Preventing potential pitfalls of a liberalized potassium diet in the hemodialysis population.
Journal
Seminars in dialysis
ISSN: 1525-139X
Titre abrégé: Semin Dial
Pays: United States
ID NLM: 8911629
Informations de publication
Date de publication:
10 Aug 2021
10 Aug 2021
Historique:
received:
17
06
2021
accepted:
08
07
2021
entrez:
11
8
2021
pubmed:
12
8
2021
medline:
12
8
2021
Statut:
aheadofprint
Résumé
Emerging research suggests that a more liberalized diet, specifically a more plant-based diet resulting in liberalization of potassium intake, for people receiving hemodialysis is necessary and the benefits outweigh previously thought risks. If the prescribed hemodialysis diet is to be liberalized, the need to illuminate and prevent potential pitfalls of a liberalized potassium diet is warranted. This paper explores such topics as partial to full adherence to a liberalized diet and its consequences if any, the advantages of a high-fiber intake, the theoretical risk of anemia when consuming a more plant-dominant diet, the potential benefits against renal acid load and effect on metabolic acidosis with increased fruit and vegetable intake, the putative change in serum potassium levels, carbohydrate quality, and the healthfulness of meat substitutes. The benefits of a more plant-based diet for the hemodialysis population are multifold; however, the possible pitfalls of this type of diet must be reviewed and addressed upon meal planning in order to be avoided.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2021 Wiley Periodicals LLC.
Références
Carrero JJ, González-Ortiz A, Avesani CM, et al. Plant-based diets to manage the risks and complications of chronic kidney disease. Nat Rev Nephrol. 2020;16(9):525-542. https://doi.org/10.1038/s41581-020-0297-2
Kalantar-Zadeh K, Joshi S, Schlueter R, et al. Plant-dominant low-protein diet for conservative management of chronic kidney disease. Nutrients. 2020;12(7):1931. https://doi.org/10.3390/nu12071931
Sussman EJ, Singh B, Clegg D, Palmer BF, Kalantar-Zadeh K. Let them eat healthy: can emerging potassium binders help overcome dietary potassium restrictions in chronic kidney disease? J Ren Nutr. 2020;30(6):475-483. https://doi.org/10.1053/j.jrn.2020.01.022
St-Jules DE, Goldfarb DS, Sevick MA. Nutrient non-equivalence: does restricting high-potassium plant foods help to prevent hyperkalemia in hemodialysis patients? J Ren Nutr. 2016;26(5):282-287. https://doi.org/10.1053/j.jrn.2016.02.005
te Dorsthorst RPM, Hendrikse J, Vervoorn MT, van Weperen VYH, van der Heyden MAG. Review of case reports on hyperkalemia induced by dietary intake: not restricted to chronic kidney disease patients. Eur J Clin Nutr. 2018;73(1):38-45. https://doi.org/10.1038/s41430-018-0154-6
Kalantar-Zadeh K, Tortorici AR, Chen JLT, et al. Dietary restrictions in dialysis patients: is there anything left to eat? Semin Dial. 2015;28(2):159-168. https://doi.org/10.1111/sdi.12348
Stevenson J, Tong A, Gutman T, et al. Experiences and perspectives of dietary management among patients on hemodialysis: an interview study. J Ren Nutr. 2018;28(6):411-421. https://doi.org/10.1053/j.jrn.2018.02.005
Rampton DS, Cohen SL, Crammond VD, et al. Treatment of chronic renal failure with dietary fiber. Clin Nephrol. 1984;21(3):159-163.
Mathialahan T, Maclennan KA, Sandle LN, Verbeke C, Sandle GI. Enhanced large intestinal potassium permeability in end-stage renal disease. J Pathol. 2005;206(1):46-51. https://doi.org/10.1002/path.1750
Joshi S, McMacken M, Kalantar-Zadeh K. Plant-based diets for kidney disease: a guide for clinicians. Am J Kidney Dis. 2021;77(2):287-296. https://doi.org/10.1053/j.ajkd.2020.10.003
Saglimbene VM, Wong G, Ruospo M, et al. Fruit and vegetable intake and mortality in adults undergoing maintenance hemodialysis. Clin J Am Soc Nephrol. 2019;14(2):250-260. https://doi.org/10.2215/CJN.08580718
Xu X, Li Z, Chen Y, Liu X, Dong J. Dietary fibre and mortality risk in patients on peritoneal dialysis. Br J Nutr. 2019;122(9):996-1005. https://doi.org/10.1017/S0007114519001764
Clark MJ, Slavin JL. The effect of fiber on satiety and food intake: a systematic review. J Am Coll Nutr. 2013;32(3):200-211. https://doi.org/10.1080/07315724.2013.791194
Soroka N, Silverberg DS, Greemland M, et al. Comparison of a vegetable-based (soya) and an animal-based low-protein diet in predialysis chronic renal failure patients. Nephron. 1998;79(2):173-180. https://doi.org/10.1159/000045021
Kandouz S, Mohamed AS, Zheng Y, Sandeman S, Davenport A. Reduced protein bound uraemic toxins in vegetarian kidney failure patients treated by haemodiafiltration. Hemodial Int. 2016;20(4):610-617. https://doi.org/10.1111/hdi.12414
Sirich TL, Plummer NS, Gardner CD, Hostetter TH, Meyer TW. Effect of increasing dietary fiber on plasma levels of colon-derived solutes in hemodialysis patients. Clin J Am Soc Nephrol. 2014;9(9):1603-1610. https://doi.org/10.2215/CJN.00490114
Wu TT, Chang CY, Hsu WM, et al. Nutritional status of vegetarians on maintenance haemodialysis. Nephrology (Carlton). 2011;16(6):582-587. https://doi.org/10.1111/j.1440-1797.2011.01464.x
Gafter-Gvili A, Schechter A, Rozen-Zvi B. Iron deficiency anemia in chronic kidney disease. Acta Haematol. 2019;142(1):44-50. https://doi.org/10.1159/000496492
Sargent JA, Acchiardo SR. Iron requirements in hemodialysis. Blood Purif. 2004;22(1):112-123. https://doi.org/10.1159/000074931
Yang JY, Lee TC, Montez-Rath ME, et al. Trends in acute nonvariceal upper gastrointestinal bleeding in dialysis patients. J Am Soc Nephrol. 2012;23(3):495-506. https://doi.org/10.1681/asn.2011070658
Fuqua BK, Vulpe CD, Anderson GJ. Intestinal iron absorption. J Trace Elem Med Biol. 2012;26(2):115-119. https://doi.org/10.1016/j.jtemb.2012.03.015
Sharp PA. Intestinal iron absorption: regulation by dietary & systemic factors. Int J Vitam Nutr Res. 2010;80(4-5):231-242. https://doi.org/10.1024/0300-9831/a000029
Jankowska M, Dębska-Ślizień A, Łysiak-Szydłowska W. i wsp. Ascorbic acid losses during single hemodialysis session. Ann Acad Med Gedan. 2003;33:289-293.
Wang S, Eide TC, Sogn EM, Berg KJ, Sund RB. Plasma ascorbic acid in patients undergoing chronic haemodialysis. Eur J Clin Pharmacol. 1999;55(7):527-532. https://doi.org/10.1007/s002280050668
Bakaev VV, Efremov AV, Tityaev II. Low levels of dehydroascorbic acid in uraemic serum and the partial correction of dehydroascorbic acid deficiency by haemodialysis. Nephrol Dial Transplant. 1999;14(6):1472-1474.
Jankowska M, Rutkowski B, Dębska-Ślizień A. Vitamins and microelement bioavailability in different stages of chronic kidney disease. Nutrients. 2017;9(3):282. https://doi.org/10.3390/nu9030282
Gluba-Brzózka A, Franczyk B, Olszewski R, Rysz J. The influence of inflammation on anemia in CKD patients. Int J Mol Sci. 2020;21(3):725. https://doi.org/10.3390/ijms21030725
Ganz T, Nemeth E. Iron sequestration and anemia of inflammation. Semin Hematol. 2009;46(4):387-393. https://doi.org/10.1053/j.seminhematol.2009.06.001
Dupuis L, Brown-Tortorici A, Kalantar-Zadeh K, Joshi S. A mini review of plant-based diets in hemodialysis. Blood Purif. 2021;1-6. https://doi.org/10.1159/000516249
Xie L-M, Ge Y-Y, Huang X, Zhang Y-Q, Li J-X. Effects of fermentable dietary fiber supplementation on oxidative and inflammatory status in hemodialysis patients. Int J Clin Exp Med. 2015;8(1):1363-1369.
Wesson DE, Buysse JM, Bushinsky DA. Mechanisms of metabolic acidosis-induced kidney injury in chronic kidney disease. J Am Soc Nephrol. 2020;31(3):469-482. https://doi.org/10.1681/ASN.2019070677
Goraya N, Simoni J, Jo C-H, Wesson DE. Treatment of metabolic acidosis in patients with stage 3 chronic kidney disease with fruits and vegetables or oral bicarbonate reduces urine angiotensinogen and preserves glomerular filtration rate. Kidney Int. 2014;86(5):1031-1038. https://doi.org/10.1038/ki.2014.83
Goraya N, Munoz-Maldonado Y, Simoni J, Wesson DE. Fruit and vegetable treatment of chronic kidney disease-related metabolic acidosis reduces cardiovascular risk better than sodium bicarbonate. Am J Nephrol. 2019;49(6):438-448. https://doi.org/10.1159/000500042
Goraya N, Simoni J, Jo C-H, Wesson D. A comparison of treating metabolic acidosis in CKD stage 4 hypertensive kidney disease with fruits and vegetables or sodium bicarbonate. Clin J Am Soc Nephrol. 2013;8(3):371-381. https://doi.org/10.2215/CJN.02430312
Mehrotra R, Kopple JD, Wolfson M. Metabolic acidosis in maintenance dialysis patients: clinical considerations. Kidney Int. 2003;64(S88):S13-S26. https://doi.org/10.1046/j.1523-1755.2003.08802.x
Noori N, Kalantar-Zadeh K, Kovesdy CP, et al. Dietary potassium intake and mortality in long-term hemodialysis patients. Am J Kidney Dis. 2010;56(2):338-347. https://doi.org/10.1053/j.ajkd.2010.03.022
Barsotti G, Morelli E, Cupisti A, Meola M, Dani L, Giovannetti S. A low-nitrogen low-phosphorus vegan diet for patients with chronic renal failure. Nephron. 1996;74(2):390-394. https://doi.org/10.1159/000189341
Naismith DJ, Braschi A. An investigation into the bioaccessibility of potassium in unprocessed fruits and vegetables. Int J Food Sci Nutr. 2008;59(5):438-450. https://doi.org/10.1080/09637480701690519
Macdonald-Clarke CJ, Martin BR, McCabe LD, et al. Bioavailability of potassium from potatoes and potassium gluconate: a randomized dose response trial. Am J Clin Nutr. 2016;104(2):346-353. https://doi.org/10.3945/ajcn.115.127225
Holbrook JT, Patterson KY, Bodner JE, et al. Sodium and potassium intake and balance in adults consuming self-selected diets. Am J Clin Nutr. 1984;40(4):786-793. https://doi.org/10.1093/ajcn/40.4.786
Martin RS, Panese S, Virginillo M, et al. Increased secretion of potassium in the rectum of humans with chronic renal failure. Am J Kidney Dis. 1986;8(2):105-110. https://doi.org/10.1016/S0272-6386(86)80120-2
Sandle GI, Gaiger E, Tapster S, Goodship TH. Evidence for large intestinal control of potassium homoeostasis in uraemic patients undergoing long-term dialysis. Clin Sci (Lond). 1987;73(3):247-252.
Hayes CP Jr, McLeod ME, Robinson RR. An extravenal mechanism for the maintenance of potassium balance in severe chronic renal failure. Trans Assoc Am Physicians. 1967;80:207-216.
Rachoin J-S, Weisberg LS. How should dialysis fluid be individualized for the chronic hemodialysis patient? Semin Dial. 2008;21(3):223-225. https://doi.org/10.1111/j.1525-139X.2008.00430.x
Yasuda G, Shibata K, Takizawa T, et al. Prevalence of constipation in continuous ambulatory peritoneal dialysis patients and comparison with hemodialysis patients. Am J Kidney Dis. 2002;39(6):1292-1299. https://doi.org/10.1053/ajkd.2002.33407
Chiavaroli L, Mirrahimi A, Sievenpiper JL, Jenkins DJA, Darling PB. Dietary fiber effects in chronic kidney disease: a systematic review and meta-analysis of controlled feeding trials. Eur J Clin Nutr. 2015;69(7):761-768. https://doi.org/10.1038/ejcn.2014.237
Palmer BF, Colbert G, Clegg DJ. Potassium homeostasis, chronic kidney disease, and the plant-based diet. Kidney360. 2020;1(1):65-71. https://doi.org/10.34067/KID.0000222019
McMacken M, Sapana S. A plant-based diet for the prevention and treatment of type 2 diabetes. J Geriatr Cardiol. 2017;14(5):342-354. https://doi.org/10.11909/j.issn.1671-5411.2017.05.009
Picard K. Potassium additives and bioavailability: are we missing something in hyperkalemia management? J Ren Nutr. 2019;29(4):350-353. https://doi.org/10.1053/j.jrn.2018.10.003
Locatelli F, Pozzoni P, Del Vecchio L. Renal replacement therapy in patients with diabetes and end-stage renal disease. J Am Soc Nephrol. 2004;15(90010):25-29. https://doi.org/10.1097/01.ASN.0000093239.32602.04
Levine R. Monosaccharides in health and disease. Annu Rev Nutr. 1986;6(1):211-224. https://doi.org/10.1146/annurev.nu.06.070186.001235
Cerf ME. Beta cell dysfunction and insulin resistance. Frontiers Endocrinol (Lausanne). 2013;4:37-37. https://doi.org/10.3389/fendo.2013.00037
Fouque D, Aparicio M. Eleven reasons to control the protein intake of patients with chronic kidney disease. Nat Clin Pract Nephrol. 2007;3(7):383-392. https://doi.org/10.1038/ncpneph0524
Tonstad S, Butler T, Yan R, Fraser GE. Type of vegetarian diet, body weight, and prevalence of type 2 diabetes. Diabetes Care. 2009;32(5):791-796. https://doi.org/10.2337/dc08-1886
Satija A, Bhupathiraju SN, Rimm EB, et al. Plant-based dietary patterns and incidence of type 2 diabetes in US men and women: results from three prospective cohort studies. PLoS Med. 2016;13(6):e1002039. https://doi.org/10.1371/journal.pmed.1002039
Adair KE, Bowden RG. Ameliorating chronic kidney disease using a whole food plant-based diet. Nutrients. 2020;12(4):1007. https://doi.org/10.3390/nu12041007
Ikizler TA, Burrowes JD, Byham-Gray LD, et al. KDOQI clinical practice guideline for nutrition in CKD: 2020 update. Am J Kidney Dis. 2020;76(3):S11.
Hu FB, Otis BO, McCarthy G. Can plant-based meat alternatives be part of a healthy and sustainable diet? JAMA. 2019;322(16):1547-1548. https://doi.org/10.1001/jama.2019.13187
Hall KD, Ayuketah A, Brychta R, et al. Ultra-processed diets cause excess calorie intake and weight gain: an inpatient randomized controlled trial of ad libitum food intake. Cell Metab. 2019;30(1):67-77.e3. https://doi.org/10.1016/j.cmet.2019.05.008
Wright JA, Cavanaugh KL. Dietary sodium in chronic kidney disease: a comprehensive approach. Semin Dial. 2010;23(4):415-421. https://doi.org/10.1111/j.1525-139X.2010.00752.x
He J, Evans NM, Liu H, Shao S. A review of research on plant-based meat alternatives: driving forces, history, manufacturing, and consumer attitudes. Compr Rev Food Sci Food Saf. 2020;19(5):2639-2656. https://doi.org/10.1111/1541-4337.12610
U.S. Department of Agriculture, Agricultural Research Service. FoodData Central, 2019. https://fdc.nal.usda.gov/
López MAA, Martos FC. Iron availability: an updated review. Int J Food Sci Nutr. 2004;55(8):597-606. https://doi.org/10.1080/09637480500085820
Impossible Foods. 2021. How do you make heme [online]. Available at: https://faq.impossiblefoods.com/hc/en-us/articles/360034767354-How-do-you-make-heme [Accessed 20 February 2021].
Kwack C, Balakrishnan VS. Unresolved issues in dialysis: managing erythropoietin hyporesponsiveness. Semin Dial. 2006;19(2):146-151. https://doi.org/10.1111/j.1525-139X.2006.00141.x
Bao W, Rong Y, Rong S, Liu L. Dietary iron intake, body iron stores, and the risk of type 2 diabetes: a systematic review and meta-analysis. BMC Med. 2012;10(1):119-119. https://doi.org/10.1186/1741-7015-10-119
Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group. KDIGO 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Kidney Int Suppl. 2013;3:1-150.