{"title":"Plant-Based Diets across the Spectrum of Kidney Disease.","authors":"Nimrit Goraya, Donald E Wesson","doi":"10.2215/CJN.0000000706","DOIUrl":null,"url":null,"abstract":"<p><p>Diet is gaining traction as a major CKD-related risk factor for death and disability. Furthermore, a \"healthy\" diet in patients with CKD is associated with reduced mortality. The data to be discussed support diet as the foundational, \"food integrated with pharmacologic therapy,\" approach to management of individuals with CKD, and those at risk for it. This is the reverse of the current approach in which pharmacologic therapy is considered as foundational to CKD management. In this review, we will discuss the following: ( 1 ) overview of plant diet approaches-discuss different types of Plant-Based Diet (PBD) Approaches, ( 2 ) evidence from trials and observational studies regarding CKD incidence and progression in participants without known CKD with PBDs, and ( 3 ) efficacy of PBDs in participants with known CKD and across various stages of CKD.</p>","PeriodicalId":50681,"journal":{"name":"Clinical Journal of the American Society of Nephrology","volume":" ","pages":""},"PeriodicalIF":8.5000,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Journal of the American Society of Nephrology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2215/CJN.0000000706","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Diet is gaining traction as a major CKD-related risk factor for death and disability. Furthermore, a "healthy" diet in patients with CKD is associated with reduced mortality. The data to be discussed support diet as the foundational, "food integrated with pharmacologic therapy," approach to management of individuals with CKD, and those at risk for it. This is the reverse of the current approach in which pharmacologic therapy is considered as foundational to CKD management. In this review, we will discuss the following: ( 1 ) overview of plant diet approaches-discuss different types of Plant-Based Diet (PBD) Approaches, ( 2 ) evidence from trials and observational studies regarding CKD incidence and progression in participants without known CKD with PBDs, and ( 3 ) efficacy of PBDs in participants with known CKD and across various stages of CKD.
期刊介绍:
The Clinical Journal of the American Society of Nephrology strives to establish itself as the foremost authority in communicating and influencing advances in clinical nephrology by (1) swiftly and effectively disseminating pivotal developments in clinical and translational research in nephrology, encompassing innovations in research methods and care delivery; (2) providing context for these advances in relation to future research directions and patient care; and (3) becoming a key voice on issues with potential implications for the clinical practice of nephrology, particularly within the United States. Original manuscript topics cover a range of areas, including Acid/Base and Electrolyte Disorders, Acute Kidney Injury and ICU Nephrology, Chronic Kidney Disease, Clinical Nephrology, Cystic Kidney Disease, Diabetes and the Kidney, Genetics, Geriatric and Palliative Nephrology, Glomerular and Tubulointerstitial Diseases, Hypertension, Maintenance Dialysis, Mineral Metabolism, Nephrolithiasis, and Transplantation.