Mediterranean diet as the diet of choice for patients with chronic kidney disease.
Identifieur interne : 000816 ( PubMed/Checkpoint ); précédent : 000815; suivant : 000817Mediterranean diet as the diet of choice for patients with chronic kidney disease.
Auteurs : Philippe Chauveau [France] ; Michel Aparicio [France] ; Vincenzo Bellizzi [Italie] ; Katrina Campbell [Australie] ; Xu Hong [Suède] ; Lina Johansson [Royaume-Uni] ; Anne Kolko [France] ; Pablo Molina [Espagne] ; Siren Sezer [Turquie] ; Christoph Wanner [Allemagne] ; Pieter M. Ter Wee [Pays-Bas] ; Daniel Teta [Suisse] ; Denis Fouque [France] ; Juan J. Carrero [Suède]Source :
- Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association [ 1460-2385 ] ; 2017.
Abstract
Traditional dietary management of chronic kidney disease (CKD) focuses on the quantity within the diet of energy and protein, and the restriction of single micronutrients, with little mention of dietary quality. Dietary patterns that are more plant-based, lower in meat (including processed meat), sodium and refined sugar, and have a higher content of grains and fibres are now included in multiple clinical guidelines for chronic disease prevention. The Mediterranean diet (MD) has been associated with reduced cardiovascular disease incidence in both observational and interventional studies. A wealth of evidence links MD with other beneficial effects on chronic diseases such as diabetes, obesity or cognitive health. This review examines each constituent of the classical MD and evaluates their suitability for the management of patients with CKD. We also evaluate the potential hyperkalaemia risk of increasing fruit and vegetable intake. Overall, a decrease in net endogenous acid production and increase in fibre may lead to a better control of metabolic acidosis. This, together with other putative favourable effects of MD on endothelial function, inflammation, lipid profile and blood pressure, provide mechanistic pathways to explain the observed reduced renal function decline and improved survival in CKD patients adhering to an MD.
DOI: 10.1093/ndt/gfx085
PubMed: 29106612
Affiliations:
- Allemagne, Australie, Espagne, France, Italie, Pays-Bas, Royaume-Uni, Suisse, Suède, Turquie
- Angleterre, Aquitaine, Bavière, Canton de Vaud, District de Basse-Franconie, Hollande-Septentrionale, Nouvelle-Aquitaine, Svealand, Île-de-France
- Amsterdam, Bordeaux, Lausanne, Paris, Stockholm, Wurtzbourg
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<front><div type="abstract" xml:lang="en">Traditional dietary management of chronic kidney disease (CKD) focuses on the quantity within the diet of energy and protein, and the restriction of single micronutrients, with little mention of dietary quality. Dietary patterns that are more plant-based, lower in meat (including processed meat), sodium and refined sugar, and have a higher content of grains and fibres are now included in multiple clinical guidelines for chronic disease prevention. The Mediterranean diet (MD) has been associated with reduced cardiovascular disease incidence in both observational and interventional studies. A wealth of evidence links MD with other beneficial effects on chronic diseases such as diabetes, obesity or cognitive health. This review examines each constituent of the classical MD and evaluates their suitability for the management of patients with CKD. We also evaluate the potential hyperkalaemia risk of increasing fruit and vegetable intake. Overall, a decrease in net endogenous acid production and increase in fibre may lead to a better control of metabolic acidosis. This, together with other putative favourable effects of MD on endothelial function, inflammation, lipid profile and blood pressure, provide mechanistic pathways to explain the observed reduced renal function decline and improved survival in CKD patients adhering to an MD.</div>
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<Abstract><AbstractText>Traditional dietary management of chronic kidney disease (CKD) focuses on the quantity within the diet of energy and protein, and the restriction of single micronutrients, with little mention of dietary quality. Dietary patterns that are more plant-based, lower in meat (including processed meat), sodium and refined sugar, and have a higher content of grains and fibres are now included in multiple clinical guidelines for chronic disease prevention. The Mediterranean diet (MD) has been associated with reduced cardiovascular disease incidence in both observational and interventional studies. A wealth of evidence links MD with other beneficial effects on chronic diseases such as diabetes, obesity or cognitive health. This review examines each constituent of the classical MD and evaluates their suitability for the management of patients with CKD. We also evaluate the potential hyperkalaemia risk of increasing fruit and vegetable intake. Overall, a decrease in net endogenous acid production and increase in fibre may lead to a better control of metabolic acidosis. This, together with other putative favourable effects of MD on endothelial function, inflammation, lipid profile and blood pressure, provide mechanistic pathways to explain the observed reduced renal function decline and improved survival in CKD patients adhering to an MD.</AbstractText>
<CopyrightInformation>© The Author 2017. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved.</CopyrightInformation>
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<ForeName>Philippe</ForeName>
<Initials>P</Initials>
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<Initials>M</Initials>
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<ForeName>Vincenzo</ForeName>
<Initials>V</Initials>
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<Author ValidYN="Y"><LastName>Campbell</LastName>
<ForeName>Katrina</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Faculty of Health Sciences and Medicine, Bond University, Robina, Queensland, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Hong</LastName>
<ForeName>Xu</ForeName>
<Initials>X</Initials>
<AffiliationInfo><Affiliation>Division of Renal Medicine, CLINTEC and Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Johansson</LastName>
<ForeName>Lina</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Department of Nutrition and Dietetics, Imperial College Healthcare NHS Trust, London, England.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kolko</LastName>
<ForeName>Anne</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Association pour l'Utilisation du Rein Artificiel en région Parisienne (AURA) Paris, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Molina</LastName>
<ForeName>Pablo</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Department of Nephrology, Dr Peset University Hospital, Valencia, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Sezer</LastName>
<ForeName>Siren</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Department of Nephrology, Baskent University Hospital, Ankara, Turkey.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Wanner</LastName>
<ForeName>Christoph</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Division of Nephrology, University Hospital, Würzburg, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ter Wee</LastName>
<ForeName>Pieter M</ForeName>
<Initials>PM</Initials>
<AffiliationInfo><Affiliation>Department of Nephrology, VUmc, Amsterdam, The Netherlands.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Teta</LastName>
<ForeName>Daniel</ForeName>
<Initials>D</Initials>
<AffiliationInfo><Affiliation>Service of Nephrology, Hôpital du Valais, Sion and Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Fouque</LastName>
<ForeName>Denis</ForeName>
<Initials>D</Initials>
<AffiliationInfo><Affiliation>Department of Nephrology, Centre Hospitalier Lyon-Sud, Université de Lyon, UCBL, Carmen, Pierre, Bénite, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Carrero</LastName>
<ForeName>Juan J</ForeName>
<Initials>JJ</Initials>
<AffiliationInfo><Affiliation>Division of Renal Medicine, CLINTEC and Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><CollectiveName>European Renal Nutrition (ERN) Working Group of the European Renal Association–European Dialysis Transplant Association (ERA-EDTA)</CollectiveName>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2017</Year>
<Month>07</Month>
<Day>02</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>England</Country>
<MedlineTA>Nephrol Dial Transplant</MedlineTA>
<NlmUniqueID>8706402</NlmUniqueID>
<ISSNLinking>0931-0509</ISSNLinking>
</MedlineJournalInfo>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Mediterranean diet</Keyword>
<Keyword MajorTopicYN="N">kidney disease</Keyword>
<Keyword MajorTopicYN="N">nutrition</Keyword>
<Keyword MajorTopicYN="N">vegetarian diet</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year>
<Month>01</Month>
<Day>11</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2017</Year>
<Month>04</Month>
<Day>05</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2017</Year>
<Month>11</Month>
<Day>7</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2017</Year>
<Month>11</Month>
<Day>7</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2017</Year>
<Month>11</Month>
<Day>7</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>aheadofprint</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">29106612</ArticleId>
<ArticleId IdType="pii">3917052</ArticleId>
<ArticleId IdType="doi">10.1093/ndt/gfx085</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>Allemagne</li>
<li>Australie</li>
<li>Espagne</li>
<li>France</li>
<li>Italie</li>
<li>Pays-Bas</li>
<li>Royaume-Uni</li>
<li>Suisse</li>
<li>Suède</li>
<li>Turquie</li>
</country>
<region><li>Angleterre</li>
<li>Aquitaine</li>
<li>Bavière</li>
<li>Canton de Vaud</li>
<li>District de Basse-Franconie</li>
<li>Hollande-Septentrionale</li>
<li>Nouvelle-Aquitaine</li>
<li>Svealand</li>
<li>Île-de-France</li>
</region>
<settlement><li>Amsterdam</li>
<li>Bordeaux</li>
<li>Lausanne</li>
<li>Paris</li>
<li>Stockholm</li>
<li>Wurtzbourg</li>
</settlement>
</list>
<tree><country name="France"><region name="Nouvelle-Aquitaine"><name sortKey="Chauveau, Philippe" sort="Chauveau, Philippe" uniqKey="Chauveau P" first="Philippe" last="Chauveau">Philippe Chauveau</name>
</region>
<name sortKey="Aparicio, Michel" sort="Aparicio, Michel" uniqKey="Aparicio M" first="Michel" last="Aparicio">Michel Aparicio</name>
<name sortKey="Fouque, Denis" sort="Fouque, Denis" uniqKey="Fouque D" first="Denis" last="Fouque">Denis Fouque</name>
<name sortKey="Kolko, Anne" sort="Kolko, Anne" uniqKey="Kolko A" first="Anne" last="Kolko">Anne Kolko</name>
</country>
<country name="Italie"><noRegion><name sortKey="Bellizzi, Vincenzo" sort="Bellizzi, Vincenzo" uniqKey="Bellizzi V" first="Vincenzo" last="Bellizzi">Vincenzo Bellizzi</name>
</noRegion>
</country>
<country name="Australie"><noRegion><name sortKey="Campbell, Katrina" sort="Campbell, Katrina" uniqKey="Campbell K" first="Katrina" last="Campbell">Katrina Campbell</name>
</noRegion>
</country>
<country name="Suède"><region name="Svealand"><name sortKey="Hong, Xu" sort="Hong, Xu" uniqKey="Hong X" first="Xu" last="Hong">Xu Hong</name>
</region>
<name sortKey="Carrero, Juan J" sort="Carrero, Juan J" uniqKey="Carrero J" first="Juan J" last="Carrero">Juan J. Carrero</name>
</country>
<country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Johansson, Lina" sort="Johansson, Lina" uniqKey="Johansson L" first="Lina" last="Johansson">Lina Johansson</name>
</region>
</country>
<country name="Espagne"><noRegion><name sortKey="Molina, Pablo" sort="Molina, Pablo" uniqKey="Molina P" first="Pablo" last="Molina">Pablo Molina</name>
</noRegion>
</country>
<country name="Turquie"><noRegion><name sortKey="Sezer, Siren" sort="Sezer, Siren" uniqKey="Sezer S" first="Siren" last="Sezer">Siren Sezer</name>
</noRegion>
</country>
<country name="Allemagne"><region name="Bavière"><name sortKey="Wanner, Christoph" sort="Wanner, Christoph" uniqKey="Wanner C" first="Christoph" last="Wanner">Christoph Wanner</name>
</region>
</country>
<country name="Pays-Bas"><region name="Hollande-Septentrionale"><name sortKey="Ter Wee, Pieter M" sort="Ter Wee, Pieter M" uniqKey="Ter Wee P" first="Pieter M" last="Ter Wee">Pieter M. Ter Wee</name>
</region>
</country>
<country name="Suisse"><region name="Canton de Vaud"><name sortKey="Teta, Daniel" sort="Teta, Daniel" uniqKey="Teta D" first="Daniel" last="Teta">Daniel Teta</name>
</region>
</country>
</tree>
</affiliations>
</record>
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