<abstract xmlns="http://www.w3.org/1999/xhtml">

<p>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.</p>
</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.

Plant-based diets in patients with chronic kidney disease

Nephrology Unit, Department of Medicine, Charoenkrung Pracharak Hospital, Bangkok Metropolitan Administration

Division of Nephrology, Department of Medicine, Faculty of Medicine

Division of Internal Medicine-Nephrology, Department of Medicine, Faculty of Medicine, King Chulalongkorn Memorial Hospital, Thai Red Cross Society

Special Task Force for Activating Research in Renal Nutrition (Renal Nutrition Research Group), Office of Research Affairs

Asian Biomedicine

This work is licensed under the Creative Commons Attribution 4.0 International License.

{"article-title":"Plant-based diets in patients with chronic kidney disease"}

Dietary protein restriction has been considered to be a nutritional-related strategy to reduce risk for end-stage kidney disease among patients with...

Plant-based diets in patients with chronic kidney disease

Article Category: Review

Published Online: Mar 20, 2024

Page range: 2 - 10

DOI: https://doi.org/10.2478/abm-2024-0002

Keywords
chronic kidney disease, low-protein diet, nutrition, plant-based diets

© 2024 Wannasit Wathanavasin et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Plant-based diets in patients with chronic kidney disease

Article Category: Review

Published Online: Mar 20, 2024

Page range: 2 - 10

DOI: https://doi.org/10.2478/abm-2024-0002

Keywordschronic kidney disease, low-protein diet, nutrition, plant-based diets

© 2024 Wannasit Wathanavasin et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Keywords
chronic kidney disease, low-protein diet, nutrition, plant-based diets