CHAPTER 4: NUTRITION IN CHRONIC KIDNEY DISEASE AND DIABETES MELLITUS
DOI:
https://doi.org/10.47196/diab.v58i2Sup.787Keywords:
nutrition, diabetes mellitus, chronic kidney diseaseAbstract
There are challenges and considerations that must be prioritized when addressing studies in nutrition. The evidence analyzed for each of the objectives studied and its results is, in all cases, limited in its scope for methodological reasons: the heterogeneity of the interventions, the difficulty in finding an adequate control group, the conduct of double-blind studies , sample size, follow-up time, among others. This is why, although nutritional intervention is essential, it is difficult to have a high degree of certainty about its impact on CKD and DM.
In this section we will analyze the impact of different macro and micronutrients on different aspects of these patients, responding only to those in which evidence was found. In the case of potassium, phosphorus, calcium and vitamins in the diet, mixed results and limited evidence were found, so only a few suggestions are mentioned.
References
I. Thomas MC, Moran J, Forsblom C, Harjutsalo V, Thorn L, Ahola A, et al. The association between dietary sodium intake, ESRD, and all-cause mortality in patients with type 1 diabetes. Diabetes Care 2011 Apr;34(4):861-6.doi: 10.2337/dc10-1722.
II. Bach KE, Kelly JT, Palmer SC, Khalesi S, Strippoli GFM, Campbell KL. Healthy dietary patterns and incidence of CKD: a meta-analysis of cohort studies. Clin J Am Soc Nephrol 2019 Oct 7;14(10):1441–9.doi: 10.2215/CJN.00530119.
III. Ikizler TA, Burrowes JD, Byham-Gray LD, Campbell KL, Carrero JJ, Chan W, et al. KDOQI Clinical Practice Guideline for Nutrition in CKD: 2020 Update. Am J Kidney Dis 2020 Sep;76(3 Suppl 1):S1-107. doi: 10.1053/j.ajkd.2020.05.006.
IV. ElSayed NA, Aleppo G, Aroda VR, Bannuru RR, Brown FM, Bruemmer D, et al. 5. Facilitating positive health behaviors and well-being to improve health outcomes: Standards of Care in Diabetes 2023. Diabetes Care 2022 Dec 12;46(Sup1):S68-96. doi: 10.2337/dc23-S005
V. Handu D, Rozga M, Steiber A. Executive Summary of the 2020 Academy of Nutrition and Dietetics and National Kidney Foundation Clinical Practice Guideline for Nutrition in CKD. J Acad Nutr Diet 2021 Sep;121(9):1881-93.doi: 10.1016/j.jand.2020.08.092
VI. Kidney Disease: Improving Global Outcomes (KDIGO) Diabetes Work Group. KDIGO 2022 Clinical Practice Guideline for Diabetes Management in Chronic Kidney Disease. Kidney Int. 2022 Nov;102(5S):S1–127.doi: 10.1016/j.kint.2022.06.008.
VII. Joshi S, Kalantar-Zadeh K, Chauveau P, Carrero JJ. Risks and benefits of different dietary patterns in CKD. Am J Kidney Dis 2023 Mar;81(3):352-60.doi: 10.1053/j.ajkd.2022.08.013b
VIII. Hodson EM, Cooper TE. Altered dietary salt intake for preventing diabetic kidney disease and its progression. Cochrane Database Syst Rev 2023 Jan 16;1(1):CD006763.DOI: 10.1002/14651858.CD006763.pub3.
IX. Aburto N J, Ziolkovska A, Hooper L, Elliott P, Cappuccio F P, Meerpohl JJ, et al. Effect of lower sodium intake on health: systematic review and meta-analyses. BMJ 2013; 346 :f1326 doi:10.1136/bmj.f1326.
X. Johnson DW, Atai E, Chan M, Phoon RK, Scott C, Toussaint ND, et al. KHA-CARI guideline. Early chronic kidney disease: detection, prevention and management. Nephrology 2013 May;18(5):340-50. doi:10.1111/nep.12052.
XI. Shi H, Su X, Li C, Guo W, Wang L. Effect of a low-salt diet on chronic kidney disease outcomes: a systematic review and meta-analysis. BMJ Open 2022 Jan 11;12(1):e050843. doi:10.1136/bmjopen-2021-050843.
XII. Sharma SK, Mudgal SK, Kalra S, Gaur R, Thakur K, Agarwal R. Effect of intermittent fasting on glycaemic control in patients with type 2 diabetes mellitus. A systematic review and meta-analysis of randomized controlled trials. touchREV Endocrinol 2023 May;19(1):25-32. doi: 10.17925/EE.2023.19.1.25.
XIII. Palmer SC, Maggo JK, Campbell KL, Craig JC, Johnson DW, Sutanto B, et al. dietary interventions for adults with chronic kidney disease. Cochrane Database Syst Rev 2017 Apr 23;4(4):CD011998. doi: 10.1002/14651858.
XIV. Kelly JT, Palmer SC, Wai SN, Ruospo M, Carrero JJ, Campbell KL, et al. Healthy Dietary patterns and risk of mortality and ESRD in CKD: a meta-analysis of cohort studies. Clin J Am Soc Nephrol 2017 Feb 7;12(2):272-9. doi: 10.2215/CJN.06190616.
XV. Carvalho CM de, Gross LA, de Azevedo MJ, Viana LV. Dietary fiber intake (supplemental or dietary pattern rich in fiber) and diabetic kidney disease: a systematic review of clinical trials. Nutrients 2019 Feb 6;11(2). doi: 10.3390/nu11020347.
XVI. Sakaguchi Y, Kaimori JY, Isaka Y. Plant-dominant low protein diet: a potential alternative dietary practice for patients with chronic kidney disease. Nutrients 2023 Feb 16;15(4). doi: 10.3390/nu15041002.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 on behalf of the authors. Reproduction rights: Argentine Society of Diabetes
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Dirección Nacional de Derecho de Autor, Exp. N° 5.333.129. Instituto Nacional de la Propiedad Industrial, Marca «Revista de la Sociedad Argentina de Diabetes - Asociación Civil» N° de concesión 2.605.405 y N° de disposición 1.404/13.
La Revista de la SAD está licenciada bajo Licencia Creative Commons Atribución – No Comercial – Sin Obra Derivada 4.0 Internacional.
Por otra parte, la Revista SAD permite que los autores mantengan los derechos de autor sin restricciones.
