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Risks and Benefits of Different Dietary Patterns in CKD
Shivam Joshi1, Kamyar Kalantar-Zadeh2, Philippe Chauveau3
1Department of Medicine, Grossman School of Medicine, New York University, New York, New York; Department of Medicine, NYC Health + Hospitals/Bellevue, New York, New York.
Dietary patterns significantly impact kidney disease management. While low-carbohydrate and Mediterranean diets show potential benefits, plant-based diets may slow disease progression. Whole, unprocessed foods are key for kidney health.
Area of Science:
- Nephrology
- Nutritional Science
- Internal Medicine
Background:
- Diet significantly influences lifestyle diseases and kidney health.
- Evidence supports dietary interventions for kidney disease and its complications.
- Popular diets include low-carbohydrate (ketogenic) and higher-carbohydrate (Mediterranean, plant-based) patterns.
Purpose of the Study:
- To review the risks and benefits of popular dietary patterns for patients with kidney disease.
- To guide healthcare professionals in selecting appropriate diets for kidney disease management.
- To highlight the role of diet in preventing and treating kidney disease complications.
Main Methods:
- Review of existing literature on popular diets and kidney disease.
- Analysis of evidence for low-carbohydrate, ketogenic, Mediterranean, and plant-based diets.
- Discussion of intermittent fasting in the context of kidney disease.
Main Results:
- Low-carbohydrate diets show no harm and potential benefits for select kidney disease patients.
- Mediterranean diets offer cardioprotective and potential kidney benefits.
- Plant-based diets, particularly lower-protein options, may slow disease progression and delay dialysis.
Conclusions:
- Most healthful dietary patterns emphasize whole, unprocessed foods, preferably plant-based.
- Each diet has unique advantages and disadvantages for kidney disease management.
- Informed dietary choices are crucial for optimizing kidney health and patient outcomes.
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