TY - JOUR
T1 - ‘Phos'tering a Clear Message
T2 - The Evolution of Dietary Phosphorus Management in Chronic Kidney Disease
AU - Biruete, Annabel
AU - Hill Gallant, Kathleen M.
AU - Lloyd, Lyn
AU - Meade, Anthony
AU - Moe, Sharon M.
AU - St-Jules, David E.
AU - Kistler, Brandon M.
N1 - Publisher Copyright:
© 2023 National Kidney Foundation, Inc.
PY - 2023/11
Y1 - 2023/11
N2 - Phosphorus is a vital nutrient, but disturbances in phosphorus homeostasis are central to chronic kidney disease-mineral and bone disorder. To minimize disturbances, traditional dietary guidance focused on a numerical phosphorus target leading to the exclusion of many healthy foods and implementation challenges. Contemporary phosphorus guidance focuses on dietary source, avoiding additives, and emphasizing low-phosphorus bioaccessibility foods, leading to a more liberal approach. Additional work is needed to demonstrate the efficacy of these contemporary approaches and understand the influence of specific foods, processing, and cooking methods. Unfortunately, patient education using traditional and contemporary strategies may give mixed messages, particularly related to plant-based foods. Thus, greater clarity on the effects of specific foods and dietary patterns may improve phosphorus education. This review aims to discuss the evolution of dietary phosphorus management while highlighting areas for future research that can help move the field toward stronger evidence-based guidance to prevent and treat hyperphosphatemia.
AB - Phosphorus is a vital nutrient, but disturbances in phosphorus homeostasis are central to chronic kidney disease-mineral and bone disorder. To minimize disturbances, traditional dietary guidance focused on a numerical phosphorus target leading to the exclusion of many healthy foods and implementation challenges. Contemporary phosphorus guidance focuses on dietary source, avoiding additives, and emphasizing low-phosphorus bioaccessibility foods, leading to a more liberal approach. Additional work is needed to demonstrate the efficacy of these contemporary approaches and understand the influence of specific foods, processing, and cooking methods. Unfortunately, patient education using traditional and contemporary strategies may give mixed messages, particularly related to plant-based foods. Thus, greater clarity on the effects of specific foods and dietary patterns may improve phosphorus education. This review aims to discuss the evolution of dietary phosphorus management while highlighting areas for future research that can help move the field toward stronger evidence-based guidance to prevent and treat hyperphosphatemia.
KW - Diet
KW - chronic kidney disease
KW - dietary intake
KW - hyperphosphatemia
KW - mineral and bone disorder
KW - phosphorus
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U2 - 10.1053/j.jrn.2023.05.004
DO - 10.1053/j.jrn.2023.05.004
M3 - Review article
C2 - 37343779
AN - SCOPUS:85171344684
SN - 1051-2276
VL - 33
SP - S13-S20
JO - Journal of Renal Nutrition
JF - Journal of Renal Nutrition
IS - 6
ER -