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Vegetarianism: advantages and drawbacks in patients with chronic kidney diseases.

Abstract

Vegetarian diet is a very old practice that is liable to confer some health benefits. Recent studies have demonstrated that modification of the dietary pattern with a reduction of animal protein intake and increased consumption of plant-based foods could influence cardiovascular risk profile and mortality rate. Moreover, phosphate bioavailability from plant proteins is reduced. These statements could lead to some benefits for chronic kidney disease (CKD) patients. This review summarizes the characteristics and benefits of vegetarian diets in the general population and the potential beneficial effects of such a diet on phosphate balance, insulin sensitivity, and the control of metabolic acidosis in CKD patients. Potential drawbacks exist when a vegetarian diet is associated with protein intake that is too restrictive and/or insufficient energy intake, justifying an early and regular nutritional follow-up jointly assumed by a nephrologist and a renal dietitian.

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    MeSH

    Acidosis
    Animals
    Cardiovascular Diseases
    Diet
    Diet, Vegetarian
    Dietary Proteins
    Energy Intake
    Humans
    Hyperphosphatemia
    Insulin Resistance
    Nutrition Therapy
    Nutritional Physiological Phenomena
    Phosphates
    Renal Insufficiency, Chronic
    Risk Factors

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    24070587

    Citation

    TY - JOUR T1 - Vegetarianism: advantages and drawbacks in patients with chronic kidney diseases. AU - Chauveau,Philippe, AU - Combe,Christian, AU - Fouque,Denis, AU - Aparicio,Michel, Y1 - 2013/09/23/ PY - 2013/4/18/received PY - 2013/8/5/revised PY - 2013/8/11/accepted PY - 2013/9/23/aheadofprint PY - 2013/9/28/entrez PY - 2013/9/28/pubmed PY - 2014/6/17/medline SP - 399 EP - 405 JF - Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation JO - J Ren Nutr VL - 23 IS - 6 N2 - Vegetarian diet is a very old practice that is liable to confer some health benefits. Recent studies have demonstrated that modification of the dietary pattern with a reduction of animal protein intake and increased consumption of plant-based foods could influence cardiovascular risk profile and mortality rate. Moreover, phosphate bioavailability from plant proteins is reduced. These statements could lead to some benefits for chronic kidney disease (CKD) patients. This review summarizes the characteristics and benefits of vegetarian diets in the general population and the potential beneficial effects of such a diet on phosphate balance, insulin sensitivity, and the control of metabolic acidosis in CKD patients. Potential drawbacks exist when a vegetarian diet is associated with protein intake that is too restrictive and/or insufficient energy intake, justifying an early and regular nutritional follow-up jointly assumed by a nephrologist and a renal dietitian. SN - 1532-8503 UR - https://www.unboundmedicine.com/medline/citation/24070587/full_citation L2 - http://linkinghub.elsevier.com/retrieve/pii/S1051-2276(13)00159-3 ER -