Handouts for Low-Potassium Diets Disproportionately Restrict Fruits and Vegetables

Picard, Kelly; Griffiths, M. J.; Mager, Diana R.; Richard, Caroline

doi:10.1053/j.jrn.2020.07.001

Cited by 28 publications

(31 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several articles in this issue devote themselves entirely to this subject. For example, Picard et al 4,5 builds off her previous work on potassium additives and bioavailability published in this Journal in 2019 by analyzing the content of patient handouts on dietary potassium restriction in an article published in the current issue. In total, 18 handouts from Canadian health agencies in six provinces were analyzed.…”

mentioning

confidence: 99%

“…Not only can the article and handout be used to educate patients but it can also be used to educate healthcare workers who take care of patients with CKD. Although this brochure does recommend limiting high-potassium fruits and vegetables in CKD stages 4 and 5 to avoid hyperkalemia, it is likely that future handouts will be clearer and more unified as more evidence, such as the work of Picard et al, 4,5 emerges.…”

mentioning

confidence: 99%

See 1 more Smart Citation

The Future of Nutrition in Kidney Disease: Plant-Based Diets, Gut Microbiome, and Beyond

Joshi

Moore

Kalantar-Zadeh

2021

Journal of Renal Nutrition

View full text Add to dashboard Cite

mentioning

confidence: 99%

mentioning

confidence: 99%

The Future of Nutrition in Kidney Disease: Plant-Based Diets, Gut Microbiome, and Beyond

Joshi

Moore

Kalantar-Zadeh

2021

Journal of Renal Nutrition

View full text Add to dashboard Cite

“…This is consistent with other studies that have found restricted food variety and inadequate intakes of vegetables in nondialysis dependent CKD patients (Fernandes et al, 2018; Saglimbene et al, 2019), and low fruit and vegetable intakes in end stage kidney disease patients on dialysis (Roach et al, 2017). In clinical practice an excessive potassium intake from fruit and vegetables is often blamed for hyperkalemia leading to a restriction of those foods (Picard et al, 2020). Restricting fruits and vegetables in CKD patients may compromise dietary quality and promote other nutritional deficiencies (Campbell & Carrero, 2016).…”

Section: Discussionmentioning

confidence: 99%

“…Describing GI symptoms without considering dietary intake limits interpretation and overlooks potential causes (Zuvela et al, 2018). Recent studies (Dos Santos et al, 2020; Saglimbene et al, 2019) have repeatedly shown low fruit and vegetable intakes in people with CKD, and Picard et al (2020) showed dietary information in Canada disproportionately targeted fruits and vegetables to reduce potassium intakes. Meanwhile there has been renewed interest and increasing evidence that there is a role for plant based eating for people with CKD (Carrero et al, 2020; Joshi et al, 2020; Kalantar‐Zadeh et al, 2020) which would have potential positive effects on GI function and symptoms.…”

Section: Literature Reviewmentioning

confidence: 99%

Gastrointestinal symptom burden and dietary intake in patients with chronic kidney disease

Meade

Leu

Watson

et al. 2021

Journal of Renal Care

View full text Add to dashboard Cite

Background Gastrointestinal (GI) symptoms can present a significant burden to patients with chronic kidney disease (CKD) but the reported prevalence is inconsistent. Objective To examine the GI burden and dietary intake in patients with CKD with or without dialysis. Methods This was a cross‐sectional study of 216 adults, recruited from outpatient and dialysis clinics, with CKD stage 4 or 5 not receiving dialysis (CKD‐ND), or receiving haemodialysis (HD) or peritoneal dialysis (PD). Three questionnaires were administered: the Bristol Stool Form Scale (BSFS); a modified Gastrointestinal Symptom Rating Scale and a short Food Frequency Questionnaire. Outcomes were stool frequency and consistency, GI symptoms and dietary intake. Results Data were collected from 216 patients (mean age, 63 years [95% CI: 61, 65]; 63% males; CKD‐ND: n = 134; HD: n = 67; PD: n = 15). Mean stool frequency for all groups was one bowel action per day (p = .45) and consistency was normal (BSFS type 4, p = .95). Overall GI symptom burden was low but several symptoms occurred at least “most of the time” including “tiredness/lethargy” (54% of participants), “reduced appetite” (29%), “early satiety” (25%) and “change in taste” (15%). Low intakes of fresh fruit, vegetables, whole‐grains and legumes were found. No associations were observed between diet and GI symptoms. Conclusion The overall GI symptom burden was low, but >15% of participants reported several symptoms as occurring most to all of the time. Low intakes of fresh fruit, vegetables, whole‐grains and legumes were observed in all CKD patients.

show abstract

“…Overall, it seems overrated to accuse plant-based diets for high potassium content since high potassium intake occurs as well with highly processed foods of animal origin [82]. Obviously it is possible to reduce the potassium content of foods of plant origin by appropriate cooking.…”

Section: Hyperkalemiamentioning

confidence: 99%

Source and Composition in Amino Acid of Dietary Proteins in the Primary Prevention and Treatment of CKD

et al. 2020

View full text Add to dashboard Cite

Nutrition is a cornerstone in the management of chronic kidney disease (CKD). To limit urea generation and accumulation, a global reduction in protein intake is routinely proposed. However, recent evidence has accumulated on the benefits of plant-based diets and plant-derived proteins without a clear understanding of underlying mechanisms. Particularly the roles of some amino acids (AAs) appear to be either deleterious or beneficial on the progression of CKD and its complications. This review outlines recent data on the role of a low protein intake, the plant nature of proteins, and some specific AAs actions on kidney function and metabolic disorders. We will focus on renal hemodynamics, intestinal microbiota, and the production of uremic toxins. Overall, these mechanistic effects are still poorly understood but deserve special attention to understand why low-protein diets provide clinical benefits and to find potential new therapeutic targets in CKD.

show abstract

Handouts for Low-Potassium Diets Disproportionately Restrict Fruits and Vegetables

Cited by 28 publications

References 18 publications

The Future of Nutrition in Kidney Disease: Plant-Based Diets, Gut Microbiome, and Beyond

The Future of Nutrition in Kidney Disease: Plant-Based Diets, Gut Microbiome, and Beyond

Gastrointestinal symptom burden and dietary intake in patients with chronic kidney disease

Source and Composition in Amino Acid of Dietary Proteins in the Primary Prevention and Treatment of CKD

Contact Info

Product

Resources

About