Bioactive food and exercise in chronic kidney disease: Targeting the mitochondria

Eur J Clin Invest. 2018 Nov;48(11):e13020. doi: 10.1111/eci.13020. Epub 2018 Sep 16.

Abstract

Chronic kidney disease (CKD), which affects 10%-15% of the population, associates with a range of complications-such as cardiovascular disease, frailty, infections, muscle and bone disorders and premature ageing-that could be related to alterations of mitochondrial number, distribution, structure and function. As mitochondrial biogenesis, bioenergetics and the dynamic mitochondrial networks directly or indirectly regulate numerous intra- and extracellular functions, the mitochondria have emerged as an important target for interventions aiming at preventing or improving the treatment of complications in CKD. In this review, we discuss the possible role of bioactive food compounds and exercise in the modulation of the disturbed mitochondrial function in a uraemic milieu.

Keywords: chronic kidney disease; exercise; mitochondrial functions; nutrition.

Publication types

  • Review

MeSH terms

  • Biological Factors / therapeutic use*
  • Diet
  • Energy Metabolism / physiology
  • Exercise Therapy*
  • Humans
  • Mitochondria / physiology
  • Mitochondrial Diseases / prevention & control*
  • Oxidative Stress / physiology
  • Phytochemicals / therapeutic use
  • Reactive Oxygen Species / metabolism
  • Renal Insufficiency, Chronic / etiology*
  • Renal Insufficiency, Chronic / prevention & control
  • Uremia / prevention & control

Substances

  • Biological Factors
  • Phytochemicals
  • Reactive Oxygen Species