Nutritional treatment in chronic kidney disease: the concept of nephroprotection

Clin Exp Nephrol. 2015 Apr;19(2):161-7. doi: 10.1007/s10157-014-1041-7. Epub 2014 Oct 16.

Abstract

Low-protein diets have been advocated for many decades as the cornerstone in the treatment of chronic kidney disease. Initially, the low intake of protein was used to reduce uremic symptoms; thereafter, albeit controversial, evidences suggested that dietary protein restriction can also slow the rate of progression of renal failure and the time until end-stage renal disease. This reviews focuses on the dietary factors and their influence on the loss of renal function and on the evidences in the literature supporting a nephroprotective role of the low-protein diet.

Publication types

  • Review

MeSH terms

  • Animals
  • Diet, Protein-Restricted*
  • Dietary Proteins
  • Disease Progression
  • Glomerular Filtration Rate
  • Humans
  • Phosphorus, Dietary
  • Renal Insufficiency, Chronic / diet therapy*
  • Renal Insufficiency, Chronic / physiopathology
  • Renal Insufficiency, Chronic / prevention & control
  • Sodium, Dietary

Substances

  • Dietary Proteins
  • Phosphorus, Dietary
  • Sodium, Dietary