New Insights Into Dietary Approaches to Potassium Management in Chronic Kidney Disease.

Humans Potassium Potassium, Dietary / adverse effects Renal Insufficiency, Chronic / complications Diet Hyperkalemia
Chronic kidney disease Dialysis Dyskalemia End-stage kidney disease Fiber intake Gut Hyperkalemia Kidney failure Laxative Plant-based diet Potassium intake.

Journal

Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation
ISSN: 1532-8503
Titre abrégé: J Ren Nutr
Pays: United States
ID NLM: 9112938

Informations de publication

Date de publication:
Nov 2023
Historique:
received: 06 07 2022
revised: 07 10 2022
accepted: 13 12 2022
medline: 27 11 2023
pubmed: 23 8 2023
entrez: 23 8 2023
Statut: ppublish

Résumé

Potassium disorders are one of the most common electrolyte abnormalities in patients with chronic kidney disease (CKD), contributing to poor clinical outcomes. Maintaining serum potassium levels within the physiologically normal range is critically important in these patients. Dietary potassium restriction has long been considered a core strategy for the management of chronic hyperkalemia in patients with CKD. However, this has been challenged by recent evidence suggesting a paradigm shift toward fostering more liberalized, plant-based dietary patterns. The advent of novel potassium binders and an improved understanding of gastrointestinal processes involved in potassium homeostasis (e.g., gastrointestinal potassium wasting) may facilitate a paradigm shift and incorporation of heart-healthy potassium-enriched food sources. Nevertheless, uncertainty regarding the risk-benefit of plant-based diets in the context of potassium management in CKD remains, requiring well-designed clinical trials to determine the efficacy of dietary potassium manipulation toward improvement of clinical outcomes in patients with CKD.

Identifiants

DOI: 10.1053/j.jrn.2022.12.003 PMID: 37610407
pubmed: 37610407
pii: S1051-2276(22)00212-6
doi: 10.1053/j.jrn.2022.12.003
pii:
doi:

Substances chimiques

Potassium RWP5GA015D
Potassium, Dietary 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

S6-S12

Subventions

Organisme : NCATS NIH HHS
ID : UL1 TR002529
Pays : United States

Informations de copyright

Copyright © 2023 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.

Auteurs

Keiichi Sumida (K)

Division of Nephrology, Department of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee. Electronic address: ksumida@uthsc.edu.

Annabel Biruete (A)

Department of Nutrition and Dietetics, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana; Division of Nephrology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana; Department of Nutrition Science, Purdue University, West Lafayette, Indiana.

Brandon M Kistler (BM)

Department of Nutrition Science, Purdue University, West Lafayette, Indiana; Department of Nutrition and Health Science, Ball State University, Muncie, Indiana.

Ban-Hock Khor (BH)

Faculty of Food Science and Nutrition, University Malaysia Sabah, Kota Kinabalu, Malaysia.

Zarina Ebrahim (Z)

Division of Human Nutrition, Department of Global Health, Stellenbosch University, Stellenbosch, South Africa.

Rossella Giannini (R)

Division of Metabolic Diseases and Clinical Nutrition, University Hospital of Modena, Modena, Italy.

Elizabeth J Sussman-Dabach (EJ)

Department of Family and Consumer Sciences, California State University, Northridge, Northridge, California.

Carla Maria Avesani (CM)

Division of Renal Medicine, Baxter Novum. Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.

Maria Chan (M)

Departments of Nutrition and Dietetics and Renal Medicine, The St. George Hospital, Kogarah, New South Wales, Australia.

Kelly Lambert (K)

Faculty of Science, Medicine and Health, School of Medical, Indigenous and Health Sciences, University of Wollongong, Wollongong, New South Wales, Australia.

Angela Yee-Moon Wang (A)

Department of Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong SAR, China.

Deborah J Clegg (DJ)

Department of Internal Medicine, Paul Foster School of Medicine, Texas Tech Medical Center, El Paso, Texas.

Jerrilynn D Burrowes (JD)

Department of Health Sciences and Administration, Program in Nutrition and Dietetics, Long Island University-Post, Greenvale, New York.

Biff F Palmer (BF)

Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas.

Juan-Jesus Carrero (JJ)

Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.

Csaba P Kovesdy (CP)

Division of Nephrology, Department of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › New Insights Into Dietary Approaches to...
questionsmedicales.fr › Produits chimiques inorganiques › Métaux › Métaux légers › Potassium › New Insights Into Dietary Approaches to...
questionsmedicales.fr › Produits chimiques inorganiques › Composés du potassium › Potassium alimentaire › New Insights Into Dietary Approaches to...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Caractéristiques de la maladie › Maladie chronique › Insuffisance rénale chronique › New Insights Into Dietary Approaches to...
questionsmedicales.fr › Phénomènes physiologiques › Alimentation et nutrition › Phénomènes physiologiques nutritionnels › Régime alimentaire › New Insights Into Dietary Approaches to...
questionsmedicales.fr › Maladies métaboliques et nutritionnelles › Maladies métaboliques › Troubles de l'équilibre hydroélectrolytique › Hyperkaliémie › New Insights Into Dietary Approaches to...