Dietary fibre and mortality risk in patients on peritoneal dialysis

  title={Dietary fibre and mortality risk in patients on peritoneal dialysis},
  author={Xiao Xu and Ziqian Li and Yuan Chen and Xihui Liu and Jie Dong},
  journal={British Journal of Nutrition},
  pages={996 - 1005}
Abstract Higher fibre intake reduced all-cause and cardiovascular mortality among healthy population, but such data in dialysis patients are limited. We aimed to examine these associations in patients on peritoneal dialysis (PD). This single-centre prospective cohort study enrolled 881 incident PD patients between October 2002 and August 2014. All patients were followed until death, transfer to haemodialysis, renal transplantation or until being censored in June 2018. Demographic data were… 

Association Between Dietary Fiber Intake and All-Cause and Cardiovascular Mortality in Middle Aged and Elderly Adults With Chronic Kidney Disease

An inverse association between dietary fiber intake and all-cause mortality in CKD patients is observed, highlighting the need for inexpensive but important dietary modification strategies for encouraging fiber intake in the Korean CKD population.

Dietary Fiber and Gut Microbiota in Renal Diets

A proper amount of fiber should be recommended not only in the general population but also in CKD patients, to achieve an adequate composition and metabolism of gut microbiota and to reduce the risks connected with obesity, diabetes, and dyslipidemia.

Fiber intake and health in people with chronic kidney disease

Benefits from adopting a higher intake of fiber-rich food are seen, and cooperation with the dietitian to ensure an adequate diet plan is recommended, to improve patient adherence to a high-fiber diet.

Plant-based diets to manage the risks and complications of chronic kidney disease

It is suggested that restriction of plant foods as a strategy to prevent hyperkalaemia or undernutrition should be individualized to avoid depriving patients with CKD of the potential beneficial effects of plant-based diets.

Trimethylamine-N-oxide (TMAO) and clinical outcomes in patients with end-stage kidney disease receiving peritoneal dialysis

Serum TMAO concentration is associated with the risk of first-episode peritonitis and CVD mortality in PD patients and no obvious association between serum TmaO and all-cause mortality was observed.

Preventing potential pitfalls of a liberalized potassium diet in the hemodialysis population.

The benefits of a more plant-based diet for the hemodialysis population are multifold; however, the possible pitfalls of this type of diet must be reviewed and addressed upon meal planning in order to be avoided.

Plant-Based Diets and Peritoneal Dialysis: A Review

This review explores how increasing plant consumption might affect those on peritoneal dialysis, encompassing potential benefits, including some specific to the PD population, and potential concerns.

The Role of Dietary Fiber and Gut Microbiome Modulation in Progression of Chronic Kidney Disease

This mini review summarizes current evidence of the role of dietary Fiber intake in modulating the gut microbiome to improve kidney health and recommends adequate and appropriate dietary fiber intake to restore beneficial gut microbiota composition.

A Mini Review of Plant-Based Diets in Hemodialysis

This article reviews current literature on the use of plant-based diets in the treatment of patients on dialysis and preliminary findings are encouraging.



Low dietary sodium intake increases the death risk in peritoneal dialysis.

This study revealed that low dietary sodium intake independently predicts the high overall and cardiovascular mortality in dialysis patients, and this correlation could not be entirely explained by deficient protein and energy intake.

Daily protein intake and survival in patients on peritoneal dialysis.

  • Jie DongYanjun LiYing XuR. Xu
  • Medicine
    Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association
  • 2011
This study revealed that DPI <0.73 g/kg/day was associated with protein-energy wasting and worst outcome for PD patients, and that the DPI >0.94 g/ kg/ day was in favor of nutrition status and long-term outcome in this population.

Dietary intake in hemodialysis patients does not reflect a heart healthy diet.

  • G. KhoueiryA. Waked S. El-Sayegh
  • Medicine
    Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation
  • 2011
Most patients undergoing maintenance hemodialysis did not meet the dietary guidelines for reducing the risk of cardiovascular disease, and substitute UFA or soluble fiber for SFA improves low density lipoprotein (LDL) cholesterol levels without negative effects on other lipid parameters.

Dietary fiber, kidney function, inflammation, and mortality risk.

High dietary fiber was associated with better kidney function and lower inflammation in community-dwelling elderly men from Sweden and was also associated with lower (cancer) mortality risk, especially in individuals with kidney dysfunction.

Dietary fibre intake in relation to the risk of incident chronic kidney disease

Inverse associations between total fibre intake and risk of incident CKD are observed, which demonstrate that high fibre intake, mainly from legumes and vegetables, may reduce the occurrence of CKD.

Dietary intake of patients with chronic kidney disease entering the LORD trial: adjusting for underreporting.

Interpreting self-report diet diary data from patients with chronic kidney disease without attempting to exclude underreporters will lead to erroneous conclusions, especially in respect to energy, protein, dietary fiber, calcium, and zinc intakes.

Healthy Dietary Patterns and Risk of Mortality and ESRD in CKD: A Meta-Analysis of Cohort Studies.

Interventions to support adherence to increased fruit and vegetable, fish, legume, whole grain, and fiber intake, and reduced red meat, sodium, and refined sugar intake could be effective tools to lower mortality in people with kidney disease.

Diet and enteral nutrition in patients with chronic kidney disease not on dialysis: a review focusing on fat, fiber and protein intake

Data and evidence from clinical trials and meta-analyses on renal and cardiovascular outcomes related to modifications in protein, fat and fiber intake are reviewed.

Effects of fermentable dietary fiber supplementation on oxidative and inflammatory status in hemodialysis patients.

Dietary fermentable fiber supplementation improved lipid profile and oxidative status, decreased systemic inflammatory state of hemodialysis patients, and may decrease the risk of cardiovascular events in these patients.