Pulse Brain · Growing Health Evidence Index
Tier 4 — Narrative / commentaryPeer-reviewed

Food as medicine: targeting the uraemic phenotype in chronic kidney disease

Denise Mafra, Natália Alvarenga Borges, Bengt Lindholm, Paul G. Shiels, Pieter Evenepoel, Peter Stenvinkel

Nature Reviews Nephrology · 2020

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Summary

This 2020 review in Nature Reviews Nephrology examines the therapeutic potential of food and dietary modification in addressing the uraemic phenotype—the accumulation of metabolic toxins and dysregulation associated with chronic kidney disease. The authors, spanning nephrology and nutrition expertise, appear to argue that targeted dietary interventions may attenuate uraemic toxin burden and thereby slow disease progression or reduce cardiovascular and bone complications. The work positions food as a modifiable risk factor in CKD management alongside pharmacological approaches.

UK applicability

The findings are directly applicable to UK nephrology and primary care practice, as CKD prevalence and management strategies are similar across high-income healthcare systems. UK renal units and dietetic services may use this framework to strengthen evidence-based nutritional counselling for CKD patients.

Key measures

Uraemic toxins, uremic phenotype markers, dietary composition variables, chronic kidney disease progression indicators

Outcomes reported

The study examined how food and dietary composition may modulate uraemic toxins and metabolic phenotypes in chronic kidney disease patients. The review appears to synthesise evidence on nutritional strategies to ameliorate disease progression and complications.

Theme
Nutrition & health
Subject
Dietary patterns & chronic disease
Study type
Narrative Review
Study design
Narrative review
Source type
Peer-reviewed study
Status
Published
Geography
International
System type
Human clinical
DOI
10.1038/s41581-020-00345-8
Catalogue ID
SNmoi1q7mr-96ve3e

Topic tags

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