Association between ultrapocessed food and chronic kidney disease

Nefrologia (Engl Ed). 2021 Sep-Oct;41(5):489-501. doi: 10.1016/j.nefroe.2021.11.013. Epub 2021 Dec 10.

Abstract

The modern diet is closely linked to the consumption of processed foods, causing an increase in the intake of salt, simple sugars, phosphorus and added potassium. This excess intake is associated with an increased risk of obesity, diabetes, hypertension and chronic kidney disease (CKD). CKD, which according to data from the ENRICA study affects 15% of the population, magnifies its impact due to the higher prevalence of diabetes and hypertension and due to limitations in the management of sodium and phosphorus. The intake of these products far exceeds the established recommendations, assuming 72% of total sodium, 25%-35% of phosphorus, 12%-18% of potassium and exceeding 10% of the caloric intake in simple sugars. Measures are necessary to reduce their contribution through nutritional advice, labeling review, education campaigns on healthy habits, fees and institutional actions that involve food safety agencies, industry, distribution and scientific societies.

Keywords: Aditivos alimentarios; Alimentos procesados; Chronic kidney disease; Enfermedad renal crónica; Food additives; Ingesta de azúcares simples; Ingesta de fósforo; Ingesta de sodio; Intake of simple sugars; Phosphorus intake; Processed food; Sodium intake.

Publication types

  • Review

MeSH terms

  • Humans
  • Hypertension*
  • Monosaccharides
  • Phosphorus
  • Potassium
  • Renal Insufficiency, Chronic* / epidemiology
  • Sodium

Substances

  • Monosaccharides
  • Phosphorus
  • Sodium
  • Potassium