For ascites, what is the recommended protein intake for maintenance?

• A. 0.8-1.2 g/kg/day
• B. 2.0-2.5 g/kg/day
• C. 0.4-0.6 g/kg/day
• D. 1.6-2.2 g/kg/day

Answer: (A)

Maintaining lean body mass in ascites caused by liver disease requires adequate protein rather than restriction. The maintenance target of 0.8–1.2 g/kg/day provides enough essential amino acids for tissue maintenance and immune function in most stable ascites patients. Values below this range risk malnutrition and sarcopenia, while higher intakes exceed maintenance needs and aren’t routinely needed for maintenance. In practice, aiming around 1.0–1.2 g/kg/day, with adjustments for tolerance and encephalopathy when present, supports nutrition without unnecessary nitrogen load.