The consumption of vegetables and fruits rich in potassium (K), such as melons and strawberries, is restricted in chronic kidney disease (CKD) patients. Therefore, we attempted to produce low-K strawberry fruits through management of a KNO 3 fertilizer in nutrient solution from anthesis to the harvest period. A general trend of decreasing K content in fruit was observed with the decrease of KNO 3 concentration in the nutrient solution. Among four strawberry cultivars, the fruit of the 'Toyonoka' exhibited a K reduction of about 64% when plants were grown in nutrient solution with KNO 3 at 1/16 of the normal level. Citric acid and ascorbic acid contents of 'Toyonoka' fruit were reduced with decreasing KNO 3 concentrations in the nutrient solution. Although the reduced NO 3 − of the nutrient solution was adjusted by using Ca(NO 3 ) 2 to obtain low-K strawberries, growth, yield, and quality did not vary with this adjustment. Compared with the typical level of K in strawberry fruit of 170 mg/100 g FW (Standard Tables of Food Composition in Japan, 2011), a 23.5% decrease (130 mg/100 g FW) in K was found in 1/32 level of KNO 3 . The K contents of plant parts suggested that the low KNO 3 level was responsible for the low K absorption, which may have affected the translocation and accumulation of K into fruit. Therefore, 1/32 level of KNO 3 in nutrient solution lowers the fruit K content considerably.Key Words: chronic kidney disease, Fragaria × ananassa Duch. 'Toyonoka', fruit potassium content, potassium nitrate, potassium translocation.
IntroductionPotassium (K) is a major electrolyte in the human body. It plays an important role in the contraction or relaxation of skeletal, smooth, and cardiac muscles, nerve impulse transmission, acid base equilibrium, enzymatic action, intracellular fluid tonicity, and renal function (Crawford and Harris, 2011;Russell, 2009). The average daily K intake is estimated to be 2000-3900 mg·day −1 (Choi and Ha, 2013;Kes, 2001; Putcha Received; September 16, 2015. Accepted; March 6, 2016. First Published Online in J-STAGE on April 23, 2016. * Corresponding author (E-mail: asao@life.shimane-u.ac.jp).and Allon, 2007). About 77% of dietary K is excreted in the urine via the kidneys (Holbrook et al., 1984). A study found that higher K excretion is associated with a reduction in the risk of adverse renal outcomes (Smyth et al., 2014), but patients with chronic kidney disease (CKD) have limited ability to excrete K through the kidneys. As a result, the level of K increases in the blood serum. An elevated level of K in serum is called hyperkalemia, and is associated with an increased risk of chronic kidney disease progression and all-cause mortality in patients with chronic kidney disease . Mills et al. (2014) found that high dietary K was associated with an increased risk of cardiovascular disease among patients with CKD. In the United States, hyperkalemia causes 5 deaths/1000 person-years in patients with CKD (US Renal Data System, 2002). The number of CKD patients is continuing to increase g...