Eat your fruits and veggies for good kidney health

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CC-0. Story by Dr Joe Milton, Australian Science Media Centre
CC-0. Story by Dr Joe Milton, Australian Science Media Centre

Favouring fruit and veg over meat and dairy could keep your kidneys in good shape as you age, according to Chinese scientists. The team looked at data on almost 180,000 Brits, around 4,800 (2.7%) of whom had developed chronic kidney disease during an average follow-up period of 12 years. They found people who stuck most closely to the EAT–Lancet planetary health diet - which emphasises fruits, vegetables, legumes, and some meat and dairy, while limiting added sugars and fats - were less likely than those on more meaty diets to have developed kidney disease. One distinctive aspect of this diet is its limitation of added sugars and fats, which may reduce inflammation, curbing kidney disease risk, the authors say. The results highlight the potential of the EAT–Lancet diet as an effective dietary strategy for preventing kidney disease, they conclude.

News release

From: Canadian Medical Association

Eating a plant-forward diet is good for your kidneys

Major reduced risk of chronic kidney disease with EAT–Lancet planetary diet

Eating a plant-forward diet and limiting added sugars and fats as part of the EAT–Lancet planetary diet was associated with a reduced risk of chronic kidney disease (CKD), according to a large study published in CMAJ (Canadian Medical Association Journal).

Chronic kidney disease affects about 10% of adults globally and is projected to become the fifth leading cause of death worldwide by 2040.

The study was based on data from the UK Biobank, a large-scale long-term study that included 179 508 eligible participants aged 40 to 69 from England, Scotland and Wales, and dietary information collected through a questionnaire. Over a median follow-up of 12 years, 4819 (2.7%) participants developed CKD.

“Greater adherence to the EAT–Lancet planetary health diet was significantly associated with a reduced risk of incident CKD. This protective association was particularly evident among individuals with low residential green space exposure and specific genetic variants,” writes Dr. Xianhui Qin, Nanfang Hospital, Southern Medical University, Guangzhou, China, with coauthors.

Although many plant-based diets are promoted, such as Dietary Approaches to Stop Hypertension (DASH), Alternate Mediterranean Diet (aMed), and others, the EAT–Lancet planetary health diet was developed to encompass human health as well as environmental sustainability. It emphasizes fruits, vegetables, legumes, and some meat and dairy and limited consumption of added sugars and fats.

“A key commonality among these dietary patterns is their emphasis on higher consumption of vegetables, fruits, and nuts, and reduced intake of red meat — components consistently associated with lower CKD risk in previous studies. A distinctive aspect of the EAT–Lancet diet is its specific limitation of added sugars and fats, which may further mitigate kidney risk through modulation of inflammation and oxidative stress pathways. These results underscore the potential of the EAT–Lancet diet as an effective dietary strategy for CKD prevention,” the authors write.

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Funder: This study was supported by the National Natural Science Foundation of China (82570914, 82030022, 82330020), Key Technologies R&D Program of Guangdong Province (2023B1111030004), Guangdong Provincial Clinical Research Center for Kidney Disease (2020B1111170013), and the Program of Introducing Talents of Discipline to Universities, 111 Plan (D18005). Grant payments were made to Nanfang Hospital, Southern Medical University.
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