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  • 标题:Plant-Based versus Animal-Based Low Protein Diets in the Management of Chronic Kidney Disease
  • 本地全文:下载
  • 作者:Carmen-Antonia Mocanu ; Tudor Petrisor Simionescu ; Andreea Elena Mocanu
  • 期刊名称:Nutrients
  • 电子版ISSN:2072-6643
  • 出版年度:2021
  • 卷号:13
  • 期号:11
  • DOI:10.3390/nu13113721
  • 语种:English
  • 出版社:MDPI Publishing
  • 摘要:Recent data reiterate low-protein diets (LPDs) as cornerstones in the conservative management of chronic kidney disease (CKD). The reduction in proteinuria, better blood pressure control and the reduction in the rate of decline in kidney function with LPDs were reported, both in non-diabetics and diabetics patients. Supplemented, vegetarian, very-low-protein diets (sVLPD, 0.3 g/kg-day) could postpone kidney replacement therapy (KRT) initiation, mainly through the better control of metabolic disorders of advanced CKD in non-diabetic patients. Plant-based diets could ameliorate gut microbiota and appear to be superior to mixed hypoproteic diets in treating advanced CKD: better control of nitrogen balance, acid-base metabolism and bone mineral disorders. Vegetarian diets generate fewer uremic toxins and reduce salt intake and acid overload. At the same time, they can improve lipid metabolism, providing a high ratio of unsaturated to saturated fatty acids, as well as insulin resistance.
  • 关键词:chronic kidney disease; low-protein diets; vegetarian diets; plant-based diets; management of CKD; dietary intervention in CKD
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