A Therapeutic Approach in the Management of Chronic Kidney Disease: Plant-Based Dietary Models and Associated Parameters

Curr Nutr Rep. 2024 Mar;13(1):39-48. doi: 10.1007/s13668-023-00515-7. Epub 2024 Jan 3.

Abstract

Purpose of review: Chronic kidney disease is one of the leading causes of death worldwide today. Nutrition and nutrition-related factors have a very important role in both the prevention and management of the disease. Plant-based dietary practices are one of the promising approaches to chronic kidney disease. This review aims to examine the potential benefits and risks of plant-based diet models on symptoms and indices used in diet quality in chronic kidney disease.

Recent findings: Recently, a growing body of evidence has shown that, unlike animal-based diets, diets rich in plant-based nutrients may play an active role in the incidence of chronic kidney disease in many ways and the management of common symptoms, such as metabolic acidosis, uremic toxicity, and hyperphosphatemia. Implementation of existing plant-based dietary patterns in patients with chronic kidney disease may increase the efficacy of the diet and improve patients' quality of life by expanding their food choices. While there are concerns about creatine deficiency, dietary adequacy, and accessibility regarding plant-based diets, available information is limited.

Keywords: Chronic kidney disease; Dietary acid load; Nutrition therapy; Plant-based diets; Uremic toxicity.

Publication types

  • Review

MeSH terms

  • Acidosis*
  • Animals
  • Diet
  • Humans
  • Nutrients
  • Quality of Life
  • Renal Insufficiency, Chronic* / metabolism