Optimal nutrition for predialysis chronic kidney disease

Adv Chronic Kidney Dis. 2013 Mar;20(2):175-80. doi: 10.1053/j.ackd.2012.12.007.


Diet potentially plays a major role in the progression and complications of predialysis CKD. Moderate protein consumption along with a diet low in sodium might slow kidney disease progression. Increasing vegetable protein intake might decrease serum phosphorus, uremic toxins, and kidney damage. Because obesity might be an important factor in the increasing prevalence of CKD, dietary strategies targeting obesity might also benefit CKD progression. In those with more advanced CKD, dietary calcium and phosphorus restriction could minimize vascular calcification. Dietary fiber and vitamin D supplementation might also be important to decrease inflammation in CKD.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Animals
  • Calcium, Dietary / therapeutic use
  • Dietary Fats
  • Dietary Fiber / therapeutic use
  • Dietary Proteins* / administration & dosage
  • Dietary Proteins* / adverse effects
  • Disease Progression*
  • Energy Intake
  • Glomerular Filtration Rate
  • Humans
  • Phosphorus, Dietary / administration & dosage
  • Plant Proteins, Dietary
  • Potassium, Dietary / therapeutic use
  • Renal Insufficiency, Chronic / diet therapy*
  • Renal Insufficiency, Chronic / etiology*
  • Renal Insufficiency, Chronic / physiopathology
  • Sodium Chloride, Dietary / adverse effects
  • Vitamin D / therapeutic use


  • Calcium, Dietary
  • Dietary Fats
  • Dietary Fiber
  • Dietary Proteins
  • Phosphorus, Dietary
  • Plant Proteins, Dietary
  • Potassium, Dietary
  • Sodium Chloride, Dietary
  • Vitamin D