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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MDPI AG
2021
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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) |
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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 |
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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 |
work_keys_str_mv |
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