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  • "Lower Protein Diet Proven to Help Kidney Disease"

  • Approximately 1 in 7 American adults have chronic kidney disease,

  • and the prevalence is higher in those with metabolic risk factors

  • such as high blood pressure, diabetes, and obesity.

  • That sounds like a job for plant-based diets,

  • which have demonstrated significant utility

  • for the prevention and treatment of all three

  • of those modern-day scourges of society.

  • Their utility for the treatment of so many diseases has led

  • to a growing interest in their applicability for the prevention

  • and treatment of chronic kidney disease itself.

  • In theory, there are multiple benefits of more plant-based

  • diets in the management of kidney disease.

  • The intake of animal fat is associated with

  • protein loss in the urine, and other components

  • related to meat such as choline and carnitine

  • are converted by bad gut bugs into TMAO, which is associated

  • with scarring of the kidneys.

  • Plant-based diets carry a decreased acid load,

  • whereas ingestion of animal-based foods like meat, eggs, and dairy

  • increases the formation of acid and ammonia,

  • unlike the favorable alkalization from fruits and vegetables.

  • The phosphorus in plant-based protein is less absorbable,

  • which is a good thing if you have ailing kidneys,

  • especially compared to the added phosphorus-based

  • preservatives that are often used in meat processing.

  • Indeed, you can successfully lower blood phosphorus levels

  • in kidney disease patients in as short as one week

  • on a vegetarian diet.

  • Higher dietary fiber intake can also pull advanced glycation

  • end products out of your systemthose so called glycotoxins

  • and prevent constipation,

  • which can cause potassium overload in kidney patients.

  • A plant-based diet also lessens the likelihood of exposure

  • to potassium-based additives.

  • A lot of the phosphorus additives in meat are

  • also potassium additives.

  • And finally, there may be favorable impacts on

  • the gut microbiome, leading to lower generation of uremic toxins.

  • Such "putrefaction" products are generated by protein putrefying

  • in the gut, but plant-rich diets may be able

  • to reduce uremic toxins,

  • in part due to increased fiber and lower protein intake.

  • The lower the dietary protein intake, the slower the progression

  • toward end-stage kidney disease.

  • And increased risk of progression to end-stage kidney disease

  • associated with dietary protein intake

  • appeared to have no threshold,

  • meaning it just seemed the lower the better.

  • But even if you just drop your protein intake by just like 10 grams a day,

  • that modest reduction may decrease the risk

  • of end-stage renal disease and death by greater than 50%.

  • That's incredible.

  • It was a randomized controlled trial.

  • They were trying to get people down to like

  • 0.6 grams per kg a day of protein,

  • which is like 40 grams a day, but could only get people

  • down to about 60 grams a day,

  • which is technically not even a low-protein diet.

  • The recommended protein intake is 0.8 g/kg per day,

  • or like 50 grams a day,

  • but just getting people from the usual protein intake

  • of like 70 grams down to 60

  • cut their risk of dialysis or death by 77%.

  • Check this out. By the end of 4 years,

  • more than 25% of those in the usual diet group

  • were either dead or on dialysis from end-stage disease.

  • In the reduced protein group, it was less than 10%.

  • A randomized controlled trial proving massive benefit,

  • yet despite strong scientific evidence, many doctors are still

  • unconvinced that a low-protein diet

  • can help patients with chronic kidney disease.

  • Why? The reasons for this nihilism are unclear, but could be related

  • to insufficient background knowledge,

  • lack of interest in nutrition and dietetics,

  • and limited familiarity with the most recent scientific literature.

"Lower Protein Diet Proven to Help Kidney Disease"


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Lower Protein Diet Proven to Help Kidney Disease

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    happy 發佈於 2022 年 11 月 23 日