Plant-based diets in patients with chronic kidney disease.

IF 0.4 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Asian Biomedicine Pub Date : 2024-03-20 eCollection Date: 2024-02-01 DOI:10.2478/abm-2024-0002
Wannasit Wathanavasin, Piyawan Kittiskulnam, Kirsten L Johansen
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Abstract

Dietary protein restriction has been considered to be a nutritional-related strategy to reduce risk for end-stage kidney disease among patients with non-dialysis-dependent chronic kidney disease (CKD). However, there is insufficient evidence to recommend a particular type of protein to slow down the CKD progression. Recently, various plant-based diets could demonstrate some additional benefits such as a blood pressure-lowering effect, a reduction of metabolic acidosis as well as hyperphosphatemia, and gut-derived uremic toxins. Furthermore, the former concerns about the risk of undernutrition and hyperkalemia observed with plant-based diets may be inconsistent in real clinical practice. In this review, we summarize the current evidence of the proposed pleiotropic effects of plant-based diets and their associations with clinical outcomes among pre-dialysis CKD patients.

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慢性肾病患者的植物性饮食。
限制膳食蛋白质被认为是降低非透析依赖型慢性肾病(CKD)患者终末期肾病风险的一种营养相关策略。然而,目前还没有足够的证据来推荐使用某种特定类型的蛋白质来延缓 CKD 的进展。最近,各种以植物为基础的饮食显示出了一些额外的益处,如降血压作用、减少代谢性酸中毒以及高磷血症和肠源性尿毒症毒素。此外,以前对植物性膳食可能导致营养不良和高钾血症的担忧在实际临床实践中可能并不一致。在这篇综述中,我们总结了植物性膳食的多效应及其与透析前慢性肾脏病患者临床结果相关性的现有证据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Asian Biomedicine
Asian Biomedicine 医学-医学:研究与实验
CiteScore
1.20
自引率
0.00%
发文量
24
审稿时长
6-12 weeks
期刊介绍: Asian Biomedicine: Research, Reviews and News (ISSN 1905-7415 print; 1875-855X online) is published in one volume (of 6 bimonthly issues) a year since 2007. [...]Asian Biomedicine is an international, general medical and biomedical journal that aims to publish original peer-reviewed contributions dealing with various topics in the biomedical and health sciences from basic experimental to clinical aspects. The work and authorship must be strongly affiliated with a country in Asia, or with specific importance and relevance to the Asian region. The Journal will publish reviews, original experimental studies, observational studies, technical and clinical (case) reports, practice guidelines, historical perspectives of Asian biomedicine, clinicopathological conferences, and commentaries Asian biomedicine is intended for a broad and international audience, primarily those in the health professions including researchers, physician practitioners, basic medical scientists, dentists, educators, administrators, those in the assistive professions, such as nurses, and the many types of allied health professionals in research and health care delivery systems including those in training.
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