What is the typical daily protein goal for CKD not yet on dialysis?

• A. 0.4 to 0.6 g/kg/day
• B. 0.6 to 0.8 g/kg/day
• C. 1.0 to 1.2 g/kg/day
• D. 1.2 to 1.4 g/kg/day

Answer: (B)

In CKD patients not yet on dialysis, the aim is to limit the kidney’s workload from protein while still preventing malnutrition. A moderate protein intake of about 0.6 to 0.8 g/kg/day is the standard target. This range lowers nitrogenous waste production and helps slow disease progression, as long as overall calories are adequate to spare protein from being used for energy. For example, a 70 kg person would aim for roughly 42 to 56 g of protein daily. Higher protein needs are reserved for those on dialysis, where losses during treatment increase requirements (about 1.0 to 1.2 g/kg/day). Very low intakes can lead to malnutrition, while consistently high intakes don’t provide added benefit in non-dialysis CKD and may worsen symptoms.