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Vegetarian diets and chronic kidney disease.
Nephrol Dial Transplant. 2019 02 01; 34(2):199-207.ND

Abstract

While dietary restriction of protein intake has long been proposed as a possible kidney-protective treatment, the effects of changes in the quality of ingested proteins on the prevalence and risk of progression of chronic kidney disease (CKD) have been scarcely studied; these two aspects are reviewed in the present article. The prevalence of hypertension, type 2 diabetes and metabolic syndrome, which are the main causes of CKD in Western countries, is lower in vegetarian populations. Moreover, there is a negative relationship between several components of plant-based diets and numerous factors related to CKD progression such as uraemic toxins, inflammation, oxidative stress, metabolic acidosis, phosphate load and insulin resistance. In fact, results from different studies seem to confirm a kidney-protective effect of plant-based diets in the primary prevention of CKD and the secondary prevention of CKD progression. Various studies have determined the nutritional safety of plant-based diets in CKD patients, despite the combination of a more or less severe dietary protein restriction. As observed in the healthy population, this dietary pattern is associated with a reduced risk of all-cause mortality in CKD patients. We propose that plant-based diets should be included as part of the clinical recommendations for both the prevention and management of CKD.

Authors+Show Affiliations

Aurad-Aquitaine, Service Hémodialyse, Gradignan, France. Service de Néphrologie Transplantation Dialyse, Centre Hospitalier Universitaire de Bordeaux, Hôpital Pellegrin, Bordeaux, France.Department of Nephrology, Hospices Civils de Lyon, Centre Hospitalier Lyon-Sud, Pierre-Benite, France. University of Lyon, CarMeN lab, INSERM U1060, INRA U1397, INSA de Lyon, Université Claude Bernard Lyon 1, Villeurbanne, France.Aurad-Aquitaine, Service Hémodialyse, Gradignan, France. Service de Néphrologie Transplantation Dialyse, Centre Hospitalier Universitaire de Bordeaux, Hôpital Pellegrin, Bordeaux, France. Unité INSERM 1026, Université de Bordeaux, Bordeaux, France.Aurad-Aquitaine, Service Hémodialyse, Gradignan, France. Service de Néphrologie Transplantation Dialyse, Centre Hospitalier Universitaire de Bordeaux, Hôpital Pellegrin, Bordeaux, France.Aurad-Aquitaine, Service Hémodialyse, Gradignan, France.Service de Néphrologie Transplantation Dialyse, Centre Hospitalier Universitaire de Bordeaux, Hôpital Pellegrin, Bordeaux, France.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

29982610

Citation

Chauveau, Philippe, et al. "Vegetarian Diets and Chronic Kidney Disease." Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association, vol. 34, no. 2, 2019, pp. 199-207.
Chauveau P, Koppe L, Combe C, et al. Vegetarian diets and chronic kidney disease. Nephrol Dial Transplant. 2019;34(2):199-207.
Chauveau, P., Koppe, L., Combe, C., Lasseur, C., Trolonge, S., & Aparicio, M. (2019). Vegetarian diets and chronic kidney disease. Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association, 34(2), 199-207. https://doi.org/10.1093/ndt/gfy164
Chauveau P, et al. Vegetarian Diets and Chronic Kidney Disease. Nephrol Dial Transplant. 2019 02 1;34(2):199-207. PubMed PMID: 29982610.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Vegetarian diets and chronic kidney disease. AU - Chauveau,Philippe, AU - Koppe,Laetitia, AU - Combe,Christian, AU - Lasseur,Catherine, AU - Trolonge,Stanislas, AU - Aparicio,Michel, PY - 2017/11/05/received PY - 2018/04/26/accepted PY - 2018/7/10/pubmed PY - 2020/2/19/medline PY - 2018/7/9/entrez SP - 199 EP - 207 JF - Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association JO - Nephrol Dial Transplant VL - 34 IS - 2 N2 - While dietary restriction of protein intake has long been proposed as a possible kidney-protective treatment, the effects of changes in the quality of ingested proteins on the prevalence and risk of progression of chronic kidney disease (CKD) have been scarcely studied; these two aspects are reviewed in the present article. The prevalence of hypertension, type 2 diabetes and metabolic syndrome, which are the main causes of CKD in Western countries, is lower in vegetarian populations. Moreover, there is a negative relationship between several components of plant-based diets and numerous factors related to CKD progression such as uraemic toxins, inflammation, oxidative stress, metabolic acidosis, phosphate load and insulin resistance. In fact, results from different studies seem to confirm a kidney-protective effect of plant-based diets in the primary prevention of CKD and the secondary prevention of CKD progression. Various studies have determined the nutritional safety of plant-based diets in CKD patients, despite the combination of a more or less severe dietary protein restriction. As observed in the healthy population, this dietary pattern is associated with a reduced risk of all-cause mortality in CKD patients. We propose that plant-based diets should be included as part of the clinical recommendations for both the prevention and management of CKD. SN - 1460-2385 UR - https://www.unboundmedicine.com/medline/citation/29982610/Vegetarian_diets_and_chronic_kidney_disease_ L2 - https://academic.oup.com/ndt/article-lookup/doi/10.1093/ndt/gfy164 DB - PRIME DP - Unbound Medicine ER -