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Vegetarian Diet in Chronic Kidney Disease-A Friend or Foe.
Nutrients. 2017 Apr 10; 9(4)N

Abstract

Healthy diet is highly important, especially in patients with chronic kidney disease (CKD). Proper nutrition provides the energy to perform everyday activities, prevents infection, builds muscle, and helps to prevent kidney disease from getting worse. However, what does a proper diet mean for a CKD patient? Nutrition requirements differ depending on the level of kidney function and the presence of co-morbid conditions, including hypertension, diabetes, and cardiovascular disease. The diet of CKD patients should help to slow the rate of progression of kidney failure, reduce uremic toxicity, decrease proteinuria, maintain good nutritional status, and lower the risk of kidney disease-related secondary complications (cardiovascular disease, bone disease, and hypertension). It has been suggested that plant proteins may exert beneficial effects on blood pressure, proteinuria, and glomerular filtration rate, as well as results in milder renal tissue damage when compared to animal proteins. The National Kidney Foundation recommends vegetarianism, or part-time vegetarian diet as being beneficial to CKD patients. Their recommendations are supported by the results of studies demonstrating that a plant-based diet may hamper the development or progression of some complications of chronic kidney disease, such as heart disease, protein loss in urine, and the progression of kidney damage. However, there are sparse reports suggesting that a vegan diet is not appropriate for CKD patients and those undergoing dialysis due to the difficulty in consuming enough protein and in maintaining proper potassium and phosphorus levels. Therefore, this review will focus on the problem as to whether vegetarian diet and its modifications are suitable for chronic kidney disease patients.

Authors+Show Affiliations

Department of Nephrology, Hypertension and Family Medicine, WAM Teaching Hospital of Lodz, Zeromskiego 113, 90-549 Lodz, Poland. aniagluba@yahoo.pl.Department of Nephrology, Hypertension and Family Medicine, Medical University of Lodz, Zeromskiego 113, 90-549 Lodz, Poland. bfranczyk-skora@wp.pl.Department of Nephrology, Hypertension and Family Medicine, Medical University of Lodz, Zeromskiego 113, 90-549 Lodz, Poland. jacek.rysz@umed.lodz.pl.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

28394274

Citation

Gluba-Brzózka, Anna, et al. "Vegetarian Diet in Chronic Kidney Disease-A Friend or Foe." Nutrients, vol. 9, no. 4, 2017.
Gluba-Brzózka A, Franczyk B, Rysz J. Vegetarian Diet in Chronic Kidney Disease-A Friend or Foe. Nutrients. 2017;9(4).
Gluba-Brzózka, A., Franczyk, B., & Rysz, J. (2017). Vegetarian Diet in Chronic Kidney Disease-A Friend or Foe. Nutrients, 9(4). https://doi.org/10.3390/nu9040374
Gluba-Brzózka A, Franczyk B, Rysz J. Vegetarian Diet in Chronic Kidney Disease-A Friend or Foe. Nutrients. 2017 Apr 10;9(4) PubMed PMID: 28394274.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Vegetarian Diet in Chronic Kidney Disease-A Friend or Foe. AU - Gluba-Brzózka,Anna, AU - Franczyk,Beata, AU - Rysz,Jacek, Y1 - 2017/04/10/ PY - 2017/01/26/received PY - 2017/03/10/revised PY - 2017/04/05/accepted PY - 2017/4/11/entrez PY - 2017/4/11/pubmed PY - 2017/9/9/medline KW - benefits KW - chronic kidney disease KW - glomerular filtration KW - malnutrition KW - vegetarian diet JF - Nutrients JO - Nutrients VL - 9 IS - 4 N2 - Healthy diet is highly important, especially in patients with chronic kidney disease (CKD). Proper nutrition provides the energy to perform everyday activities, prevents infection, builds muscle, and helps to prevent kidney disease from getting worse. However, what does a proper diet mean for a CKD patient? Nutrition requirements differ depending on the level of kidney function and the presence of co-morbid conditions, including hypertension, diabetes, and cardiovascular disease. The diet of CKD patients should help to slow the rate of progression of kidney failure, reduce uremic toxicity, decrease proteinuria, maintain good nutritional status, and lower the risk of kidney disease-related secondary complications (cardiovascular disease, bone disease, and hypertension). It has been suggested that plant proteins may exert beneficial effects on blood pressure, proteinuria, and glomerular filtration rate, as well as results in milder renal tissue damage when compared to animal proteins. The National Kidney Foundation recommends vegetarianism, or part-time vegetarian diet as being beneficial to CKD patients. Their recommendations are supported by the results of studies demonstrating that a plant-based diet may hamper the development or progression of some complications of chronic kidney disease, such as heart disease, protein loss in urine, and the progression of kidney damage. However, there are sparse reports suggesting that a vegan diet is not appropriate for CKD patients and those undergoing dialysis due to the difficulty in consuming enough protein and in maintaining proper potassium and phosphorus levels. Therefore, this review will focus on the problem as to whether vegetarian diet and its modifications are suitable for chronic kidney disease patients. SN - 2072-6643 UR - https://www.unboundmedicine.com/medline/citation/28394274/Vegetarian_Diet_in_Chronic_Kidney_Disease_A_Friend_or_Foe_ L2 - https://www.mdpi.com/resolver?pii=nu9040374 DB - PRIME DP - Unbound Medicine ER -