Nephrology

Just 2-4 Cups of Fruits and Veggies Does What?

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Lowers blood pressure, improves kidney health, improves CVD risk factors.

In a randomized control trial over a five-year period, investigators divided the cohort of 153 patients with hypertension into three groups:

  1. Study participants adding 2-4 cups of base-producing fruits and vegetables in addition to their usual daily food intake
  2. Study participants prescribed NaHCO3 (acid-reducing sodium bicarbonate, which is common baking soda) tablets in two daily doses of 4-5 650 mg tablets
  3. Study participants receiving standard medical care from primary care clinicians

The results of the study show that both fruits and vegetables and NaHCO3 improved kidney health, but only fruits and vegetables, and not NaHCO3, reduced blood pressure and improved indices of cardiovascular disease risk.

The trial supports fruits and vegetables as foundational hypertension treatment to reduce chronic kidney disease progression and cardiovascular disease risk.

Elsevier. “Eating more fruits and vegetables to reduce dietary acid lowers blood pressure and improves kidney and heart health in patients with hypertension.” ScienceDaily. http://www.sciencedaily.com/releases/2024/08/240806131316.htm (accessed August 11, 2024).

Journal Reference:

  1. Nimrit Goraya, Nicolaos E. Madias, Jan Simoni, Maninder Kahlon, Nazan Aksan, Donald E. Wesson. Kidney and Cardiovascular Protection Using Dietary Acid Reduction in Primary Hypertension: A Five-Year, Interventional, Randomized, Control Trial. The American Journal of Medicine, 2024; DOI: 10.1016/j.amjmed.2024.06.006

I had two cups of fruit in my breakfast bowl this morning.

What did you eat for breakfast?

The Effect of Animal Protein on the Kidneys

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About one in eight of us now has chronic kidney disease—and most don’t even know it: About three-quarters of the millions of people affected are unaware that their kidneys are starting to fail. This is “particularly worrisome given that early identification provides an opportunity to slow the progression and alter the course of disease.”

Read Dr. Michael Greger’s entire article here.  You’ll find plenty of links to other educational articles on this topic.

PPIs Tied to Increased Risk for Chronic Kidney Disease | Medpage Today

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In a prospective, community-based study involving more than 10,000 adults followed for a median of 14 years, baseline use of a proton pump inhibitor (PPI) was independently associated with a 20% to 50% higher risk for incident chronic kidney disease (CKD).

Source: PPIs Tied to Increased Risk for Chronic Kidney Disease | Medpage Today

I got heartburn reading this article.

Mediterranean Diet May Protect Kidneys

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In a prospective cohort study, patients whose eating habits were closer to the tenets of a Mediterranean diet had about a 50% reduced odds of developing chronic kidney disease (CKD) over 7 years compared with those whose diets didn\’t resemble the fruit-and-vegetable-rich, low-saturated-fat diet, according to Minesh Khatri, MD, of Columbia University Medical Center, and colleagues.

via Mediterranean Diet May Protect Kidneys.