2017
DOI: 10.1111/sdi.12580
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Beyond Sodium, Phosphate and Potassium: Potential Dietary Interventions in Kidney Disease

Abstract: People with kidney disease are advised to restrict individual nutrients, such as sodium, potassium, and phosphate, in line with current best practice guidelines. However, there is limited evidence to support the efficacy of single nutrient strategies, and compliance remains a challenge for clinicians to overcome. Many factors contribute to poor compliance with dietary prescriptions, including conflicting priorities for single nutrient restriction, the arduous self-monitoring required, and the health-related kn… Show more

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Cited by 24 publications
(16 citation statements)
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“…Dietary modification is considered one of the key modifiable risk factors for the progression of CKD (3). However, whether a healthy diet is protective against the incidence of CKD is not fully understood (4). The potential to prevent the incidence of CKD may assist in reducing the significant individual burden of disease, with over 497 million adults worldwide with CKD stages 1-5 (5).…”
Section: Introductionmentioning
confidence: 99%
“…Dietary modification is considered one of the key modifiable risk factors for the progression of CKD (3). However, whether a healthy diet is protective against the incidence of CKD is not fully understood (4). The potential to prevent the incidence of CKD may assist in reducing the significant individual burden of disease, with over 497 million adults worldwide with CKD stages 1-5 (5).…”
Section: Introductionmentioning
confidence: 99%
“…Typical dietary advice given to people with CKD includes restricting individual nutrients, such as sodium, protein, potassium and phosphate. However, there is little evidence regarding the adherence to, and efficacy of, nutrient-specific dietary advice in CKD populations 5. Recent evidence suggests that following a healthy dietary pattern, as a whole food-based dietary pattern is associated with a reduced risk of death in people with CKD 6.…”
Section: Introductionmentioning
confidence: 99%
“…However, common limitations to developing nutrition management plans in dialysis, particularly haemodialysis, arise when attempting to implement a cardio-protective diet [ 9 ]. Many nutrient restrictions placed on haemodialysis patients have the knock-on effect of limiting antioxidant vitamins (e.g., ascorbic acid, tocopherols), minerals (e.g., selenium), and various non-nutritive polyphenols, which may be attributable to the commonly higher levels of potassium in nutrient-rich fruit and vegetables [ 10 ]. Therefore, a low risk dietary intervention which may improve intake of potentially cardioprotective compounds may improve CVD outcomes in the haemodialysis patient.…”
Section: Introductionmentioning
confidence: 99%
“…A healthy dietary pattern, such as the Mediterranean and Dietary Approaches to Stop Hypertension (DASH) diet, are associated with reduced risk of death in renal disease [ 8 , 11 ]. One of the proposed mechanisms of mediated risk is through higher intake of fruits and vegetables, which are inherently cardio-protective due to their higher levels of dietary fibre, antioxidants, and lower renal acid load [ 10 , 11 ]. In addition, plant-based diets provide an abundant source for a large number of non-nutrient phytochemicals such as carotenoids and polyphenols [ 12 , 13 ].…”
Section: Introductionmentioning
confidence: 99%