Plant-Based Diets and Peritoneal Dialysis: A Review

Abstract

Whole food plant-based diets are gaining popularity as a preventative and therapeutic modality for numerous chronic health conditions, including chronic kidney disease, but their role and safety in end-stage kidney disease patients on peritoneal dialysis (PD) is unclear. Given the general public’s increased interest in this dietary pattern, it is likely that clinicians will encounter individuals on PD who are either consuming, considering, or interested in learning more about a diet with more plants. This review explores how increasing plant consumption might affect those on PD, encompassing potential benefits, including some specific to the PD population, and potential concerns.

Key stakeholders' perspectives on the development of an early dietary phosphate self‐management strategy for children and young people with chronic kidney disease stages 1–3: A modified Delphi consensus process

“…37 Although acknowledging the need to tailor the conventional healthy-eating message to the therapeutic needs of individual renal patients, Carrero and Cozzolino 37 extol the many merits of healthy eating as relevant and effective nutritional therapy for all stages of CKD, in particular, delaying its progression. Furthermore, aligned with the plantbased dietary management of CKD, [38][39][40][41] the approach to target specific fruits and vegetables as a strategy to manage CKD is changing.…”

Dietary Potassium and Clinical Outcomes among Patients on Peritoneal Dialysis

“…However, at present, whether hypokalemia is influenced by dietary potassium is unknown. On the other hand potassium-rich foods usually contain higher fiber and plant protein, which exert benefits on the gut microbiome and are also proven to be associated with decreased peritonitis and death risk in PD patients [21][22][23]. All these factors make it difficult to guide appropriate amounts of dietary potassium restriction among PD patients.…”