is the Recommended Dietary Allowance (RDA) for protein in CKD without dialysis?

The Recommended Dietary Allowance (RDA) for protein in individuals with chronic kidney disease (CKD) who are not on dialysis is indeed set at 0.6-0.8 g/kg of body weight per day. This recommendation is based on the need to help minimize the accumulation of nitrogenous waste products in the body as kidney function declines, while still providing enough protein to meet basic nutritional needs.

In CKD, the kidneys have a reduced ability to excrete waste, and high protein intake can exacerbate the condition by increasing urea production, which the body struggles to eliminate. Therefore, a protein intake of 0.6-0.8 g/kg helps to achieve a balance that supports maintenance of lean body mass without overloading the kidneys. This lower protein intake is also crucial to manage the overall urea levels and maintain a patient’s health as they progress through different stages of CKD.

Higher protein recommendations, such as those reflected in other answer choices, are typically applicable for individuals who are on dialysis where protein losses occur and increased intake is necessary to replenish what is lost. However, in the context of CKD management without dialysis, the lower range is more appropriate to prevent further kidney damage and to manage the complications associated with