Summary
This narrative review, published in New St. Petersburg Medical Records, synthesises global literature on plant-based dietary interventions in chronic kidney disease. The author argues that increasing the proportion of plant-derived foods whilst reducing animal protein intake may attenuate CKD progression, reduce metabolic complications including acidosis and hyperphosphatemia, and lessen dependence on nephroprotective pharmacotherapy. The paper positions plant-based dietary modification as a clinically relevant and underutilised therapeutic strategy in nephrology practice.
UK applicability
Although this review originates from a Russian-language journal and does not focus on UK-specific populations or guidelines, its findings are broadly applicable to UK nephrology practice, where NHS dietary guidance for CKD patients is an active area of clinical interest and where plant-based diets are increasingly considered within renal dietetic care pathways.
Key measures
CKD progression rates; metabolic acidosis markers; serum phosphate levels; blood pressure; uremic toxin concentrations; dietary protein intake (animal vs. plant); renal replacement therapy requirements
Outcomes reported
The review reports on the effects of plant-predominant diets on CKD progression, metabolic acidosis, hyperphosphatemia, arterial hypertension, and uremic toxicity, as well as implications for nephroprotective drug requirements and patient survival.
Topic tags
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