Moderate stepwise restriction of potassium intake to reduce risk of hyperkalemia in chronic kidney disease:A literature review  

作　　者：Ali AlSahow 

机构地区：[1]Department of Nephrology,Jahra Hospital,Jahra 00004,Kuwait

出　　处：《World Journal of Nephrology》2023年第4期73-81,共9页世界肾病学杂志（英文版）

摘　　要：A potassium-rich diet has several cardiovascular and renal health benefits;however,it is not recommended for patients with advanced chronic kidney disease or end-stage kidney disease because of the risk of life-threatening hyperkalemia.To assess the strength of evidence supporting potassium intake restriction in chronic kidney disease,the medical literature was searched looking for the current recommended approach and for evidence in support for such an approach.There is a lack of strong evidence supporting intense restriction of dietary potassium intake.There are several ways to reduce potassium intake without depriving the patient from fruits and vegetables,such as identifying hidden sources of potassium(processed food and preservatives)and soaking or boiling food to remove potassium.An individualized and gradual reduction of dietary potassium intake in people at risk of hyperkalemia is recommended.The current potassium dietary advice in chronic kidney disease needs to be reevaluated,individualized,and gradually introduced.

关 键 词：Chronic kidney disease Potassium intake Plant-based diet HYPERKALEMIA Potassium removal 

分 类 号：R69[医药卫生—泌尿科学]