Low protein diets for non-diabetic adults with chronic kidney disease

Hahn, Deirdré; Hodson, Elisabeth M; Fouque, Denis

doi:10.1002/14651858.cd001892.pub5

Cited by 86 publications

(63 citation statements)

References 140 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The recommendation for protein intake for non-dialysis patients has changed considerably in this updated guideline. Over the last 2 decades, sub- stantial a number of well-designed studies were published allowing a more comprehensive analysis of the effectiveness of protein restriction with or without keto-acid analogs supplementation on several relevant outcomes [3]. In the updated statements, it is highlighted that the lowprotein diet (0.55-0.6 or 0.28-0.43 g/kg/day with ketoacid analogs) should be delivered for nondiabetic and metabolically stable patients with stages 3 and 4 CKD.…”

Section: Medical Nutrition Therapy and Energy And Protein Recommendationsmentioning

confidence: 99%

The 2020 Updated KDOQI Clinical Practice Guidelines for Nutrition in Chronic Kidney Disease

İkizler

Cuppari

2021

Blood Purif

View full text Add to dashboard Cite

Over the last 2 decades, there has been a great accumulation of new evidence regarding the management of nutritional and metabolic aspects of kidney disease. The 2020 update to the KDOQI Clinical Practice Guideline for Nutrition in CKD provides a comprehensive up-to-date information on the understanding and care of patients with CKD. It provides updated information on nutritional aspects of kidney disease for the practicing clinician and allied health-care workers. The current manuscript provides an overview of the updated guideline statements on major subjects including nutritional assessment, dietary protein and energy intake, nutritional supplementation, micronutrients, and electrolytes. The guidelines are focused on dietary management rather than all possible nutritional interventions.

show abstract

Section: Medical Nutrition Therapy and Energy And Protein Recommendationsmentioning

confidence: 99%

The 2020 Updated KDOQI Clinical Practice Guidelines for Nutrition in Chronic Kidney Disease

İkizler

Cuppari

2021

Blood Purif

View full text Add to dashboard Cite

show abstract

“…Types of control group included any other type of intervention, no treatment and standard care. Studies focusing on weight loss or single nutrients were excluded because these have been reviewed elsewhere or are being updated 13–16 …”

Section: Methodsmentioning

confidence: 99%

Dietary interventions with dietitian involvement in adults with chronic kidney disease: A systematic review

Brown

Williams

Mafrici

et al. 2021

J Human Nutrition Diet

View full text Add to dashboard Cite

Background A comprehensive evidence base is needed to support recommendations for the dietetic management of adults with chronic kidney disease (CKD). The present study aimed to determine the effect of dietary interventions with dietitian involvement on nutritional status, well‐being, kidney risk factors and clinical outcomes in adults with CKD. Methods Cochrane Central Register of Controlled Trials, CINAHL, MEDLINE, PsycINFO and EMBASE.com were searched from January 2000 to November 2019. Intentional weight loss and single nutrient studies were excluded. Risk of bias was assessed using the Cochrane risk‐of‐bias tool. Effectiveness was summarised using the mean difference between groups for each outcome per study. Results Twelve controlled trials (1906 participants) were included. High fruit and vegetable intake, as well as a multidisciplinary hospital and community care programme, slowed the decline in glomerular filtration rate in adults with stage 3–4 CKD. Interventions addressing nutrition‐related barriers increased protein and energy intake in haemodialysis patients. A Mediterranean diet and a diet with high n‐3 polyunsaturated fatty acids improved the lipid profile in kidney transplant recipients. Conclusions A limited number of studies suggest benefits as a result of dietary interventions that are delivered by dietitians and focus on diet quality. We did not identify any studies that focussed on our primary outcome of nutritional status or studies that examined the timing or frequency of the nutritional assessment. This review emphasises the need for a wider body of high‐quality evidence to support recommendations on what and how dietetic interventions are delivered by dietitians for adults with CKD.

show abstract

“…There was little difference in the number of patients with non-severe kidney failure who progressed to the stage requiring dialysis between the low-protein diets and normal diet. These results indicate that very low protein intake may delay the progression of kidney failure, but more information, including adverse effects, adherence difficulties, and the impact on quality of life, is needed [ 79 ].…”

Section: Treatmentmentioning

confidence: 99%

The Importance of Phosphate Control in Chronic Kidney Disease

Tsuchiya

Akihisa

2021

Nutrients

View full text Add to dashboard Cite

A series of problems including osteopathy, abnormal serum data, and vascular calcification associated with chronic kidney disease (CKD) are now collectively called CKD-mineral bone disease (CKD-MBD). The pathophysiology of CKD-MBD is becoming clear with the emerging of αKlotho, originally identified as a progeria-causing protein, and bone-derived phosphaturic fibroblast growth factor 23 (FGF23) as associated factors. Meanwhile, compared with calcium and parathyroid hormone, which have long been linked with CKD-MBD, phosphate is now attracting more attention because of its association with complications and outcomes. Incidentally, as the pivotal roles of FGF23 and αKlotho in phosphate metabolism have been unveiled, how phosphate metabolism and hyperphosphatemia are involved in CKD-MBD and how they can be clinically treated have become of great interest. Thus, the aim of this review is reconsider CKD-MBD from the viewpoint of phosphorus, its involvement in the pathophysiology, causing complications, therapeutic approach based on the clinical evidence, and clarifying the importance of phosphorus management.

show abstract

Low protein diets for non-diabetic adults with chronic kidney disease

Abstract: Low protein diets for non-diabetic adults with chronic kidney disease (Review)

Cited by 86 publications

References 140 publications

The 2020 Updated KDOQI Clinical Practice Guidelines for Nutrition in Chronic Kidney Disease

The 2020 Updated KDOQI Clinical Practice Guidelines for Nutrition in Chronic Kidney Disease

Dietary interventions with dietitian involvement in adults with chronic kidney disease: A systematic review

The Importance of Phosphate Control in Chronic Kidney Disease

Contact Info

Product

Resources

About