Table 4.
Nutritional interventions.
| Nutritional strategies | Recommendations |
|---|---|
| Protein supplement94,120 | At least 1.0–1.2 g/kg/day in old age |
| An increase in protein intake above 0.8 g/kg/day for maintaining muscle mass | |
| GFR 30–60, 0.8 g/kg/day | |
| GFR <30, 0.6–0.8 g/kg/day | |
| Vitamin D92,121 | Vitamin D should be supplemented in all persons which values less than 100 nmol/L |
| Maintain adequate intake at 700–1000 IU/day of cholecalciferol | |
| Creatine monohydrate92 | Short-term creatine monohydrate supplementation |
| 5–20 g/day of creatine monohydrate for 2 weeks | |
| Antioxidants98,99 | Selenium, vitamin A, vitamin C, and vitamin E, and β-carotene |
| However, antioxidants may exhibit pro-oxidant activity depending on the specific set of conditions. | |
| Essential amino acid supplementation122 | Daily leucine 2.5 g or 2.8 g with combination of resistance exercise |
| β-hydroxy-β-methylbutyrate (HMB)123 | HMB alone, or with arginine and lysine |
| or with resistance exercise | |
| Omega-3 fatty acids124 | A possible effective nutrient for muscle loss. |