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. Author manuscript; available in PMC: 2014 Mar 1.
Published in final edited form as: Adv Chronic Kidney Dis. 2013 Mar;20(2):141–149. doi: 10.1053/j.ackd.2012.11.001

Table 1.

Definitions and relationships between terminology used in prior literature

Term Definition Relationship to other terms
Endogenous acid production
(EAP)
The sum of acid produced during oxidation of sulfur-
containing protein and the generation of organic anions
(OA) from neutral foods
EAP = NEAP + GI alkali absorption
Gastrointestinal (GI) alkali
absorption
The net addition of alkali as the result of nutrients absorbed
in the GI tract.
GI alkali absorption = EAP − NEAP
Net endogenous acid production
(NEAP)
The total load of nonvolatile acid added to the body as a
result of endogenous acid production and GI absorption.
NEAP = EAP − GI alkali absorption
NEAP = PRAL + OA production
Potential renal acid load
(PRAL)
The contribution of a food or dietary pattern to net
endogenous acid production.
PRAL ≈ NEAP − OA production
Net acid excretion
(NAE)
The total amount of acid excreted by the kidney daily NAE ≈ NEAP
NAE ≈ PRAL + OA production

all terms represented in mEq

Results from endogenous production of organic anions from neutral foods and is classicially considered diet-independent