The DASH Diet and Cardiometabolic Health and Chronic Kidney Disease: A Narrative Review of the Evidence in East Asian Countries

Yi, Song; Lobene, Andrea J.; Wang, Yanfang; Gallant, Kathleen M. Hill

doi:10.3390/nu13030984

Cited by 24 publications

(16 citation statements)

References 78 publications

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“…Globally, 10–15% of the population has CKD ( 2 ). Furthermore, the rising incidence of CKD is a leading public health burden in East Asia ( 3 ). In Korea, the prevalence of CKD in individuals aged >20 was 8.2% ( 4 ).…”

Section: Introductionmentioning

confidence: 99%

Association Between Dietary Fiber Intake and All-Cause and Cardiovascular Mortality in Middle Aged and Elderly Adults With Chronic Kidney Disease

et al. 2022

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Background and AimsDespite accumulating evidence on the benefits of dietary fiber in the general population, there is a lack of representative data on mortality in patients with chronic kidney disease (CKD). This study examined the role of dietary fiber intake on all-cause and cardiovascular mortality in patients with CKD using representative Korean cohort data.MethodsThe study included 3,892 participants with estimated glomerular filtration rates <60 mL/min/1.73 m2 from the Korean Genome and Epidemiology Study. Mortality status was followed by data linkage with national data sources. Nutritional status was assessed using a validated food frequency questionnaire. Dietary fiber was categorized into quintiles (Q). A multivariable Cox proportional hazards regression model was used to calculate hazard ratios (HRs) and 95% confidence intervals (CIs) for all-cause and cardiovascular mortality.ResultsThe average daily fiber intake of patients with CKD was 5.1 g/day. During the 10.1-year follow-up period, 602 (149 cardiovascular) deaths were documented. The HR (95% CI) for all-cause mortality in the highest quintile compared with that in the lowest quintile was 0.63 (0.46–0.87) after adjusting for age, sex, BMI, smoking, alcohol intake, exercise, total calorie intake, hypertension, diabetes, and dyslipidemia (P = 0.005). The HR (95% CI) for cardiovascular mortality in the highest quintile compared with that in the lowest quintile was 0.56 (0.29–1.08) after adjusting for same confounders (P = 0.082).ConclusionIn conclusion, we observed an inverse association between dietary fiber intake and all-cause mortality in CKD patients. Small increments in fiber intake reduced the risk of all-cause mortality by 37%. This finding highlights the need for inexpensive but important dietary modification strategies for encouraging fiber intake in the Korean CKD population.

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Section: Introductionmentioning

confidence: 99%

Association Between Dietary Fiber Intake and All-Cause and Cardiovascular Mortality in Middle Aged and Elderly Adults With Chronic Kidney Disease

et al. 2022

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“…Dietary patterns that increase fibre intake and reduce protein content and refined and processed foods may interest these patients. Research focuses primarily on the Mediterranean diet [ 56 , 57 , 58 , 59 ], the Dash diet [ 60 , 61 , 62 ], and vegetarian or vegan diets [ 63 , 64 , 65 ].…”

Section: Recommendations To Increase Fibre Consumptionmentioning

confidence: 99%

Fibre Intake in Chronic Kidney Disease: What Fibre Should We Recommend?

Guldris

Catalá²,

Amado

et al. 2022

Nutrients

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Chronic kidney disease (CKD) is a major global health problem that challenges all patients’ healthcare needs. Fibre consumption benefits kidney patients by acting preventively on associated risk factors, improving intestinal microbiota composition or reducing metabolic acidosis and inflammation. In this review, we focus on increasing fibre consumption and the quality of fibre to recommend, in addition to increasing the consumption of foods that naturally have it in their design, that can resort to fortified foods or fibre supplements. The Western nutritional practice, which is low in fibre and rich in animal proteins, saturated fats, sodium, and sugar, increases the risk of mortality in these patients. On the contrary, patterns with higher consumption of fibre and vegetable proteins, such as the Mediterranean, vegetarian, or Plant dominant low protein diet (PLADO), seem to have a preventive effect on the associated risk factors and influence CKD progression. Until now, the use of fibre supplements has not achieved an evident impact on clinical results. Fibre-rich foods contain other nutrients that reduce cardiovascular risk. Promoting diets richer in vegetables and guaranteeing adequate energy and protein intake is a challenge for the multidisciplinary teams involved in the standard of care for CKD.

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“…Although diabetes and hypertension are the leading causes of CKD, an unhealthy diet (high in sugar, salt, and saturated fat) and ultra-processed food (synthetic emulsifiers, additives, and preservatives) are the Trojan horses to the burgeoning onset of this global challenge and other chronic diseases (Shahidi, 2020). The latest details of CKD's progression, effects, and management have been well-discussed (Cockwell and Fisher, 2020;Kalantar-Zadeh et al, 2021) and the Dietary Approaches to Stop Hypertension (DASH) diet is being recommended by several experts (e.g., Song et al, 2021) as a nutritional intervention for CKD patients. However, we believe that the multidimensional roles of food go even further than explained.…”

Section: Introductionmentioning

confidence: 99%

Food selection and processing: can we blend science with engineering to address Chronic Kidney Disease (CKD)?

Wazed

Rabeya

Ansary³

et al. 2022

Journal of Food Bioactives

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Chronic kidney disease (CKD) alters the function and structure of the kidney irreversibly, over months or years. The rising incidence of CKD has become a leading global health problem and therefore a number of multi-field investigations are being carried on. In general, diabetes and high blood pressure (hypertension) are the most common causes of CKD. However, the importance of functional food selection and less consumption of ultra-processed food is at the forefront of the current research domain to manage CKD. To address this threat, experts suggest and recommend adopting a science-based dietary pattern, for instance, the Dietary Approaches to Stop Hypertension (DASH). Moreover, food bioactive compounds are non-nutrients that typically occur in small quantities in foods, and hence, the selection of proper food (source) and subsequent processing is of paramount importance to attenuate the magnitude of CKD. The role of food science in managing chronic diseases could be coupled with the advancement of food engineering to minimize the detrimental effect of food processing along with the delivery of target bioactive molecules. This potentially indicates bold ambitions to innovate holistic solutions to address CKD through a proper selection of food and processing parameters.

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The DASH Diet and Cardiometabolic Health and Chronic Kidney Disease: A Narrative Review of the Evidence in East Asian Countries

Cited by 24 publications

References 78 publications

Association Between Dietary Fiber Intake and All-Cause and Cardiovascular Mortality in Middle Aged and Elderly Adults With Chronic Kidney Disease

Association Between Dietary Fiber Intake and All-Cause and Cardiovascular Mortality in Middle Aged and Elderly Adults With Chronic Kidney Disease

Fibre Intake in Chronic Kidney Disease: What Fibre Should We Recommend?

Food selection and processing: can we blend science with engineering to address Chronic Kidney Disease (CKD)?

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