Plant-Based versus Animal-Based Low Protein Diets in the Management of Chronic Kidney Disease

Recent data reiterate low-protein diets (LPDs) as cornerstones in the conservative management of chronic kidney disease (CKD). The reduction in proteinuria, better blood pressure control and the reduction in the rate of decline in kidney function with LPDs were reported, both in non-diabetics and di...

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Autores principales: Carmen-Antonia Mocanu, Tudor Petrisor Simionescu, Andreea Elena Mocanu, Liliana Garneata
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Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/e855d8412b044dfaa43eae78c8334518
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spelling oai:doaj.org-article:e855d8412b044dfaa43eae78c83345182021-11-25T18:33:26ZPlant-Based versus Animal-Based Low Protein Diets in the Management of Chronic Kidney Disease10.3390/nu131137212072-6643https://doaj.org/article/e855d8412b044dfaa43eae78c83345182021-10-01T00:00:00Zhttps://www.mdpi.com/2072-6643/13/11/3721https://doaj.org/toc/2072-6643Recent data reiterate low-protein diets (LPDs) as cornerstones in the conservative management of chronic kidney disease (CKD). The reduction in proteinuria, better blood pressure control and the reduction in the rate of decline in kidney function with LPDs were reported, both in non-diabetics and diabetics patients. Supplemented, vegetarian, very-low-protein diets (sVLPD, 0.3 g/kg-day) could postpone kidney replacement therapy (KRT) initiation, mainly through the better control of metabolic disorders of advanced CKD in non-diabetic patients. Plant-based diets could ameliorate gut microbiota and appear to be superior to mixed hypoproteic diets in treating advanced CKD: better control of nitrogen balance, acid-base metabolism and bone mineral disorders. Vegetarian diets generate fewer uremic toxins and reduce salt intake and acid overload. At the same time, they can improve lipid metabolism, providing a high ratio of unsaturated to saturated fatty acids, as well as insulin resistance.Carmen-Antonia MocanuTudor Petrisor SimionescuAndreea Elena MocanuLiliana GarneataMDPI AGarticlechronic kidney diseaselow-protein dietsvegetarian dietsplant-based dietsmanagement of CKDdietary intervention in CKDNutrition. Foods and food supplyTX341-641ENNutrients, Vol 13, Iss 3721, p 3721 (2021)
institution DOAJ
collection DOAJ
language EN
topic chronic kidney disease
low-protein diets
vegetarian diets
plant-based diets
management of CKD
dietary intervention in CKD
Nutrition. Foods and food supply
TX341-641
spellingShingle chronic kidney disease
low-protein diets
vegetarian diets
plant-based diets
management of CKD
dietary intervention in CKD
Nutrition. Foods and food supply
TX341-641
Carmen-Antonia Mocanu
Tudor Petrisor Simionescu
Andreea Elena Mocanu
Liliana Garneata
Plant-Based versus Animal-Based Low Protein Diets in the Management of Chronic Kidney Disease
description Recent data reiterate low-protein diets (LPDs) as cornerstones in the conservative management of chronic kidney disease (CKD). The reduction in proteinuria, better blood pressure control and the reduction in the rate of decline in kidney function with LPDs were reported, both in non-diabetics and diabetics patients. Supplemented, vegetarian, very-low-protein diets (sVLPD, 0.3 g/kg-day) could postpone kidney replacement therapy (KRT) initiation, mainly through the better control of metabolic disorders of advanced CKD in non-diabetic patients. Plant-based diets could ameliorate gut microbiota and appear to be superior to mixed hypoproteic diets in treating advanced CKD: better control of nitrogen balance, acid-base metabolism and bone mineral disorders. Vegetarian diets generate fewer uremic toxins and reduce salt intake and acid overload. At the same time, they can improve lipid metabolism, providing a high ratio of unsaturated to saturated fatty acids, as well as insulin resistance.
format article
author Carmen-Antonia Mocanu
Tudor Petrisor Simionescu
Andreea Elena Mocanu
Liliana Garneata
author_facet Carmen-Antonia Mocanu
Tudor Petrisor Simionescu
Andreea Elena Mocanu
Liliana Garneata
author_sort Carmen-Antonia Mocanu
title Plant-Based versus Animal-Based Low Protein Diets in the Management of Chronic Kidney Disease
title_short Plant-Based versus Animal-Based Low Protein Diets in the Management of Chronic Kidney Disease
title_full Plant-Based versus Animal-Based Low Protein Diets in the Management of Chronic Kidney Disease
title_fullStr Plant-Based versus Animal-Based Low Protein Diets in the Management of Chronic Kidney Disease
title_full_unstemmed Plant-Based versus Animal-Based Low Protein Diets in the Management of Chronic Kidney Disease
title_sort plant-based versus animal-based low protein diets in the management of chronic kidney disease
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/e855d8412b044dfaa43eae78c8334518
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