Details

Autor(en) / Beteiligte

• Dreher, Mark L

Titel

Fiber-Rich Diets in Chronic Kidney Disease

Ist Teil von

• Dietary Fiber in Health and Disease, 2017, p.305-318

Ort / Verlag

Switzerland: Springer International Publishing AG

Erscheinungsjahr

2017

Link zum Volltext

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• Chronic kidney disease is a major global public health problem. Worldwide, an estimated 200 million people have chronic kidney disease with the numbers expected to rise with the increasing aging population as prevalence in individuals over age 60 is approximately 25%. Chronic kidney disease can lead to an increased risk of end-stage renal disease (ESRD), cardiovascular disease, and premature mortality. The high adherence to a Western lifestyle is associated with increased renal dysfunction, which can evolve into chronic kidney disease and progress to ESRD. Healthy dietary patterns including fiber-rich whole grains and fruits and vegetables have been shown to improve renal function and decrease metabolic acidosis compared to poor quality diets low in fruits and vegetables and high in processed foods and animal products. In patients with chronic kidney disease, a 10 g/day increase in total fiber was shown to reduce C-reactive protein by 38% and overall mortality by 17%. Several observational studies and intervention trials suggest that the increased consumption of fiber-rich foods and/or fiber supplements is associated with improved renal function and lower risk of chronic kidney disease because of fiber’s beneficial effects on microbiota health, attenuation of systemic inflammation, and lessening of the risk of weight gain. In older adults, healthy fiber-rich dietary patterns including the Mediterranean and Dietary Approaches to Stop Hypertension (DASH) diet were found to help improve renal function and reduce risk of chronic kidney disease or related mortality.