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Article Dans Une Revue Nature reviews. Nephrology Année : 2020

Plant-based diets to manage the risks and complications of chronic kidney disease

J. J. Carrero
  • Fonction : Auteur
A. González-Ortiz
  • Fonction : Auteur
C. M. Avesani
  • Fonction : Auteur
V. Bellizzi
  • Fonction : Auteur
P. Chauveau
  • Fonction : Auteur
C. M. Clase
  • Fonction : Auteur
A. Cupisti
  • Fonction : Auteur
A. Espinosa-Cuevas
  • Fonction : Auteur
P. Molina
  • Fonction : Auteur
G. B. Piccoli
  • Fonction : Auteur
A. Post
  • Fonction : Auteur
S. Sezer
  • Fonction : Auteur

Résumé

Traditional dietary recommendations for patients with chronic kidney disease (CKD) focus on the quantity of nutrients consumed. Without appropriate dietary counselling, these restrictions can result in a low intake of fruits and vegetables and a lack of diversity in the diet. Plant nutrients and plant-based diets could have beneficial effects in patients with CKD: increased fibre intake shifts the gut microbiota towards reduced production of uraemic toxins; plant fats, particularly olive oil, have anti-atherogenic effects; plant anions might mitigate metabolic acidosis and slow CKD progression; and as plant phosphorus has a lower bioavailability than animal phosphorus, plant-based diets might enable better control of hyperphosphataemia. Current evidence suggests that promoting the adoption of plant-based diets has few risks but potential benefits for the primary prevention of CKD, as well as for delaying progression in patients with CKD G3-5. These diets might also help to manage and prevent some of the symptoms and metabolic complications of CKD. We suggest that restriction of plant foods as a strategy to prevent hyperkalaemia or undernutrition should be individualized to avoid depriving patients with CKD of these potential beneficial effects of plant-based diets. However, research is needed to address knowledge gaps, particularly regarding the relevance and extent of diet-induced hyperkalaemia in patients undergoing dialysis.

Dates et versions

hal-02902500 , version 1 (20-07-2020)

Identifiants

Citer

J. J. Carrero, A. González-Ortiz, C. M. Avesani, S. J. L. Bakker, V. Bellizzi, et al.. Plant-based diets to manage the risks and complications of chronic kidney disease. Nature reviews. Nephrology, 2020, ⟨10.1038/s41581-020-0297-2⟩. ⟨hal-02902500⟩
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