Chronic Kidney Disease

CKD: Fruit and Vegetable (2018)

• Intervention
  What is the effect of fruit and vegetable dietary patterns on blood pressure in adults with CKD 1-4?

  • Conclusion

    Increased intake of fruits and vegetable dietary pattern lowered systolic blood pressure compared to oral bicarbonate supplement intake or standard care group in adults with CKD Stages 1 - 4.

  • Grade: III
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Evidence Summary: What is the effect of fruit and vegetable dietary patterns on blood pressure in adults with CKD 1-4?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Goraya N, Simoni J, Jo C,Wesson D. Dietary acid reduction with fruits and vegetables or bicarbonate attenuates kidney injury in patients with a moderately reduced glomerular filtration rate due to hypertensive nephropathy. Kidney International 2012; 81:86-93
      • Goraya N,Simoni J,Jo C,Wesson D. A comparison of treating metabolic acidosis in CKD stage 4 hypertensive kidney disease with fruits and vegetables or sodium bicarbonate. Clinical journal of the American Society of Nephrology : CJASN 2013; 8:371-81
      • Goraya N, Simoni J, Jo C, Wesson D. Treatment of metabolic acidosis in patients with stage 3 chronic kidney disease with fruits and vegetables or oral bicarbonate reduces urine angiotensinogen and preserves glomerular filtration rate. Kidney International 2014; 86:1031-8
  • Search Plan and Results: CKD: Macronutrients: Dietary Patterns (2018)
     
  What is the effect of fruit and vegetable dietary patterns on eGFR in adults with CKD 3-4?

  • Conclusion

    Fruits and vegetables dietary pattern has mixed effects/uncertain effects on eGFR compared with oral bicarbonate supplementation intake in adults with CKD Stages 3-4.

  • Grade: III
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Evidence Summary: What is the effect of fruit and vegetable dietary patterns on eGFR in adults with CKD 3-4?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Goraya N,Simoni J,Jo C,Wesson D. A comparison of treating metabolic acidosis in CKD stage 4 hypertensive kidney disease with fruits and vegetables or sodium bicarbonate. Clinical journal of the American Society of Nephrology : CJASN 2013; 8:371-81
      • Goraya N, Simoni J, Jo C, Wesson D. Treatment of metabolic acidosis in patients with stage 3 chronic kidney disease with fruits and vegetables or oral bicarbonate reduces urine angiotensinogen and preserves glomerular filtration rate. Kidney International 2014; 86:1031-8
  • Search Plan and Results: CKD: Macronutrients: Dietary Patterns (2018)
     
  What is the effect of fruit and vegetable dietary patterns on body weight in adults with CKD 3-4?

  • Conclusion

    Fruit and vegetable dietary pattern was associated with a lower body weight in adults with CKD Stages 3-4 compared to oral bicarbonate supplementation group.

  • Grade: III
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Evidence Summary: What is the effect of fruit and vegetable dietary patterns on body weight in adults with CKD 3-4?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Goraya N,Simoni J,Jo C,Wesson D. A comparison of treating metabolic acidosis in CKD stage 4 hypertensive kidney disease with fruits and vegetables or sodium bicarbonate. Clinical journal of the American Society of Nephrology : CJASN 2013; 8:371-81
      • Goraya N, Simoni J, Jo C, Wesson D. Treatment of metabolic acidosis in patients with stage 3 chronic kidney disease with fruits and vegetables or oral bicarbonate reduces urine angiotensinogen and preserves glomerular filtration rate. Kidney International 2014; 86:1031-8
  • Search Plan and Results: CKD: Macronutrients: Dietary Patterns (2018)
     
  What is the effect of fruit and vegetable dietary patterns on albuminuria in adults with CKD 1-4?

  • Conclusion

    Fruits and vegetables dietary pattern has no effect on albuminuria compared with oral bicarbonate supplementation intake in adults with CKD Stages 1 to 4.

  • Grade: III
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Evidence Summary: What is the effect of fruit and vegetable dietary patterns on albuminuria in adults with CKD 1-4?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Goraya N, Simoni J, Jo C,Wesson D. Dietary acid reduction with fruits and vegetables or bicarbonate attenuates kidney injury in patients with a moderately reduced glomerular filtration rate due to hypertensive nephropathy. Kidney International 2012; 81:86-93
      • Goraya N,Simoni J,Jo C,Wesson D. A comparison of treating metabolic acidosis in CKD stage 4 hypertensive kidney disease with fruits and vegetables or sodium bicarbonate. Clinical journal of the American Society of Nephrology : CJASN 2013; 8:371-81
  • Search Plan and Results: CKD: Macronutrients: Dietary Patterns (2018)