Nut Consumption and Renal Function Among Women With a History of Gestational Diabetes

Ajjarapu, Aparna; Hinkle, Stefanie; Wu, Jing; Li, Mengying; Rawal, Shristi; Francis, Ellen C.; Chen, Liwei; Pitsava, Georgia; Bjerregaard, Anne Ahrendt; Grunnet, Louise Groth; Vaag, Allan; Zhu, Yeyi; Ma, Rong; Damm, Peter; Mills, James L.; Olsen, Sjúrður F.; Zhang, Cuilin

doi:10.1053/j.jrn.2019.10.005

Cited by 4 publications

(5 citation statements)

References 40 publications

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“…Among participants of the ONTARGET trial, increasing fruit or vegetable intake to >14 servings per week was estimated to have the potential to reduce the risk of incident CKD and CKD progression by 4.5% and 2%, respectively 136,137 . Among women with a history of gestational diabetes 138 , a higher consumption of nuts was associated with lower odds of albuminuria, but not with eGFR values. However, other observational studies in the general population failed to identify associations between the consumption of fruits and vegetables or whole grains and the rate of eGFR decline 139,140 .…”

Section: Plant Foodsmentioning

confidence: 75%

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

et al. 2020

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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.

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Section: Plant Foodsmentioning

confidence: 75%

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

et al. 2020

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“…Even in a German cohort [ 27 ] following Med Diet was associated with a lower prevalence of diabetes mellitus and a higher glomerular filtration rate, in contrast to what was observed in people who adhered to the diet proposed by the German Food Pyramid Index (GFPI). From single nutrients standpoint, higher eGFR was observed in people who consumed more nuts, whole grains, fish, and legumes, while higher whole-fat dairy consumption was associated with lower eGFR [ 25 , 28 ].…”

Section: Med Diet In Primary Prevention Of Ckdmentioning

confidence: 99%

Can Mediterranean Diet Have a Positive Impact on Kidney Health? A Pending Answer to a Long-Time Question

et al. 2022

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Dietary studies conducted in chronic kidney disease (CKD) patients were focused on the quantities of single nutrients, however it is possible that the excessive attention put on the restriction of proteins, sodium, potassium and phosphorus may compromise the overall quality of the diet in terms of micronutrients and palatability. Instead, concentrating on the nutritional quality healthy dietary patterns, may provide a better approach to improve nutritional prescriptions in CKD patients. All these dietary regimens share common features as reduced content of red meat, salt and saturated fatty acids, and higher fiber content, but may differ in terms of single nutrients consumption. In particular, Mediterranean Diet (Med Diet) has been associated with reduced incidence of diabetes, cardiovascular diseases and obesity, all conditions that are also strictly related to CKD. Given its low content of animal proteins and high contents of fiber it is possible that Med Diet may exert also positive effects on CKD as well as on its metabolic complications. In this review we summarize the role of Med Diet in primary prevention of CKD and on its progression.

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“…The study found that daily intake of almonds was safe, effective, and well tolerated and led to improved health-related quality of life and symptom burden as well as correction of constipation without causing hyperkalemia or hyperphosphatemia. In another study, using food frequency questionnaires, Ajjarapu et al 21 studied 607 women with a history of gestational diabetes mellitus and found an association between higher or more frequent intake of nuts and lower urinary albumin-to-creatinine ratio. They concluded that moderate nut ingestion can be beneficial to kidney health among women with prior gestational diabetes, a finding in alignment with data suggesting that nut intake is associated with reduced cardiometabolic risk.…”

mentioning

confidence: 99%

“…In another study, using food frequency questionnaires, Ajjarapu et al. 21 studied 607 women with a history of gestational diabetes mellitus and found an association between higher or more frequent intake of nuts and lower urinary albumin-to-creatinine ratio. They concluded that moderate nut ingestion can be beneficial to kidney health among women with prior gestational diabetes, a finding in alignment with data suggesting that nut intake is associated with reduced cardiometabolic risk.…”

mentioning

confidence: 99%

“…They concluded that moderate nut ingestion can be beneficial to kidney health among women with prior gestational diabetes, a finding in alignment with data suggesting that nut intake is associated with reduced cardiometabolic risk. 21 Fakier and Rodgers 22 examine the roles of dietary phytate ingestion and its urinary excretion as they could relate to the risk of calcium kidney stone risk and found that there was no hard evidence in support of phytate as a kidney stone inhibitor.…”

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confidence: 99%

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Precision Nutrition and Personalized Diet Plan for Kidney Health and Kidney Disease Management

Kalantar-Zadeh

Moore

2020

Journal of Renal Nutrition

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Nut Consumption and Renal Function Among Women With a History of Gestational Diabetes

Cited by 4 publications

References 40 publications

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

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

Can Mediterranean Diet Have a Positive Impact on Kidney Health? A Pending Answer to a Long-Time Question

Precision Nutrition and Personalized Diet Plan for Kidney Health and Kidney Disease Management

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