Overview of research progress on the association of dietary potassium intake with serum potassium and survival in hemodialysis patients, does dietary potassium restriction really benefit hemodialysis patients?
For the general population, increasing potassium intake can reduce the incidence of cardiovascular and cerebrovascular diseases. However, since hyperkalemia is a common and life-threatening complication in maintenance hemodialysis patients, which can increase the risk of malignant arrhythmia and sud...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-11-01
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| Series: | Frontiers in Endocrinology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fendo.2023.1285929/full |
| _version_ | 1797448681274736640 |
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| author | Zuoya Sun Jian Jiao Gang Lu Ruihong Liu Zhuo Li Yi Sun Zhiyuan Chen |
| author_facet | Zuoya Sun Jian Jiao Gang Lu Ruihong Liu Zhuo Li Yi Sun Zhiyuan Chen |
| author_sort | Zuoya Sun |
| collection | DOAJ |
| description | For the general population, increasing potassium intake can reduce the incidence of cardiovascular and cerebrovascular diseases. However, since hyperkalemia is a common and life-threatening complication in maintenance hemodialysis patients, which can increase the risk of malignant arrhythmia and sudden death, the current mainstream of management for hemodialysis patients is dietary potassium restriction in order to prevent hyperkalemia. Hemodialysis patients are usually advised to reduce dietary potassium intake and limit potassium-rich fruits and vegetables, but there is limited evidence to support this approach can reduce mortality and improve quality of life. There is still no consistent conclusion on the association between dietary potassium intake and serum potassium and survival in hemodialysis patients. According to the current small observational studies, there was little or even no association between dietary potassium intake and serum potassium in hemodialysis patients when assurance of adequate dialysis and specific dietary patterns (such as the plant-based diet mentioned in the article) are being followed, and excessive dietary potassium restriction may not benefit the survival of hemodialysis patients. Additionally, when assessing the effect of diet on serum potassium, researchers should not only focus on the potassium content of foods, but also consider the type of food and the content of other nutrients. However, more large-scale, multi-center clinical trials are required to provide high-quality evidence support. Besides, further research is also needed to determine the optimal daily potassium intake and beneficial dietary patterns for hemodialysis patients. |
| first_indexed | 2024-03-09T14:13:50Z |
| format | Article |
| id | doaj.art-8a6c090a07c348aa9ce8b6473a7c2ec4 |
| institution | Directory Open Access Journal |
| issn | 1664-2392 |
| language | English |
| last_indexed | 2024-03-09T14:13:50Z |
| publishDate | 2023-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Endocrinology |
| spelling | doaj.art-8a6c090a07c348aa9ce8b6473a7c2ec42023-11-29T05:35:26ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922023-11-011410.3389/fendo.2023.12859291285929Overview of research progress on the association of dietary potassium intake with serum potassium and survival in hemodialysis patients, does dietary potassium restriction really benefit hemodialysis patients?Zuoya Sun0Jian Jiao1Gang Lu2Ruihong Liu3Zhuo Li4Yi Sun5Zhiyuan Chen6Department of Family Medicine, The University of Hong Kong-Shenzhen Hospital, Shenzhen, ChinaDepartment of Gastroenterology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Shandong First Medical University, Jinan, Shandong, ChinaDepartment of Family Medicine, The University of Hong Kong-Shenzhen Hospital, Shenzhen, ChinaDepartment of Family Medicine, The University of Hong Kong-Shenzhen Hospital, Shenzhen, ChinaDepartment of Family Medicine, The University of Hong Kong-Shenzhen Hospital, Shenzhen, ChinaDepartment of Nephrology, Beijing Huairou Hospital of University of Chinese Academy of Sciences, Beijing, ChinaDepartment of Family Medicine, The University of Hong Kong-Shenzhen Hospital, Shenzhen, ChinaFor the general population, increasing potassium intake can reduce the incidence of cardiovascular and cerebrovascular diseases. However, since hyperkalemia is a common and life-threatening complication in maintenance hemodialysis patients, which can increase the risk of malignant arrhythmia and sudden death, the current mainstream of management for hemodialysis patients is dietary potassium restriction in order to prevent hyperkalemia. Hemodialysis patients are usually advised to reduce dietary potassium intake and limit potassium-rich fruits and vegetables, but there is limited evidence to support this approach can reduce mortality and improve quality of life. There is still no consistent conclusion on the association between dietary potassium intake and serum potassium and survival in hemodialysis patients. According to the current small observational studies, there was little or even no association between dietary potassium intake and serum potassium in hemodialysis patients when assurance of adequate dialysis and specific dietary patterns (such as the plant-based diet mentioned in the article) are being followed, and excessive dietary potassium restriction may not benefit the survival of hemodialysis patients. Additionally, when assessing the effect of diet on serum potassium, researchers should not only focus on the potassium content of foods, but also consider the type of food and the content of other nutrients. However, more large-scale, multi-center clinical trials are required to provide high-quality evidence support. Besides, further research is also needed to determine the optimal daily potassium intake and beneficial dietary patterns for hemodialysis patients.https://www.frontiersin.org/articles/10.3389/fendo.2023.1285929/fullhemodialysis patientsdietary potassium intakeserum potassiumdietary patternsdietary potassium restriction |
| spellingShingle | Zuoya Sun Jian Jiao Gang Lu Ruihong Liu Zhuo Li Yi Sun Zhiyuan Chen Overview of research progress on the association of dietary potassium intake with serum potassium and survival in hemodialysis patients, does dietary potassium restriction really benefit hemodialysis patients? Frontiers in Endocrinology hemodialysis patients dietary potassium intake serum potassium dietary patterns dietary potassium restriction |
| title | Overview of research progress on the association of dietary potassium intake with serum potassium and survival in hemodialysis patients, does dietary potassium restriction really benefit hemodialysis patients? |
| title_full | Overview of research progress on the association of dietary potassium intake with serum potassium and survival in hemodialysis patients, does dietary potassium restriction really benefit hemodialysis patients? |
| title_fullStr | Overview of research progress on the association of dietary potassium intake with serum potassium and survival in hemodialysis patients, does dietary potassium restriction really benefit hemodialysis patients? |
| title_full_unstemmed | Overview of research progress on the association of dietary potassium intake with serum potassium and survival in hemodialysis patients, does dietary potassium restriction really benefit hemodialysis patients? |
| title_short | Overview of research progress on the association of dietary potassium intake with serum potassium and survival in hemodialysis patients, does dietary potassium restriction really benefit hemodialysis patients? |
| title_sort | overview of research progress on the association of dietary potassium intake with serum potassium and survival in hemodialysis patients does dietary potassium restriction really benefit hemodialysis patients |
| topic | hemodialysis patients dietary potassium intake serum potassium dietary patterns dietary potassium restriction |
| url | https://www.frontiersin.org/articles/10.3389/fendo.2023.1285929/full |
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