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Special Issue "Eating Habits and Chronic Kidney Disease: Epidemiological and Interventional Aspects"

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A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Clinical Nutrition".

Deadline for manuscript submissions: closed (25 May 2023) | Viewed by 5132

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Special Issue Editor

Prof. Dr. Piergiorgio Messa
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Guest Editor

1. Nephrol Unit, Univ Milan, Via Commenda 15, I-20122 Milan, Italy
2. Fdn IRCCS Ca Granda Osped Maggiore Policlin Milan, Nephrol Dialysis & Renal Transplant Unit, Via Commenda 15, I-20122 Milan, Italy
Interests: chronic kidney disease; renal transplantation; nutrition; low-protein diet; micronutrients

Special Issue Information

Dear Colleagues,

Dietary habits are influenced by geographical, ethnic, socio-cultural, and economic factors. In recent decades, we have accumulated a growing body of epidemiological evidence of the possible relationships between dietary habits and a wide range of acute and chronic non-communicable diseases, including most chronic kidney diseases (CKDs).

The multifaced interplay between dietary habits and CKDs includes (but is not limited to) a too high or too low intake of one or more of the usual nutritive components, including water and salts; excessive consumption of products containing sweeteners, dyes and preservatives; the continued consumption of herbal products; unjustified use of vitamin supplements and/or elementary nutritional products, etc.

Nephrologists are used to intervening in the advanced stages of CKD to adjust the intake of critical dietary components (animal proteins, salt) due to reduced kidney function.

However, given the growing interest in the preventive aspects and early correction of eating habits in the context of CKD, we considered it useful to start with a Special Issue of Nutrients that could consider both the epidemiological aspects, highlighting the relationship between eating habits and CKD, and possible experiences of preventive or therapeutic intervention in a clinical context.

Prof. Dr. Piergiorgio Messa
Guest Editor

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Keywords

dietary habit
chronic kidney disease
prevention
dietary supplements
epidemiology

Published Papers (4 papers)

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Open AccessArticle

Association between Consumption of Dietary Supplements and Chronic Kidney Disease Prevalence: Results of the Korean Nationwide Population-Based Survey

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Nutrients 2023, 15(4), 822; https://doi.org/10.3390/nu15040822 - 05 Feb 2023

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Abstract

Despite the enormous global market of dietary supplements, the impact of dietary supplements on kidney disease is still unclear. Based on the National Health and Nutrition Examination Survey from 2015 to 2017, this study evaluated the association between dietary supplement and chronic kidney disease (CKD) in 13,271 Korean adults. Among the dietary supplements, vitamin and mineral intake was the highest at 61.41%, followed by omega-3 fatty acids at 11.85%, and ginseng at 7.99%. The prevalence of CKD was significantly higher in those who consumed amino acids and proteins, ginseng and red ginseng, and herbal medicine (plant extract)-berries than in those who did not. Conversely, patients who consumed probiotic supplements had a significantly lower prevalence of CKD than those who did not. In the population without CKD risk factors or history of CKD, the prevalence of CKD was high in the group consuming ginseng and red ginseng. After adjusting for covariates, the herbal medicine (plant extract)-berry group showed an independent association with CKD incidence. In conclusion, it is suggested that dietary supplements may affect kidney function. Further large-scale cohort studies are required to elucidate the exact effects of each dietary supplement on CKD. Full article

(This article belongs to the Special Issue Eating Habits and Chronic Kidney Disease: Epidemiological and Interventional Aspects)

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Vitamin D and Calcium Supplementation and Urolithiasis: A Controversial and Multifaceted Relationship

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Nutrients 2023, 15(7), 1724; https://doi.org/10.3390/nu15071724 - 31 Mar 2023

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Abstract

Patients with urolithiasis, and particularly those with hypercalciuria, frequently have a marked reduction of bone mineral content up to the levels of osteoporosis, with a significant increase in bone fracture risk. For these reasons, the indication to prescribe vitamin D and/or calcium supplementations is very frequent in such patients. On the other hand, both calcium supplementation, and even more vitamin D therapy, can worsen the risk of developing urolithiasis by increasing calcium, phosphate, and oxalate urinary excretion. Despite the clinical and practical relevance of this issue, the evidence on this topic is scarce and contradictory. Therefore, some concerns exist about how and whether to prescribe such supplements to a patient with a history of kidney stones. In this narrative review, we resume some pivotal pathophysiological concepts strictly related to the dealt topic, and we draw some considerations and personal opinions on the pros and cons of such prescriptions. Finally, we share with the reader our pragmatic algorithm for handling the urolithiasis risk in patients who have strong indications to be prescribed vitamin D and calcium supplementations. Full article

(This article belongs to the Special Issue Eating Habits and Chronic Kidney Disease: Epidemiological and Interventional Aspects)

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Open AccessReview

Unravelling the Complex Relationship between Diet and Nephrolithiasis: The Role of Nutrigenomics and Nutrigenetics

Viola D’Ambrosio

Pietro Manuel Ferraro

Gianmarco Lombardi

Simonetta Friso

and

Giovanni Gambaro

Nutrients 2022, 14(23), 4961; https://doi.org/10.3390/nu14234961 - 23 Nov 2022

Cited by 2 | Viewed by 1301

Abstract

Nephrolithiasis is an increasingly prevalent condition, especially in high income countries, and is associated with high morbidity. Extraordinary progress in genetics made the identification of genetic forms of nephrolithiasis possible. These genetic diseases are usually rare and do not account for the most common forms of nephrolithiasis that are the result of several factors such as environment, dietary habits, and predisposing genes. This knowledge has shaped what we classify as nephrolithiasis, a condition that is now recognized as systemic. How and to what extent all these factors interact with one another and end in kidney stone formation, growth, and recurrence is not completely understood. Two new research fields have recently been trying to give some answers: nutrigenomics and nutrigenetics. These fields have the aim of understanding the intricate diet/genome interface that influences gene expression regulation mainly through epigenetic mechanisms and results in specific medical conditions such as cancer, metabolic syndrome, and cardiovascular diseases. Epigenetics seems to play a crucial role and could represent the link between environmental factors, that we are constantly exposed to, and risk factors for nephrolithiasis. In this systematic review, we summarize all the available evidence of proven or hypothesized epigenetic mechanisms related to nephrolithiasis. Full article

(This article belongs to the Special Issue Eating Habits and Chronic Kidney Disease: Epidemiological and Interventional Aspects)

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Open AccessConcept Paper

Mediterranean Dietary Pattern Adjusted for CKD Patients: The MedRen Diet

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Nutrients 2023, 15(5), 1256; https://doi.org/10.3390/nu15051256 - 02 Mar 2023

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Abstract

A number of studies in the general population showed that healthy dietary patterns, such as the Mediterranean Diet, can improve or prevent the development of several chronic diseases and are associated with a significant reduction in all-cause and cardiovascular mortality. The Mediterranean diet may also have favorable effects for the prevention of chronic kidney disease (CKD), but no evidence of renoprotection exists in CKD patients. The Mediterranean Renal (MedRen) diet is an adaptation of the Mediterranean diet recommendations comprising a quantitative reduction in the RDA values of protein, salt and phosphate intake for the general population. Hence, MedRen supplies 0.8 g/Kg of protein, 6 g of salt and less than 800 mg of phosphate daily. Obviously, there is a preference for products of plant origin, which contain more alkali, fibers, unsaturated fatty acids than animal-based food. The MedRen diet can be implemented easily in mild-to-moderate stages of CKD with good results, both in terms of adherence to prescriptions and metabolic compensation. In our opinion, it should be the first step of CKD stage 3 nutritional management. This paper describes the features and reports our experience in the implementation of the MedRen diet as an early nutritional approach to CKD. Full article

(This article belongs to the Special Issue Eating Habits and Chronic Kidney Disease: Epidemiological and Interventional Aspects)

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Special Issue "Eating Habits and Chronic Kidney Disease: Epidemiological and Interventional Aspects"

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