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                    In a world of countless diet fads and programs, perhaps none 
                    is as well-known as the "Atkins Diet," which severely limits 
                    carbohydrate consumption but allows for high levels of dietary 
                    protein and fats. The possible long-term side-effects of a 
                    high-protein, low-carbohydrate diet are still uncertain, although 
                    recent American Heart Association guidelines suggest that 
                    a long-term, high-protein diet may adversely affect kidney 
                    function. 
                                    
 
To evaluate a possible association between dietary protein 
                    intake and functional decline of the kidneys over an 11-year 
                    period, researchers examined approximately 1,600 women ages 
                    42-68. Protein intake was determined twice over the study 
                    period using a food-frequency questionnaire; renal function 
                    was evaluated through measurements of kidney filtration ability. 
                    About 500 women displayed a slight but harmless weakened kidney 
                    function at the start of the study.  
                   In 
                    women with mild kidney deficiency, high protein consumption 
                    was associated with a significant decline in kidney function 
                    over time; those who consumed the most protein showed the 
                    greatest functional decline. Intake of nondairy animal protein, 
                    in particular, was associated with accelerated renal decline 
                    in these women. High protein intake was not related to kidney 
                    function in women with normal initial kidney function.  
                  Long-term, high-protein diets may have substantial negative 
                    side-effects on kidney function. Roughly one-fourth of all 
                    Americans are considered to display mild renal insufficiency; 
                    most of these individuals are unaware of this. Exercise caution 
                    when considering any fad diet or weight-loss remedy. If you 
                    choose a high-protein, low-carb diet to lose weight, consider 
                    only adhering to it for a short time. A well-balanced diet 
                    combined with exercise is still the safest, most effective 
                    way to maintain long-term weight control.  
                  Reference: 
                  Knight EL, Stampfer MJ, et al. The impact of protein intake 
                    on renal function decline in women with normal renal function 
                    or mild renal insufficiency. Annals of Internal Medicine 
                    2003:138(6), pp. 460-467. 
                  To learn more about how the nutritional choices you make 
                    can affect your health, go to www.chiroweb.com/find/archives/nutrition. 
                      
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