Vegetarianism: advantages and drawbacks in patients with chronic kidney diseases

Vegetarian diet is a very old practice that is liable to confer some health benefits. Recent studies have demonstrated that modification of the dietary pattern with a reduction of animal protein intake and increased consumption of plant-based foods could influence cardiovascular risk profile and mor...

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Bibliographic Details
Published in:Journal of renal nutrition Vol. 23; no. 6; p. 399
Main Authors: Chauveau, Philippe, Combe, Christian, Fouque, Denis, Aparicio, Michel
Format: Journal Article
Language:English
Published: United States 01.11.2013
Subjects:
Acidosis - complications
Acidosis - prevention & control
Animals
Cardiovascular Diseases - prevention & control
Diet
Diet, Vegetarian - adverse effects
Dietary Proteins - administration & dosage
Energy Intake
Humans
Hyperphosphatemia - complications
Hyperphosphatemia - prevention & control
Insulin Resistance
Nutrition Therapy
Nutritional Physiological Phenomena
Phosphates - administration & dosage
Renal Insufficiency, Chronic - complications
Renal Insufficiency, Chronic - diet therapy
Risk Factors
ISSN:1532-8503, 1532-8503
Online Access:Get more information
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Summary:Vegetarian diet is a very old practice that is liable to confer some health benefits. Recent studies have demonstrated that modification of the dietary pattern with a reduction of animal protein intake and increased consumption of plant-based foods could influence cardiovascular risk profile and mortality rate. Moreover, phosphate bioavailability from plant proteins is reduced. These statements could lead to some benefits for chronic kidney disease (CKD) patients. This review summarizes the characteristics and benefits of vegetarian diets in the general population and the potential beneficial effects of such a diet on phosphate balance, insulin sensitivity, and the control of metabolic acidosis in CKD patients. Potential drawbacks exist when a vegetarian diet is associated with protein intake that is too restrictive and/or insufficient energy intake, justifying an early and regular nutritional follow-up jointly assumed by a nephrologist and a renal dietitian.
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ISSN:1532-8503
1532-8503
DOI:10.1053/j.jrn.2013.08.004