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Mediterranean diet as the diet of choice for patients with chronic kidney disease.

Identifieur interne : 000816 ( PubMed/Checkpoint ); précédent : 000815; suivant : 000817

Mediterranean 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 :

RBID : pubmed:29106612

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


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Le document en format XML

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<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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<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>
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</AffiliationInfo>
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</AffiliationInfo>
</Author>
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<Initials>K</Initials>
<AffiliationInfo>
<Affiliation>Faculty of Health Sciences and Medicine, Bond University, Robina, Queensland, Australia.</Affiliation>
</AffiliationInfo>
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<LastName>Hong</LastName>
<ForeName>Xu</ForeName>
<Initials>X</Initials>
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<Affiliation>Division of Renal Medicine, CLINTEC and Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.</Affiliation>
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<LastName>Johansson</LastName>
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<Initials>L</Initials>
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<Affiliation>Department of Nutrition and Dietetics, Imperial College Healthcare NHS Trust, London, England.</Affiliation>
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<Initials>A</Initials>
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<Affiliation>Association pour l'Utilisation du Rein Artificiel en région Parisienne (AURA) Paris, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Molina</LastName>
<ForeName>Pablo</ForeName>
<Initials>P</Initials>
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<Affiliation>Department of Nephrology, Dr Peset University Hospital, Valencia, Spain.</Affiliation>
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<LastName>Sezer</LastName>
<ForeName>Siren</ForeName>
<Initials>S</Initials>
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</AffiliationInfo>
</Author>
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<LastName>Teta</LastName>
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<Initials>D</Initials>
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<Affiliation>Service of Nephrology, Hôpital du Valais, Sion and Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland.</Affiliation>
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<Initials>D</Initials>
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<Affiliation>Department of Nephrology, Centre Hospitalier Lyon-Sud, Université de Lyon, UCBL, Carmen, Pierre, Bénite, France.</Affiliation>
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<Initials>JJ</Initials>
<AffiliationInfo>
<Affiliation>Division of Renal Medicine, CLINTEC and Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.</Affiliation>
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</Author>
<Author ValidYN="Y">
<CollectiveName>European Renal Nutrition (ERN) Working Group of the European Renal Association–European Dialysis Transplant Association (ERA-EDTA)</CollectiveName>
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<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic">
<Year>2017</Year>
<Month>07</Month>
<Day>02</Day>
</ArticleDate>
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<MedlineJournalInfo>
<Country>England</Country>
<MedlineTA>Nephrol Dial Transplant</MedlineTA>
<NlmUniqueID>8706402</NlmUniqueID>
<ISSNLinking>0931-0509</ISSNLinking>
</MedlineJournalInfo>
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<Keyword MajorTopicYN="N">Mediterranean diet</Keyword>
<Keyword MajorTopicYN="N">kidney disease</Keyword>
<Keyword MajorTopicYN="N">nutrition</Keyword>
<Keyword MajorTopicYN="N">vegetarian diet</Keyword>
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<Month>01</Month>
<Day>11</Day>
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<PubMedPubDate PubStatus="accepted">
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<Month>04</Month>
<Day>05</Day>
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<Year>2017</Year>
<Month>11</Month>
<Day>7</Day>
<Hour>6</Hour>
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<Month>11</Month>
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<Hour>6</Hour>
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<ArticleId IdType="pii">3917052</ArticleId>
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<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>
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<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>
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<li>Amsterdam</li>
<li>Bordeaux</li>
<li>Lausanne</li>
<li>Paris</li>
<li>Stockholm</li>
<li>Wurtzbourg</li>
</settlement>
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<name sortKey="Chauveau, Philippe" sort="Chauveau, Philippe" uniqKey="Chauveau P" first="Philippe" last="Chauveau">Philippe Chauveau</name>
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<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">
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<name sortKey="Bellizzi, Vincenzo" sort="Bellizzi, Vincenzo" uniqKey="Bellizzi V" first="Vincenzo" last="Bellizzi">Vincenzo Bellizzi</name>
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</country>
<country name="Australie">
<noRegion>
<name sortKey="Campbell, Katrina" sort="Campbell, Katrina" uniqKey="Campbell K" first="Katrina" last="Campbell">Katrina Campbell</name>
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</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">
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<name sortKey="Molina, Pablo" sort="Molina, Pablo" uniqKey="Molina P" first="Pablo" last="Molina">Pablo Molina</name>
</noRegion>
</country>
<country name="Turquie">
<noRegion>
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<country name="Allemagne">
<region name="Bavière">
<name sortKey="Wanner, Christoph" sort="Wanner, Christoph" uniqKey="Wanner C" first="Christoph" last="Wanner">Christoph Wanner</name>
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<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>
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</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>
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</country>
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</affiliations>
</record>

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