School of Medicine, Faculty of Science, Medicine and Health, University of Wollongong, Northfields Ave, Wollongong, NSW 2522, Australia.
Illawarra Health and Medical Research Institute, Wollongong, NSW 2522, Australia.
Nutrients. 2022 Jan 4;14(1):216. doi: 10.3390/nu14010216.
The purpose of this study was to explore the perspective of renal dietitians regarding plant-based diets for chronic kidney disease (CKD) management and evaluate the acceptability of a hypothetical plant-based dietary prescription aiming for the consumption of 30 unique plant foods per week. This study used an exploratory mixed methods design. Forty-six renal dietitians participated in either an online survey ( = 35) or an in-depth interview ( = 11). Dietitians perceived that plant-based diets could address multiple clinical concerns relevant to CKD. Forty percent of survey respondents reported the hypothetical dietary prescription was realistic for people with CKD, 34.3% were unsure, and 25.7% perceived it as unrealistic. Strengths of the hypothetical prescription included shifting the focus to whole foods and using practical resources like recipes. Limited staffing, time, and follow-up opportunities with patients, as well as differing nutrition philosophies were the most commonly reported challenges to implementation; while a supportive multidisciplinary team was identified as an important enabler. To increase patient acceptance of plant-based dietary approaches, education about plant food benefits was recommended, as was implementing small, incremental dietary changes. Successful implementation of plant-based diets is perceived to require frequent patient contact and ongoing education and support by a dietitian. Buy-in from the multidisciplinary team was also considered imperative.
本研究旨在探讨肾脏营养师对植物性饮食用于慢性肾脏病（CKD）管理的看法，并评估每周食用 30 种不同植物性食物的假设植物性饮食处方的可接受性。本研究采用了探索性混合方法设计。46 名肾脏营养师参与了在线调查（n=35）或深入访谈（n=11）。营养师认为植物性饮食可以解决与 CKD 相关的多种临床问题。40%的调查受访者认为该假设饮食处方对 CKD 患者来说是现实的，34.3%的人不确定，25.7%的人认为这是不现实的。该假设处方的优点包括将重点转移到全食物上，并使用食谱等实用资源。实施过程中最常报告的挑战包括人员配备有限、时间有限、随访机会有限以及营养理念不同；而一个支持性的多学科团队被认为是一个重要的促成因素。为了提高患者对植物性饮食方法的接受度，建议进行植物性食物益处的教育，并实施小的、渐进的饮食改变。人们认为，成功实施植物性饮食需要营养师频繁接触患者，并提供持续的教育和支持。多学科团队的认可也被认为是至关重要的。
