Plantas para tus riñones: una revisión narrativa sobre la dieta basada en plantas y la enfermedad renal crónica

Autores/as

  • Melissa Ponce Universidad Privada Norbert Wiener
  • Diana Ponce
  • Brian Mariños
  • Cecilia Arteaga-Pazmiño

DOI:

https://doi.org/10.35454/rncm.v7n1.579

Palabras clave:

Dieta Vegetariana, Insuficiencia Renal Crónica, Dieta, Alimentos, Nutrición

Resumen

La enfermedad renal crónica (ERC) es una afección prevalente que afecta a millones de personas en todo el mundo. Los tratamientos convencionales a menudo no proporcionan recuperación renal, lo que lleva a un creciente interés en intervenciones dietéticas alternativas. Las dietas basadas en plantas han ganado atención debido a su potencial para aliviar las complicaciones relacionadas con esta patología y promover la salud en general. Este artículo examina la literatura sobre dietas basadas en plantas en el manejo de la ERC en tratamiento conservador, y destaca sus beneficios potenciales en el control de la presión arterial, la reducción de la inflamación, la mitigación del estrés oxidativo y la mejora del perfil lipídico. También discute los desafíos y las consideraciones asociados con la adopción de este tipo de regímenes alimentarios, incluidas las posibles deficiencias de nutrientes y los ajustes de medicamentos. El artículo enfatiza la importancia de los enfoques dietéticos individualizados considerando factores como la etapa de la ERC, las comorbilidades y los requisitos nutricionales. También destaca el papel de los profesionales nutricionistas en la educación y orientación de estos pacientes hacia patrones dietéticos apropiados basados en plantas. Se necesita investigación adicional para dilucidar la composición óptima y la viabilidad de las dietas basadas en plantas en el tratamiento de individuos que padecen ERC en manejo conservador. 

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Citas

Asghari G, Momenan M, Yuzbashian E, Mirmiran P, Azizi F. Dietary pattern and incidence of chronic kidney disease among adults: a population-based study. Nutr Metab. 2018;15(1):88. doi:10.1186/s12986-018-0322-7

Chen Y, Wu J, Yu D, Liu M. Plant or Animal-Based or PLADO Diets: Which Should Chronic Kidney Disease Patients Choose? J Ren Nutr. 2022;33(2):228-235. doi: 10.1053/j.jrn.2022.06.011

Provenzano PF, Caridi G, Parlongo G, Leonardis D, Puntorieri E, Tripepi G, et al. Are there sex differences in cardiovascular outcomes in non-dialysis CKD patients? Clin Kidney J. 2023; ;33(2):228-235. doi: 10.1093/ckj/sfad174

Vergnaud P, Cohen C, Isnard P. Aux sources de la compréhensionde la maladie rénale chronique. médecine/sciences. 2023;39(3):265–7. doi: 10.1051/medsci/2023033

Sandino J, Martín-Taboada M, Medina-Gómez G, Vila-Bedmar R, Morales E. Novel Insights in the Physiopathology and Management of Obesity-Related Kidney Disease. Nutrients. 2022;14(19):3937. doi: 10.3390/nu14193937

Lauriola M, Farré R, Evenepoel P, Overbeek SA, Meijers B. Food-Derived Uremic Toxins in Chronic Kidney Disease. Toxins. 2023;15(2):116. doi: 10.3390/toxins15020116

Butola LK, Kanyal D, Ambad R. Vegetarian Diet - Dealing with Efficiency and Deficiency of It - A Review. J Evol Med Dent Sci. 2021;10(41):3592-7. doi: 10.14260/jemds/2021/728

Cases A, Cigarrán-Guldrís S, Mas S, Gonzalez-Parra E. Vegetable-Based Diets for Chronic Kidney Disease? It Is Time to Reconsider. Nutrients. el 4 de junio de 2019;11(6):1263. doi: 10.3390/nu11061263

Kim H, Lee K, Rebholz CM, Kim J. Plant-based diets and incident metabolic syndrome: Results from a South Korean prospective cohort study. Jia W, editor. PLOS Med. 2020;17(11): 682-691. doi: 10.2215/CJN.12391018

González-Ortiz A, Xu H, Avesani CM, Lindholm B, Cederholm T, Risérus U, et al. Plant-based diets, insulin sensitivity and inflammation in elderly men with chronic kidney disease. J Nephrol. 2020;33(5): 1091-1101. doi: 10.1007/s40620-020-00765-6

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):438–48. doi: 10.1159/000500042

Kim H, Caulfield LE, Garcia-Larsen V, Steffen LM, Grams ME, Coresh J, et al. Plant-based diets and incident CKD and kidney function. Clin J Am Soc Nephrol. 2019;14(5): 682-691. doi: 10.2215/CJN.12391018

Cruickshank K, Saleh A, Morancy T, Nadeem I, Kasparov E, Markell M. Beliefs About Plant-Based Diet in Inner City CKD and Family Medicine Patients and Relationship to Dietary Patterns. Curr Dev Nutr. 2020;4(Supplement_2).doi: 10.1093/cdn/nzaa046_016

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;76(3):S1–107. doi: 10.1053/j.ajkd.2020.05.006

Liu HW, Tsai WH, Liu JS, Kuo KL. Association of Vegetarian Diet with Chronic Kidney Disease. Nutrients. 2019;11(2):279. doi: 10.3390/nu11020279

Alvirdizadeh S, Yuzbashian E, Mirmiran P, Eghtesadi S, Azizi F. A prospective study on total protein, plant protein and animal protein in relation to the risk of incident chronic kidney disease. BMC Nephrol. 2020;21(1): 489. doi: 10.1186/s12882-020-02079-y

Heo GY, Koh HB, Kim HJ, Kim KW, Jung CY, Kim HW, et al. Association of Plant Protein Intake With Risk of Incident CKD: A UK Biobank Study. Am J Kidney Dis. julio de 2023;S0272638623007424. doi: 10.1053/j.ajkd.2023.05.007

Bernier-Jean A, Prince RL, Lewis JR, Craig JC, Hodgson JM, Lim WH, et al. Dietary plant and animal protein intake and decline in estimated glomerular filtration rate among elderly women: a 10-year longitudinal cohort study. Nephrol Dial Transplant. 2021;36(9):1640–7. doi: 10.1093/ndt/gfaa081

Świątek Ł, Jeske J, Miedziaszczyk M, Idasiak-Piechocka I. The impact of a vegetarian diet on chronic kidney disease (CKD) progression – a systematic review. BMC Nephrol. 2023;24(1):168. doi: 10.1186/s12882-023-03233-y

Kopple JD, Massry SG, Kalantar-Zadeh K, Fouque D, editores. Nutritional management of renal disease. Fourth edition. London; 2022 [Fecha de consulta: 17 de agosto de 2023].

Hou YC, Huang HF, Tsai WH, Huang SY, Liu HW, Liu JS, et al. Vegetarian Diet Was Associated With a Lower Risk of Chronic Kidney Disease in Diabetic Patients. Front Nutr. 2022;9:843357. doi: 10.3389/fnut.2022.843357

Apetrii M, Timofte D, Voroneanu L, Covic A. Nutrition in Chronic Kidney Disease—The Role of Proteins and Specific Diets. 2021;13(3):956. doi: 10.3390/nu13030956

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):761–8. doi: 10.1038/ejcn.2014.237

Stanford J, Stefoska-Needham A, Lambert K, Batterham M, Charlton K. Association between plant-based diet quality and chronic kidney disease in Australian adults. Proc Nutr Soc. 2023;82(OCE2): E205. doi: 10.1017/S0029665123002148

Mocanu CA, Simionescu TP, Mocanu AE, Garneata L. Plant-Based versus Animal-Based Low Protein Diets in the Management of Chronic Kidney Disease. Nutrients. 2021;13(11):3721. doi: 10.3390/nu13113721

Ferro CJ, Mark PB, Kanbay M, Sarafidis P, Heine GH, Rossignol P, et al. Lipid management in patients with chronic kidney disease. Nat Rev Nephrol. 2018;14(12):727–49. doi: 10.1038/s41581-018-0072-9

Clegg DJ, Gallant KMH. Plant-based diets in CKD. Clin J Am Soc Nephrol. 2019;14(1): 141-3. doi: 10.2215/CJN.08960718

Carrero JJ, González-Ortiz A, Avesani CM, Bakker SJL, Bellizzi V, Chauveau P, et al. Plant-based diets to manage the risks and complications of chronic kidney disease. Nat Rev Nephrol. 2020;16(9):525–42. doi: 10.1038/s41581-020-0297-2

Campbell TM, Liebman SE. Plant-based dietary approach to stage 3 chronic kidney disease with hyperphosphataemia. BMJ Case Rep. 2019;12(12): e232080. doi: 10.1136/bcr-2019-232080

Yoshioka M, Kosaki K, Matsui M, Mori S, Nishitani N, Saito C, et al. Association between the intake of plant and animal proteins and the serum fibroblast growth factor-23 level in patients with chronic kidney disease analyzed by the isocaloric substitution model. Endocr J. 2022; 70(1): 31-42. doi: 10.1507/endocrj.EJ22-0063

Goraya N, Munoz-Maldonado Y, Simoni J, Wesson DE. Treatment of Chronic Kidney Disease-Related Metabolic Acidosis With Fruits and Vegetables Compared to NaHCO3 Yields More and Better Overall Health Outcomes and at Comparable Five-Year Cost. J Ren Nutr. 2021;31(3):239–47. doi: 10.1053/j.jrn.2020.08.001

Xu H, Rossi M, Campbell KL, Sencion GL, Ärnlöv J, Cederholm T, et al. Excess protein intake relative to fiber and cardiovascular events in elderly men with chronic kidney disease. Nutr Metab Cardiovasc Dis. 2016;26(7):597–602. doi: 10.1016/j.numecd.2016.02.016

Kwon YJ, Lee HS, Park GE, Lee JW. Association Between Dietary Fiber Intake and All-Cause and Cardiovascular Mortality in Middle Aged and Elderly Adults With Chronic Kidney Disease. Front Nutr. 2022; 9:863391. doi: 10.3389/fnut.2022.863391

Azadbakht L, Atabak S, Esmaillzadeh A. Soy Protein Intake, Cardiorenal Indices, and C-Reactive Protein in Type 2 Diabetes With Nephropathy. Diabetes Care. el 2008;31(4):648–54. doi: 10.2337/dc07-2065

Pirouzeh R, Heidarzadeh-Esfahani N, Morvaridzadeh M, Izadi A, Yosaee S, Potter E, et al. Effect of DASH diet on oxidative stress parameters: A systematic review and meta-analysis of randomized clinical trials. Diabetes Metab Syndr Clin Res Rev. 2020;14(6):2131–8. doi: 10.1016/j.dsx.2020.10.031

Khalid W, Arshad MS, Ranjha MMAN, Różańska MB, Irfan S, Shafique B, et al. Functional constituents of plant-based foods boost immunity against acute and chronic disorders. Open Life Sci. 2022;17(1):1075–93. doi: 10.1515/biol-2022-0104

Aycart DF, Acevedo S, Eguiguren-Jimenez L, Andrade JM. Influence of Plant and Animal Proteins on Inflammation Markers among Adults with Chronic Kidney Disease: A Systematic Review and Meta-Analysis. Nutrients. 2021;13(5):1660. doi: 10.3390/nu13051660

Wiese GN, Biruete A, Moorthi RN, Moe SM, Lindemann SR, Hill Gallant KM. Plant-Based Diets, the Gut Microbiota, and Trimethylamine N-Oxide Production in Chronic Kidney Disease: Therapeutic Potential and Methodological Considerations. J Ren Nutr. 2021;31(2):121–31. doi: 10.1053/j.jrn.2020.04.007

Dai Z, Zhang Y, Lu N, Felson DT, Kiel DP, Sahni S. Association Between Dietary Fiber Intake and Bone Loss in the Framingham Offspring Study: Association between dietary fiber intake and bone loss. J Bone Miner Res. 2018;33(2):241–9. doi: 10.1002/jbmr.3308

Lee T, Suh HS. Associations between Dietary Fiber Intake and Bone Mineral Density in Adult Korean Population: Analysis of National Health and Nutrition Examination Survey in 2011. J Bone Metab. 2019;26(3):151. doi: 10.11005/jbm.2019.26.3.151

Hsu E. Plant-based diets and bone health: sorting through the evidence. Curr Opin Endocrinol Diabetes Obes. 2020;27(4): 248–52. doi: 10.1097/MED.0000000000000552

Burstad KM, Cladis DP, Wiese GN, Butler M, Hill Gallant KM. Effects of Plant-Based Protein Consumption on Kidney Function and Mineral Bone Disorder Outcomes in Adults With Stage 3-5 Chronic Kidney Disease: A Systematic Review. J Ren Nutr. abril de 2023;S105122762300064X. doi: 10.1053/j.jrn.2023.04.004

Calvo MS, Uribarri J. Perspective: Plant-based Whole-Grain Foods for Chronic Kidney Disease: The Phytate-Phosphorus Conundrum. Adv Nutr. 2021;12(6):2056–67. doi: 10.1093/advances/nmab066

Torreggiani M, Fois A, Lippi F, Attini R, Longhitano E, Matarazzo I, et al. Plant-based diets for CKD patients: fascinating, trendy, but feasible? A green nephrology perspective. Clin Kidney J. 2022; 16(4): 647-661.doi: 10.1093/ckj/sfac267

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Publicado

2024-04-04

Cómo citar

Ponce, M., Ponce, D., Mariños, B. ., & Arteaga-Pazmiño, C. (2024). Plantas para tus riñones: una revisión narrativa sobre la dieta basada en plantas y la enfermedad renal crónica. Revista De Nutrición Clínica Y Metabolismo, 7(1). https://doi.org/10.35454/rncm.v7n1.579

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Artículos de revisión