The Role of Dietary Fibers and CKD

Do you feel:

• Edema and swelling in the ankles and the wrist?
• Muscle cramping?
• Frequent urination?
• Poor muscle endurance?
• Alternation in bowel regularity?

If you are experiencing any of these situations, then you might be experiencing chronic kidney disease.

About over 10% of the adult population suffers from CKD (chronic kidney disease), and the two leading underlying causes of the end-stage of chronic kidney disease are type 2 diabetes and hypertension. Other chronic ailments like dysbiosis of the gut microbiome, inflammation, oxidative stress, as well as environmental toxins and PPI (proton pump inhibitor). All these chronic ailments have been linked to chronic kidney disease in the body.

Chronic Kidney Disease

Chronic kidney disease is a slow and progressive loss of kidney function over several years. Also known as chronic renal failure, it much more widespread, and it often goes undetected and undiagnosed until the disease is well advanced. It is not unusual for anyone to realize they have chronic kidney failure when their kidneys are functioning only at 25% than average. As it advances and the kidney’s function is severely impaired, dangerous levels of waste and fluid can rapidly build up in the body.

Chronic kidney failure is different from acute kidney failure due to being a slow and gradually progressive disease. When the disease is fairly well advanced, the conditions are more severe than the signs and symptoms are noticeable, making most of the damage irreversible. Here are some of the most common signs and symptoms of chronic kidney disease include:

• Anemia
• Blood in urine
• Dark urine
• Edema- swollen feet, hands, ankles, and face
• Fatigue
• Hypertension
• More frequent urination, especially at night
• Muscle cramps and twitches
• Pain on the side or mid to lower back

Dietary Fibers for CKD

Researchers have investigated that the role of dietary fibers and the gut microbiome is in renal diets. When there is a dysbiosis in the gut microbiome, it can be a risk factor for the development of chronic kidney disease, thus reducing the renal function. That function will significantly contribute to dysbiosis. The current renal dietary recommendations include a reduction of protein intake with an increase in complex carbohydrates and fiber.

A systemic review did a test that included 14 controlled trials and 143 participants that had chronic kidney disease. The test demonstrated that all 143 participants had a reduction in serum creatinine and urea that is associated with dietary fiber intake, which occurs in a dose-dependent matter. These participants had an average intake of 27 grams of fiber per day in their diet. It is also an essential note that creatinine is metabolized in the intestinal bacteria in the body.

A high fiber diet can lead to the production of SCFAs (short-chain fatty acids) in the gastrointestinal tract. They play an essential role in T regulatory cell activation, which regulates the intestinal immune system. When there is dysregulation in the immune system, it can cause an increase of inflammation that may occur in chronic kidney disease. With a high fiber diet, the intake is associated with lowering the risk of inflammation and the mortality in kidney disease.

Increasing fiber intake is relatively easy with some of these high fiber foods that are both healthy and nutritious and can help individual’s that have kidney disease. These include:

• Pears
• Strawberries
• Avocados
• Apples
• Carrots
• Beets
• Broccoli
• Lentils

Research has previously demonstrated that a high fiber diet for CDK patients is characterized by the control increase of plant-origin protein and animal-origin foods. This is useful for individuals to limit the consumption of processed food products because of modern conservation processes, which has the purpose of eliminating pathogenic bacteria. People who have chronic kidney disease that go on a high fiber diet have been linked to better kidney function and lowering the risk of inflammation and mortality.

Some individuals may experience some gastrointestinal side effects when they are trying to increase their fiber intake.�Research has been stated that patients should consider resistant starches since it has shown no side effects with the recommended doses.

Conclusion

Chronic kidney disease is a slow and progressive loss of kidney function. The signs and symptoms are noticeable as the disease progress in the later stages. With a high fiber diet, individuals can lower the risk of inflammation and mortality of CDK. When this disease causes inflammation and chronic illness in the kidneys, complications can travel through the entire body. The high fiber diet can also be beneficial for the gut microbiome to function correctly, and some products can help lower the stress hormones and make sure that the body’s hypothalamic-pituitary-adrenal axis is functioning correctly.

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The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or chronic disorders of the musculoskeletal system. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 .

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References:

D�Alessandro, Claudia. �Dietary Fiber and Gut Microbiota in Renal Diets.� MDPI, Multidisciplinary Digital Publishing Institute, 9 Sept. 2019, www.mdpi.com/2072-6643/11/9/2149/htm.

Gunnars, Kris. �22 High-Fiber Foods You Should Eat.� Healthline, 10 Aug. 2018, www.healthline.com/nutrition/22-high-fiber-foods.

Jurgelewicz, Michael. �New Article Investigates the Role of Dietary Fiber and the Gut Microbiome in Chronic Kidney Disease.� Designs for Health, 13 Sept. 2019, blog.designsforhealth.com/node/1105.

Khosroshahi, H T, et al. �Effects of Fermentable High Fiber Diet Supplementation on Gut Derived and Conventional Nitrogenous Product in Patients on Maintenance Hemodialysis: a Randomized Controlled Trial.� Nutrition & Metabolism., U.S. National Library of Medicine, 12 Mar. 2019, www.ncbi.nlm.nih.gov/pubmed/?term=30911321.

Krishnamurthy, Vidya M Raj, et al. �High Dietary Fiber Intake Is Associated with Decreased Inflammation and All-Cause Mortality in Patients with Chronic Kidney Disease.� Kidney International, U.S. National Library of Medicine, Feb. 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC4704855/.

Newman, Tim. �Chronic Kidney Disease: Symptoms, Causes, and Treatment.� Medical News Today, MediLexicon International, 13 Dec. 2017, www.medicalnewstoday.com/articles/172179.php.

Staff, Mayo Clinic. �Chronic Kidney Disease.� Mayo Clinic, Mayo Foundation for Medical Education and Research, 15 Aug. 2019, www.mayoclinic.org/diseases-conditions/chronic-kidney-disease/symptoms-causes/syc-20354521.