University of Central Florida HCA Healthcare GME, Greater Orlando, Florida, USA.
Department of Internal Medicine, University of Central Florida College of Medicine, Orlando, Florida, USA.
Nutr Rev. 2024 Mar 11;82(4):570-571. doi: 10.1093/nutrit/nuad070.
This Letter to the Editor is a response to St-Jules and Fouque and their interpretation of postprandial hyperkalemia, especially regarding plant-based diets. Based on the reviewed literature review, potassium kinetic studies cited by the authors include only 1 study with a food-based intervention that actually showed reduced postprandial hyperkalemia with plant-based diets. The remainder of the studies used potassium salts or supplements that behave differently compared with whole plant foods. As such, we recommend avoiding restriction of whole plant foods in patients with chronic kidney disease when solely based on the theoretical risk of postprandial hyperkalemia.
这封给编辑的信是对 St-Jules 和 Fouque 及其对餐后高钾血症的解释，特别是对植物性饮食的解释的回应。基于综述文献的回顾，作者引用的钾动力学研究仅包括一项基于食物干预的研究，该研究实际上表明植物性饮食可降低餐后高钾血症。其余的研究使用的是钾盐或补充剂，其行为与全植物食品不同。因此，我们建议在仅基于餐后高钾血症的理论风险的情况下，避免限制慢性肾脏病患者食用全植物食品。
