Leitura min

S. E. Liebman and S. Joshi
Nutrients  14    (2022)

ABSTARCT | Whole food plant-based diets are gaining popularity as a preventative and therapeutic modality for numerous chronic health conditions, including chronic kidney disease, but their role and safety in end-stage kidney disease patients on peritoneal dialysis (PD) is unclear. Given the general public's increased interest in this dietary pattern, it is likely that clinicians will encounter individuals on PD who are either consuming, considering, or interested in learning more about a diet with more plants. This review explores how increasing plant consumption might affect those on PD, encompassing potential benefits, including some specific to the PD population, and potential concerns.

CONCLUSION | Plant-based diets may benefit individuals on peritoneal dialysis. They have been associated with improved mortality, and they may help mitigate issues common in those on PD, such as constipation, volume and sodium overload, hypertension, and metabolic acidosis, as well as exert beneficial effects on the gut microbiome. While there are concerns regarding the effects of a plant-based diet on total energy and protein intake; malnutrition; and serum potassium, phosphorus, and albumin, these have not been borne out by available data. More research is needed to determine whether the potential benefits of plant-based diets will correspond to improved outcomes in the peritoneal dialysis population and whether the potential disadvantages are truly a clinical concern.

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