Effects of dietary interventions on incidence and progression of CKD

摘要: Traditional strategies for management of patients with chronic kidney disease (CKD) have not resulted in any change the growing prevalence CKD worldwide. A historic belief that eating healthily might ameliorate still holds credibility 21(st) century. Dietary sodium restriction to <2.3 g daily, a diet rich fruits and vegetables increased water consumption corresponding urine output 3-4 l daily slow progression early CKD, polycystic or recurrent stones. Current evidence suggests reduction dietary net acid load could be beneficial but supremacy particular has yet established. More trials interventions are needed, especially diabetic nephropathy, before evidence-based recommendations can made. In meantime, nephrologists should discuss healthy habits their provide individualized care aimed at maximizing potential benefits intervention, reducing incidence delaying its end-stage renal disease. Keeping mind lack data on hard outcomes, take into account barriers adherence tailored different cultures, ethnicities geographical locations.