ISSN ONLINE: 2558-815X
ISSN PRINT: 1584-9244
ISSN-L: 1584-9244

Nutritional patterns in chronic kidney disease

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Abstract

Chronic kidney disease (CKD) is a public health problem due not only to the heavy burden of renal replacement therapy, but also to the increased cardiovascular risk and higher mortality. Emerging evidence suggests that dietary patterns play a more significant role than the nutrients in CKD. Thus, several macronutrients, especially high protein intake, could be risk factors for CKD, while a vegetarian, Mediterranean or a Dietary Approaches to Stop Hypertension (DASH) diet could be at least as effective as protein restriction in reducing CKD progression. This review summarizes both the association between several macro-/micronutrients and CKD, and the existing data on the relationship between dietary patterns and renal outcome.

Keywords: nutrition, chronic kidney disease, dietary patterns.

Abbreviations:

CKD – chronic kidney disease

eGFR – estimated glomerular filtration rate

RRT – renal replacement therapy

DASH – Dietary Approaches to Stop Hypertension

KA – ketoanalogues

LPD – low protein diet

VLPD – very low protein diet

NNT – number needed to treat

DM – diabetes mellitus

BP – blood pressure

DBP – diastolic blood pressure

SBP – systolic blood pressure

DB PR – double-blind prospective randomized

PR – prospective randomized

RAAS – renin angiotensin aldosterone system

Full text sources https://doi.org/10.31688/ABMU.2018.53.3.18 How to Cite Email to Author

Address for correspondence:
Andreea MIHALACHE
Department of Cardiology, “Carol Davila” University of Medicine and Pharmacy, “Sf. Ioan” Emergency Clinical Hospital, Bucharest, Romania
Address: Sergent Ion Pechiu str., no 5-7, Sc. G, Ap. 8, sector 4, Bucharest, 042116
Phone: 0767143576; Emails: andye42@gmail.com; dr.andreea.mihalache@gmail.com

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Mihalache A, Garneata L, Mircescu G. Nutritional patterns in chronic kidney disease. Arch Balk Med Union 2018; 53(3):427-433. DOI 10.31688/ABMU.2018.53.3.18