Plant-based diets to manage the risks and complications of chronic kidney disease.

Nature Reviews. Nephrology
Juan J CarreroDenis Fouque

Abstract

Traditional dietary recommendations for patients with chronic kidney disease (CKD) focus on the quantity of nutrients consumed. Without appropriate dietary counselling, these restrictions can result in a low intake of fruits and vegetables and a lack of diversity in the diet. Plant nutrients and plant-based diets could have beneficial effects in patients with CKD: increased fibre intake shifts the gut microbiota towards reduced production of uraemic toxins; plant fats, particularly olive oil, have anti-atherogenic effects; plant anions might mitigate metabolic acidosis and slow CKD progression; and as plant phosphorus has a lower bioavailability than animal phosphorus, plant-based diets might enable better control of hyperphosphataemia. Current evidence suggests that promoting the adoption of plant-based diets has few risks but potential benefits for the primary prevention of CKD, as well as for delaying progression in patients with CKD G3-5. These diets might also help to manage and prevent some of the symptoms and metabolic complications of CKD. We suggest that restriction of plant foods as a strategy to prevent hyperkalaemia or undernutrition should be individualized to avoid depriving patients with CKD of these potential be...Continue Reading

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Citations

Aug 14, 2020·Journal of Nephrology·Adamasco CupistiGiacomo Garibotto
Sep 24, 2020·Nature Reviews. Nephrology·Denise MafraPeter Stenvinkel
Oct 7, 2020·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Ailema González-OrtizJuan Jesús Carrero
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Mar 25, 2021·Nature Reviews. Nephrology·Jonathan D RavidVipul C Chitalia
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Oct 22, 2021·Clinical Journal of the American Society of Nephrology : CJASN·David E St-JulesJuan-Jesus Carrero

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