The answer is the first one (A): A healthful diet with adequate energy and protein can be consumed with healthy levels of saturated and total fat.
Explanation for each option:
A. A healthful diet with adequate energy and protein can be consumed with healthy levels of saturated and total fat - This statement is true. A balanced diet that includes adequate protein does not necessarily have to be high in saturated fats or total fats. It is possible to consume a high-protein diet while maintaining healthy levels of fats by choosing lean protein sources and incorporating a variety of foods.
B. A high-protein diet leads to declines in kidney function by forcing extra urea excretion - This statement is not entirely accurate for healthy individuals. While high-protein diets do increase urea production, there is no strong evidence that they cause kidney damage in people with normal kidney function. However, individuals with pre-existing kidney conditions may need to monitor their protein intake.
C. A high-protein diet can increase urinary calcium losses and lead to bone density loss - This statement has some basis in research, as high-protein diets can increase calcium excretion. However, the impact on bone health is not definitively negative, as protein is also important for bone health. The relationship between protein intake and bone density is complex and influenced by other dietary factors.
D. A high-protein diet increases the risk of cardiovascular disease - This statement is not universally true. The impact of a high-protein diet on cardiovascular health depends on the sources of protein and the overall dietary pattern. Diets high in plant-based proteins and low in saturated fats may not increase cardiovascular risk, whereas diets high in red and processed meats might.
In summary, while there are concerns associated with high-protein diets, they can be part of a healthy diet if balanced with other nutrients and consumed in moderation.