{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:27:53Z","timestamp":1789518473174,"version":"build-2803163510"},"reference-count":70,"publisher":"MDPI AG","issue":"20","license":[{"start":{"date-parts":[[2022,10,21]],"date-time":"2022-10-21T00:00:00Z","timestamp":1666310400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Chronic kidney disease (CKD) is a major global health problem that challenges all patients\u2019 healthcare needs. Fibre consumption benefits kidney patients by acting preventively on associated risk factors, improving intestinal microbiota composition or reducing metabolic acidosis and inflammation. In this review, we focus on increasing fibre consumption and the quality of fibre to recommend, in addition to increasing the consumption of foods that naturally have it in their design, that can resort to fortified foods or fibre supplements. The Western nutritional practice, which is low in fibre and rich in animal proteins, saturated fats, sodium, and sugar, increases the risk of mortality in these patients. On the contrary, patterns with higher consumption of fibre and vegetable proteins, such as the Mediterranean, vegetarian, or Plant dominant low protein diet (PLADO), seem to have a preventive effect on the associated risk factors and influence CKD progression. Until now, the use of fibre supplements has not achieved an evident impact on clinical results. Fibre-rich foods contain other nutrients that reduce cardiovascular risk. Promoting diets richer in vegetables and guaranteeing adequate energy and protein intake is a challenge for the multidisciplinary teams involved in the standard of care for CKD.<\/jats:p>","DOI":"10.3390\/nu14204419","type":"journal-article","created":{"date-parts":[[2022,10,24]],"date-time":"2022-10-24T08:19:06Z","timestamp":1666599546000},"page":"4419","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Fibre Intake in Chronic Kidney Disease: What Fibre Should We Recommend?"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9043-992X","authenticated-orcid":false,"given":"Secundino","family":"Cigarr\u00e1n Guldris","sequence":"first","affiliation":[{"name":"Nephrology Service, Hospital Publico da Mari\u00f1a, E-27880 Burela, Spain"},{"name":"Nephrology Research Unit, Hospital Publico da Mari\u00f1a, E-27880 Burela, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Antonio","family":"Latorre Catal\u00e1","sequence":"additional","affiliation":[{"name":"Nephrology Research Unit, Hospital Publico da Mari\u00f1a, E-27880 Burela, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Sanjurjo Amado","sequence":"additional","affiliation":[{"name":"Nephrology Service, Hospital Publico da Mari\u00f1a, E-27880 Burela, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicol\u00e1s","family":"Men\u00e9ndez Granados","sequence":"additional","affiliation":[{"name":"Nephrology Service, Hospital Publico da Mari\u00f1a, E-27880 Burela, Spain"},{"name":"Nephrology Research Unit, Hospital Publico da Mari\u00f1a, E-27880 Burela, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Pi\u00f1eiro Varela","sequence":"additional","affiliation":[{"name":"Nephrology Service, Hospital Publico da Mari\u00f1a, E-27880 Burela, Spain"},{"name":"Nephrology Research Unit, Hospital Publico da Mari\u00f1a, E-27880 Burela, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,10,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.nefro.2021.09.004","article-title":"The burden of disease invisible to research funders","volume":"42","author":"ALCER","year":"2022","journal-title":"Nefrolog\u00eda"},{"key":"ref_2","unstructured":"GBD Chronic Kidney Disease Collaboration (2020). Global, regional, and national burden of chronic kidney disease, 1990\u20132017: A systematic analysis for the Global Burden of Disease Study 2017. Lancet, 395, 709\u2013733."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"2167","DOI":"10.1681\/ASN.2016050562","article-title":"Global Cardiovascular and Renal Outcomes of Reduced GFR","volume":"28","author":"Thomas","year":"2017","journal-title":"J. Am. Soc. Nephrol."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Kalantar-Zadeh, K., Joshi, S., Schlueter, R., Cooke, J., Brown-Tortorici, A., Donnelly, M., Schulman, S., Lau, W.-L., Rhee, C.M., and Streja, E. (2020). Plant-Dominant Low-Protein Diet for Conservative Management of Chronic Kidney Disease. Nutrients, 12.","DOI":"10.20944\/preprints202005.0516.v1"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1053\/j.ajkd.2020.05.006","article-title":"KDOQI Clinical Practice Guideline for Nutrition in CKD: 2020 Update","volume":"76","author":"Ikizler","year":"2020","journal-title":"Am. J. Kidney Dis."},{"key":"ref_6","first-page":"174","article-title":"Kidney-gut axis disruption in chronic kidney disease: Causes, consequences and treatment strategies","volume":"21","year":"2017","journal-title":"Rev. Esp. Nutr. Hum. Diet."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1038\/s41581-020-0297-2","article-title":"Plant-based diets to manage the risks and complications of chronic kidney disease","volume":"16","author":"Carrero","year":"2020","journal-title":"Nat. Rev. Nephrol."},{"key":"ref_8","unstructured":"Dahl, W.J. (2022, April 03). Shopping for Health: Foods with Added Fiber: FSHN13-11\/FS235, 11\/2013. EDIS. Available online: https:\/\/journals.flvc.org\/edis\/article\/view\/125902."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"European Food Safety Authority, and EFSA Panel on Dietetic Products, Nutrition, and Allergies (2010). Scientific opinion on dietary reference values for carbohydrates and dietary fibre. EFSA J., 8, 1462.","DOI":"10.2903\/j.efsa.2010.1508"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1093\/ckj\/sfab169","article-title":"Fiber intake and health in people with chronic kidney disease","volume":"15","author":"Su","year":"2021","journal-title":"Clin. Kidney J."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1038\/ki.2011.394","article-title":"Dietary fiber and protein: Nutritional therapy in chronic kidney disease and beyond","volume":"81","author":"Evenepoel","year":"2012","journal-title":"Kidney Int."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Naber, T., and Purohit, S. (2021). Chronic Kidney Disease: Role of Diet for a Reduction in the Severity of the Disease. Nutrients, 13.","DOI":"10.20944\/preprints202106.0233.v1"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1016\/j.jand.2016.09.021","article-title":"Understanding the Physics of Functional Fibers in the Gastrointestinal Tract: An Evidence-Based Approach to Resolving Enduring Misconceptions about Insoluble and Soluble Fiber","volume":"117","author":"McRorie","year":"2017","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1186\/1475-2891-13-49","article-title":"The role of meal viscosity and oat \u03b2-glucan characteristics in human appetite control: A randomised crossover trial","volume":"13","author":"Rebello","year":"2014","journal-title":"Nutr J."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1861","DOI":"10.1016\/j.jand.2015.09.003","article-title":"Position of the Academy of Nutrition and Dietetics: Health Implications of Dietary Fiber","volume":"115","author":"Dahl","year":"2015","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1017\/S095442241700004X","article-title":"Dietary fibre in Europe: Current state of knowledge on definitions, sources, recommendations, intakes and relationships to health","volume":"30","author":"Stephen","year":"2017","journal-title":"Nutr. Res. Rev."},{"key":"ref_17","first-page":"2372","article-title":"Indicaciones de diferentes tipos de fibra en distintas patolog\u00edas","volume":"31","author":"Palma","year":"2015","journal-title":"Nutr. Hosp."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Trautwein, E.A., and McKay, S. (2020). The Role of Specific Components of a Plant-Based Diet in Management Dyslipidemia and the Impact on Cardiovascular Risk. Nutrients, 12.","DOI":"10.3390\/nu12092671"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1038\/ejcn.2014.237","article-title":"Dietary fiber effects in chronic kidney disease: A systematic review and meta-analysis of controlled feeding trials","volume":"69","author":"Chiavaroli","year":"2015","journal-title":"Eur. J. Clin. Nutr."},{"key":"ref_20","first-page":"31","article-title":"Dietary fibre and cardiovascular health","volume":"27","year":"2012","journal-title":"Nutr. Hosp."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"2864","DOI":"10.2337\/dc14-1296","article-title":"Diabetic kidney disease: A report from an ADA Consensus Conference","volume":"37","author":"Tuttle","year":"2014","journal-title":"Diabetes Care"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1097\/MNH.0000000000000761","article-title":"Medical nutrition therapy using plant-focused low-protein meal plans for management of chronic kidney disease in diabetes","volume":"31","author":"Rhee","year":"2022","journal-title":"Curr. Opin. Nephrol. Hypertens."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1053\/j.jrn.2014.09.002","article-title":"Fiber supplementation lowers plasma p-cresol in chronic kidney disease patients","volume":"25","author":"Salmean","year":"2015","journal-title":"J. Ren. Nutr."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.nefro.2016.05.008","article-title":"Microbiota intestinal en la enfermedad renal cr\u00f3nica","volume":"37","year":"2017","journal-title":"Nefrologia"},{"key":"ref_25","first-page":"2057","article-title":"Link between gut microbiota dysbiosis and Chronic Kidney disease","volume":"26","author":"Noce","year":"2022","journal-title":"Eur. Rev. Med. Pharmacol. Sci."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"860","DOI":"10.1016\/j.numecd.2015.03.015","article-title":"Dietary protein-fiber ratio associates with circulating levels of indoxyl sulfate and p-cresyl sulfate in chronic kidney disease patients","volume":"25","author":"Rossi","year":"2015","journal-title":"Nutr. Metab. Cardiovasc. Dis."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Snelson, M., Clarke, R.E., and Coughlan, M.T. (2017). Stirring the Pot: Can Dietary Modification Alleviate the Burden of CKD?. Nutrients, 9.","DOI":"10.3390\/nu9030265"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1053\/j.jrn.2018.08.007","article-title":"Dietary Fiber Intake: Its Relation With Glycation End Products and Arterial Stiffness in End-Stage Renal Disease Patients","volume":"29","author":"Demirci","year":"2019","journal-title":"J. Ren. Nutr."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1038\/ki.2011.355","article-title":"High dietary fiber intake is associated with decreased inflammation and all-cause mortality in patients with chronic kidney disease","volume":"81","author":"Krishnamurthy","year":"2012","journal-title":"Kidney Int."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"2104","DOI":"10.2215\/CJN.02260314","article-title":"Dietary fiber, kidney function, inflammation, and mortality risk","volume":"9","author":"Xu","year":"2014","journal-title":"Clin. J. Am. Soc. Nephrol."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"814","DOI":"10.1016\/j.ekir.2019.03.007","article-title":"Dietary Fiber Intake, Myocardial Injury, and Major Adverse Cardiovascular Events Among End-Stage Kidney Disease Patients: A Prospective Cohort Study","volume":"4","author":"Wang","year":"2019","journal-title":"Kidney Int. Rep."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Noce, A., Marrone, G., Jones, G.W., Di Lauro, M., Zaitseva, A.P., Ramadori, L., Celotto, R., Mitterhofer, A., and Di Daniele, N. (2021). Nutritional Approaches for the Management of Metabolic Acidosis in Chronic Kidney Disease. Nutrients, 13.","DOI":"10.3390\/nu13082534"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1031","DOI":"10.1038\/ki.2014.83","article-title":"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","volume":"86","author":"Goraya","year":"2014","journal-title":"Kidney Int."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Cases, A., Cigarr\u00e1n-Guldr\u00eds, S., Mas, S., and Gonzalez-Parra, E. (2019). Vegetable-Based Diets for Chronic Kidney Disease? It Is Time to Reconsider. Nutrients, 11.","DOI":"10.3390\/nu11061263"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/j.ekir.2019.11.002","article-title":"Constipation in CKD","volume":"5","author":"Sumida","year":"2019","journal-title":"Kidney Int. Rep."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1093\/nutrit\/nuw002","article-title":"Coconut oil consumption and cardiovascular risk factors in humans","volume":"74","author":"Eyres","year":"2016","journal-title":"Nutr. Rev."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1016\/j.numecd.2016.02.016","article-title":"Excess protein intake relative to fiber and cardiovascular events in elderly men with chronic kidney disease","volume":"26","author":"Xu","year":"2016","journal-title":"Nutr. Metab. Cardiovasc. Dis."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Cupisti, A., D\u2019Alessandro, C., Gesualdo, L., Cosola, C., Gallieni, M., Egidi, M.F., and Fusaro, M. (2017). Non-Traditional Aspects of Renal Diets: Focus on Fiber, Alkali and Vitamin K1 Intake. Nutrients, 9.","DOI":"10.3390\/nu9050444"},{"key":"ref_39","first-page":"379","article-title":"Patient Education for Phosphorus Management in Chronic Kidney Disease","volume":"7","year":"2013","journal-title":"Patient Prefer Adherence"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/j.nefro.2016.07.001","article-title":"Fostatos de origen vegetal, fitato y calcificaciones patol\u00f3gicas en la enfermedad renal cr\u00f3nica","volume":"37","year":"2017","journal-title":"Nefrolog\u00eda"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1001\/archinte.166.1.79","article-title":"Association between Protein Intake and Blood Pressure: The INTERMAP Study","volume":"166","author":"Elliott","year":"2006","journal-title":"Arch. Intern. Med."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"6701","DOI":"10.2174\/1381612823666161123094235","article-title":"Functional Foods for Health: The Interrelated Antioxidant and Anti-Inflammatory Role of Fruits, Vegetables, Herbs, Spices and Cocoa in Humans","volume":"22","author":"Serafini","year":"2016","journal-title":"Curr. Pharm. Des."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1016\/j.numecd.2013.12.014","article-title":"Inverse association between habitual polyphenol intake and incidence of cardiovascular events in the PREDIMED study","volume":"24","author":"Rimm","year":"2014","journal-title":"Nutr. Metab. Cardiovasc. Dis."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1111\/j.1753-4887.2012.00508.x","article-title":"Associations between flavonoids and cardiovascular disease incidence or mortality in European and US populations","volume":"70","author":"Peterson","year":"2012","journal-title":"Nutr. Rev."},{"key":"ref_45","doi-asserted-by":"crossref","unstructured":"Marx, W., Kelly, J., Marshall, S., Nakos, S., Campbell, K., and Itsiopoulos, C. (2017). The Effect of Polyphenol-Rich Interventions on Cardiovascular Risk Factors in Haemodialysis: A Systematic Review and Meta-Analysis. Nutrients, 9.","DOI":"10.3390\/nu9121345"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1017\/S0007114517001726","article-title":"Consumption of whole grains, fruit and vegetables is not associated with \u00edndices of renal function in the population-based longitudinal Doetinchem study","volume":"118","author":"Boersma","year":"2017","journal-title":"Br. J. Nutr."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"2274","DOI":"10.1017\/S1368980011002515","article-title":"Mediterranean Diet Foundation Expert Group. Mediterranean diet pyramid today. Science and cultural updates","volume":"14","author":"Berry","year":"2011","journal-title":"Public Health Nutr."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"272","DOI":"10.2215\/CJN.06190616","article-title":"Healthy dietary patterns and risk of mortality and ESRD in CKD: A meta-analysis of cohort studies","volume":"12","author":"Kelly","year":"2017","journal-title":"Clin. J. Am. Soc. Nephrol."},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Cupisti, A., Kovesdy, C.P., D\u00c1lessandro, C., and Kalantar-Zadeh, K. (2018). Dietary Approach to Recurrent or Chronic Hiperkalaemia in Patients With Decreased Kidney Function. Nutrients, 10.","DOI":"10.3390\/nu10030261"},{"key":"ref_50","unstructured":"Moreiras, O., Carbajal, A., Cabrera, L., and Cuadrado, C. (2018). Tablas de Composici\u00f3n de Alimentos, Pir\u00e1mide. [19th ed.]."},{"key":"ref_51","unstructured":"Department of Agriculture (USDA) (2022, May 26). Nutritional Composition 2017\u20132018 Data Adapted from U.S, Available online: https:\/\/fdc.nal.usda.gov."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"95","DOI":"10.3233\/MNM-160062","article-title":"Fiber Enriched Protein-free Pasta and Bread: Is It a Useful Tool in Chronic Kidney Disease in Type 2 Diabetes?","volume":"9","author":"Tubili","year":"2016","journal-title":"Mediterr. J. Nutr. Metab."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"e29","DOI":"10.1053\/j.jrn.2012.04.002","article-title":"Foods with added fiber lower serum creatinine levels in patients with chronic kidney disease","volume":"23","author":"Salmean","year":"2013","journal-title":"J. Ren. Nutr."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1053\/j.jrn.2020.11.008","article-title":"The Role of Dietary Fiber Supplementation in Regulating Uremic Toxins in Patients With Chronic Kidney Disease: A Meta-Analysis of Randomized Controlled Trials","volume":"31","author":"Yang","year":"2021","journal-title":"J. Ren. Nutr."},{"key":"ref_55","first-page":"1363","article-title":"Effects of fermentable dietary fiber supplementation on oxidative and inflammatory status in hemodialysis patients","volume":"8","author":"Xie","year":"2015","journal-title":"Int. J. Clin. Exp. Med."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1053\/j.ajkd.2012.02.334","article-title":"Effects of Mediterranean diets on kidney function: A report from the PREDIMED trial","volume":"60","author":"Ros","year":"2012","journal-title":"Am. J. Kidney Dis."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"1548","DOI":"10.2215\/CJN.01780213","article-title":"Mediterranean diet, kidney function, and mortality in men with CKD","volume":"8","author":"Huang","year":"2013","journal-title":"Clin. J. Am. Soc. Nephrol."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1053\/j.jrn.2009.08.006","article-title":"Adherence to the mediterranean diet is associated with renal function among healthy adults: The ATTICA study","volume":"20","author":"Chrysohoou","year":"2010","journal-title":"J. Ren. Nutr."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"1868","DOI":"10.2215\/CJN.01080114","article-title":"The association between a Mediterranean-style diet and kidney function in the Northern Manhattan Study cohort","volume":"9","author":"Khatri","year":"2014","journal-title":"Clin. J. Am. Soc. Nephrol."},{"key":"ref_60","doi-asserted-by":"crossref","unstructured":"Song, Y., Lobene, A.J., Wang, Y., and Gallant, K.M.H. (2021). The DASH Diet and Cardiometabolic Health and Chronic Kidney Disease: A Narrative Review of the Evidence in East Asian Countries. Nutrients, 13.","DOI":"10.3390\/nu13030984"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1053\/j.ajkd.2016.05.019","article-title":"DASH (Dietary Approaches to Stop hypertension) diet and risk of subsequent kidney disease","volume":"68","author":"Rebholz","year":"2016","journal-title":"Am. J. Kidney Dis."},{"key":"ref_62","first-page":"1000168","article-title":"Impact of Kidney Function on Effects of the Dietary Approaches to Stop Hypertension (Dash) Diet","volume":"3","author":"Tyson","year":"2014","journal-title":"J. Hypertens."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"982","DOI":"10.2215\/CJN.12491211","article-title":"The production of p-cresol sulfate and indoxyl sulfate in vegetarians versus omnivores","volume":"7","author":"Patel","year":"2012","journal-title":"Clin. J. Am. Soc. Nephrol."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1111\/hdi.12414","article-title":"Reduced protein bound uraemic toxins in vegetarian kidney failure patients treated by haemodiafiltration","volume":"20","author":"Kandouz","year":"2016","journal-title":"Hemodial. Int."},{"key":"ref_65","doi-asserted-by":"crossref","unstructured":"Xu, K., Cui, X., Wang, B., Tang, Q., Cai, J., and Shen, X. (2020). Healthy adult vegetarians have better renal function than matched omnivores: A cross-sectional study in China. BMC Nephrol., 21.","DOI":"10.1186\/s12882-020-01918-2"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1053\/j.ajkd.2014.02.013","article-title":"Dietary patterns and risk of death and progression to ESRD in individuals with CKD: A cohort study","volume":"64","author":"Muntner","year":"2014","journal-title":"Am. J. Kidney Dis."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"1117","DOI":"10.1056\/NEJM199704173361601","article-title":"DASH Collaborative Research Group. A clinical trial of the effects of dietary patterns on blood pressure","volume":"336","author":"Appel","year":"1997","journal-title":"N. Engl. J. Med."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"1729","DOI":"10.1016\/j.jacc.2020.02.036","article-title":"Olive Oil Consumption and Cardiovascular Risk in U.S. Adults","volume":"75","author":"Liu","year":"2020","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_69","doi-asserted-by":"crossref","unstructured":"Craig, W.J., Mangels, A.R., Fres\u00e1n, U., Marsh, K., Miles, F.L., Saunders, A.V., Haddad, E.H., Heskey, C.E., Johnston, P., and Larson-Meyer, E. (2021). The Safe and Effective Use of Plant-Based Diets with Guidelines for Health Professionals. Nutrients, 13.","DOI":"10.3390\/nu13114144"},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"795","DOI":"10.3904\/kjim.2021.197","article-title":"How important is dietary management in chronic kidney disease progression? A role for low protein diets","volume":"36","author":"Ko","year":"2021","journal-title":"Korean J. Intern. 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