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  • Mediterranean diet as the diet of choice for patients with chronic kidney disease

    Author(s)
    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
    Griffith University Author(s)
    Campbell, Katrina
    Year published
    2018
    Metadata
    Show full item record
    Abstract
    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 linksMDwith ...
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    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 linksMDwith 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 ofMD 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.
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    Journal Title
    Nephrology Dialysis Transplantation
    Volume
    33
    Issue
    5
    DOI
    https://doi.org/10.1093/ndt/gfx085
    Subject
    Clinical sciences
    Publication URI
    http://hdl.handle.net/10072/384084
    Collection
    • Journal articles

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