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Plant or animal-based or PLADO diets: Which should chronic kidney disease patients choose?

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      Abstract

      Nutrition therapy is the cornerstone treatment for chronic kidney disease (CKD). While much attention has been given to dietary protein intake in CKD patients, many findings now demonstrate that type of dietary protein intake may be more critical for CKD patients. In protein bioavailability and malnutrition prevention, many physicians recommend that CKD patients adhere to a low-protein diet(LPD) and restrict their plant foods, such as vegetables, fruits, and soybeans. However, Nephrologists should not ignore the potential benefits of plant foods for CKD patients. It is not advisable to restrict the intake of plant foods in the later stage of CKD simply to prevent the development of hyperkalemia and malnutrition. This article highlights the benefits and possible problems of a plant-based low-protein (PLADO) diet, defined as an LPD with dietary protein intake(DPI) of 0.6-0.8g/kg/day with at least 50% plant-based source for CKD patients. We hope to provide new opinions for clinical work and CKD patients.

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