Mediterranean diet as the diet of choice for patients with chronic kidney disease
Por:
Chauveau P, Aparicio M, Bellizzi V, Campbell K, Hong X, Johansson L, Kolko A, MOLINA, P, Sezer S, Wanner C, Ter Wee PM, Teta D, Fouque D, Carrero JJ and European Renal Nutrition (ERN) Working Group of the European Renal Association-E
Publicada:
1 may 2018
Ahead of Print:
2 jul 2017
Resumen:
Traditional dietary management of chronic kidney disease (CKD) focuses on the quantity within the diet of energy and protein, and the restriction of single micronutrients, with little mention of dietary quality. Dietary patterns that are more plant-based, lower in meat (including processed meat), sodium and refined sugar, and have a higher content of grains and fibres are now included in multiple clinical guidelines for chronic disease prevention. The Mediterranean diet (MD) has been associated with reduced cardiovascular disease incidence in both observational and interventional studies. A wealth of evidence links MD with other beneficial effects on chronic diseases such as diabetes, obesity or cognitive health. This review examines each constituent of the classical MD and evaluates their suitability for the management of patients with CKD. We also evaluate the potential hyperkalaemia risk of increasing fruit and vegetable intake. Overall, a decrease in net endogenous acid production and increase in fibre may lead to a better control of metabolic acidosis. This, together with other putative favourable effects of MD on endothelial function, inflammation, lipid profile and blood pressure, provide mechanistic pathways to explain the observed reduced renal function decline and improved survival in CKD patients adhering to an MD.
Filiaciones:
Chauveau P:
Service de Nephrologie Transplantation Dialyse, Centre Hospitalier Universitaire de Bordeaux et Aurad-Aquitaine, Bordeaux, France
Aparicio M:
Service de Nephrologie Transplantation Dialyse, Centre Hospitalier Universitaire de Bordeaux et Aurad-Aquitaine, Bordeaux, France
Bellizzi V:
Division of Nephrology, Dialysis and Renal Transplantation, University Hospital "San Giovanni di Dio e Ruggi d'Aragona", Salerno, Italy
Campbell K:
Faculty of Health Sciences and Medicine, Bond University, Robina, Queensland, Australia
Hong X:
Division of Renal Medicine, CLINTEC and Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
Johansson L:
Department of Nutrition and Dietetics, Imperial College Healthcare NHS Trust, London, England
Kolko A:
Association pour l'Utilisation du Rein Artificiel en region Parisienne (AURA) Paris, Paris, France
:
Department of Nephrology, Dr Peset University Hospital, Valencia, Spain
Sezer S:
Department of Nephrology, Baskent University Hospital, Ankara, Turkey
Wanner C:
Division of Nephrology, University Hospital, Wurzburg, Germany
Ter Wee PM:
Department of Nephrology, VUmc, Amsterdam, The Netherlands
Teta D:
Service of Nephrology, Hopital du Valais, Sion and Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland
Fouque D:
Department of Nephrology, Centre Hospitalier Lyon-Sud, Universite de Lyon, UCBL, Carmen, Pierre, Benite, France
Carrero JJ:
Division of Renal Medicine, CLINTEC and Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
Bronze
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