Frontiers in Nutrition · 2 authors, 3 centres
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This editorial synthesizes research on the complex interplay between obesity, diet, and chronic kidney disease (CKD), highlighting that nutritional management must consider factors beyond body mass index (BMI), such as diet inflammation, specific nutrient intake, and body composition.
One study found a pro-inflammatory diet, measured by the energy-adjusted dietary inflammatory index (E-DII), was associated with increased 5-year mortality in the general population, an association stronger in those with CKD stages 3-5. Another study reported excess dietary selenium was linked to higher microalbuminuria risk in females with obesity. A cross-sectional study identified an association between the triglycerides to HDL-cholesterol (TG/HDL-C) ratio and CKD and cardiovascular risk factors. The editorial concludes that a comprehensive assessment of patients with CKD, including body composition and dietary factors, is necessary for effective nutritional management.
