The DOI matches its Crossref record; 95 of the 95 references it cites were found in a registry or an index.
Mediterranean diet as the diet of choice for patients with chronic kidney disease
Open accessAbstract
Traditional dietary management of chronic kidney disease (CKD) focuses on the quantity within the diet of energy and protein, and the restriction of single micronutrients, with little mention of dietary quality. Dietary patterns that are more plant-based, lower in meat (including processed meat), sodium and refined sugar, and have a higher content of grains and fibres are now included in multiple clinical guidelines for chronic disease prevention. The Mediterranean diet (MD) has been associated with reduced cardiovascular disease incidence in both observational and interventional studies. A wealth of evidence links MD with other beneficial effects on chronic diseases such as diabetes, obesity or cognitive health. This review examines each constituent of the classical MD and evaluates their suitability for the management of patients with CKD. We also evaluate the potential hyperkalaemia risk of increasing fruit and vegetable intake. Overall, a decrease in net endogenous acid production and increase in fibre may lead to a better control of metabolic acidosis. This, together with other putative favourable effects of MD on endothelial function, inflammation, lipid profile and blood pressure, provide mechanistic pathways to explain the observed reduced renal function decline and improved survival in CKD patients adhering to an MD.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Overall, MD has been shown to prevent CKD, as well as decrease renal function decline and improve survival in patients with CKD [69].”
From Mediterranean Diet and Obesity-related Disorders: What is the Evidence? (2022) · cites this paper as [69]
In the citing paper
“Also, in Mediterranean Countries, red meat and processed meats are consumed less than vegetables, fish and white meat, and this may convey a lower amount of dietary sodium, phosphate and potassium, which represent a major concern in patients with CKD due to an intrinsic risk of water-electrolyte decompensation [229].”
From Mediterranean diet nutrients to turn the tide against insulin resistance and related diseases (2020) · cites this paper as [229]
In the citing paper
“Based on these considerations, the MedDiet has been recently promoted by the European Renal Association–European Dialysis Transplant Association (ERA-EDTA) as the most appropriate choice for the nutritional management of CKD [229].”
From Mediterranean diet nutrients to turn the tide against insulin resistance and related diseases (2020) · cites this paper as [229]
In the citing paper
“However, as underlined by ERA-EDTA itself, the high consumption of fresh fruits and vegetables typical of the Mediterranean traditions and culinarian style, enhances the risk of hyperkalemia in advanced stages of CKD, so that low potassium alternatives or boiling cooking methods should be still cautiously considered when adapting the MedDiet to patients with reduced kidney function [229].”
From Mediterranean diet nutrients to turn the tide against insulin resistance and related diseases (2020) · cites this paper as [229]
Citations
Cites
1 retracted
RETRACTED: Primary Prevention of Cardiovascular Disease with a Mediterranean Diet
Estruch, R., Ros, E., Salas-Salvadó, J., Covas, M.-I., Corella, D., Arós, F., Gómez-Gracia, E., Ruiz-Gutiérrez, V., Fiol, M., Lapetra, J., et al. (2013) · New England Journal of Medicine · doi:10.1056/nejmoa1200303 · Cited by 4,257
Retractedde Lorgeril, M., Salen, P., Martin, J.-L., Monjaud, I., Delaye, J., & Mamelle, N. (1999) · Circulation · doi:10.1161/01.cir.99.6.779 · Cited by 2,910
Eckel, R. H., Jakicic, J. M., Ard, J. D., de Jesus, J. M., Miller, N. H., Hubbard, V. S., Lee, I.-M., Lichtenstein, A. H., Loria, C. M., Millen, B. E., et al. (2014) · Circulation · doi:10.1161/01.cir.0000437740.48606.d1 · Cited by 2,261
Health benefits of dietary fiber
Anderson, J. W., Baird, P., Davis Jr, R. H., Ferreri, S., Knudtson, M., Koraym, A., Waters, V., & Williams, C. L. (2009) · Nutrition Reviews · doi:10.1111/j.1753-4887.2009.00189.x · Cited by 2,239
Cholesterol-lowering effects of dietary fiber: a meta-analysis
Brown, L., Rosner, B., Willett, W. W., & Sacks, F. M. (1999) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/69.1.30 · Cited by 1,857
THE DIET AND 15-YEAR DEATH RATE IN THE SEVEN COUNTRIES STUDY
KEYS, A., MIENOTTI, A., KARVONEN, M. J., ARAVANIS, C., BLACKBURN, H., BUZINA, R., DJORDJEVIC, B. S., DONTAS, A. S., FIDANZA, F., KEYS, M. H., et al. (1986) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a114480 · Cited by 1,790
Ludwig (2002) · doi:10.1001/jama.287.18.2414 · Cited by 1,775
Sofi, F., Abbate, R., Gensini, G. F., & Casini, A. (2010) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.2010.29673 · Cited by 1,605
Definition of the Mediterranean Diet; A Literature Review
Davis, C. R., Bryan, J., Hodgson, J. M., & Murphy, K. J. (2015) · Nutrients · doi:10.3390/nu7115459 · Cited by 1,272
2013 AHA/ACC Guideline on Lifestyle Management to Reduce Cardiovascular Risk
Eckel, R. H., Jakicic, J. M., Ard, J. D., de Jesus, J. M., Houston Miller, N., Hubbard, V. S., Lee, I.-M., Lichtenstein, A. H., Loria, C. M., Millen, B. E., et al. (2014) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2013.11.003 · Cited by 1,160
Flagged first, then by citations
Cited by
Sorted by citations
Items 101–165 of 165
UMOD and you! Explaining a rare disease diagnosis
Mabillard, H. R., Olinger, E. G., & Sayer, J. A. (2022) · Journal of Rare Diseases · doi:10.1007/s44162-022-00005-4 · Cited by 5
Radić, J., Kolak, E., Vučković, M., Gelemanović, A., Đogaš, H., Nenadić, D. B., & Radić, M. (2023) · Nutrients · doi:10.3390/nu15092045 · Cited by 4
Trevisani, F., Laurenti, F., Fiorio, F., Paccagnella, M., Floris, M., Umberto Capitanio, A., Ghidini, M., Garrone, O., Abbona, A., Salonia, A., et al. (2024) · Nutrients · doi:10.3390/nu16091386 · Cited by 4
Lockwood, M. B., Sung, C., Alvernaz, S. A., Lee, J. R., Chin, J. L., Nayebpour, M., Bernabé, B. P., Tussing-Humphreys, L. M., Li, H., Spaggiari, M., et al. (2024) · Biological Research For Nursing · doi:10.1177/10998004241256031 · Cited by 4
Exercise, Dialysis, and Environment: A Narrative Review in an Ecological Perspective
Piva, G., Storari, A., Battaglia, Y., Manfredini, F., & Lamberti, N. (2024) · Kidney & Blood Pressure Research · doi:10.1159/000540910 · Cited by 6
Optimizing care for chronic kidney disease: Considerations from A to Z
Chen, F.-Y., Chang, W., Kao, Z.-K., Tan, A. C., Li, S., Yang, C.-Y., Lin, H., & Lin, C.-C. (2025) · Journal of the Chinese Medical Association · doi:10.1097/jcma.0000000000001280 · Cited by 4
Mauri, A. D., Carrera, D., Vidali, M., Bagnati, M., Rolla, R., Riso, S., Chiarinotti, D., & Torreggiani, M. (2022) · Nutrients · doi:10.3390/nu14091687 · Cited by 4
Association between ultrapocessed food and chronic kidney disease
Arnal, L. M. L., Vercet, A., Muñoz, A. C., Villarroya, C. M., Calvo, E. L., Navarro, P. M., & París, A. S. (2021) · Nefrología (English Edition) · doi:10.1016/j.nefroe.2021.11.013 · Cited by 5
Akbulut, U. E., Işık, İ. A., Atalay, A., & Topal, İ. (2021) · Eastern Mediterranean Health Journal · doi:10.26719/2021.27.6.587 · Cited by 4
Hydroxytyrosol affects antioxidant Nrf2 expression in the kidneys of diabetic rats
Soylu, H., & Karaçor, K. (2024) · Northwestern Medical Journal · doi:10.54307/2024.nwmj.111 · Cited by 3
Radić, J., Bečić, T., Vučković, M., Jukić, I., Vuković, J., Fabijanić, D., & Radić, M. (2026) · Nutrients · doi:10.3390/nu18091451 · Cited by 3
Wilmsen, N., Pijl, H., Geerlings, W., & Navis, G. J. (2022) · BMJ Nutrition Prevention & Health · doi:10.1136/bmjnph-2021-000397 · Cited by 3
Chen, Z., Wu, S., Huang, L., Li, J., Li, X., Zeng, Y., Chen, Z., & Chen, M. (2024) · Heliyon · doi:10.1016/j.heliyon.2024.e24987 · Cited by 3
Progressionshemmung bei chronischen Nierenerkrankungen
Saritas, T., & Floege, J. (2023) · Die Innere Medizin · doi:10.1007/s00108-023-01482-5 · Cited by 3
Revamping the ‘renal’ diet: using foods to control phosphorus physiology
Scialla, J. J., & Lin, P. (2019) · Nephrology Dialysis Transplantation · doi:10.1093/ndt/gfz019 · Cited by 3
Nutritional Disorders in Chronic Kidney Disease
Molina, P., Vizcaíno, B., Huarte, E., Pallardó, L., & Carrero, J. J. (2022) · Wiley eBooks · doi:10.1002/9781119105954.ch37 · Cited by 3
Self-citationDietary (Poly)phenols in the Management of Chronic Kidney Disease: A Narrative Review
Lobene, A. J., Biruete, A., Mirmohammadali, S. N., Ellis, L. M., & Cladis, D. P. (2025) · Dietetics · doi:10.3390/dietetics4040051 · Cited by 2
Rethinking Potassium Management in Chronic Kidney Disease—A Modern Approach
Kog, Z. X., Lee, I. W. Z., & Teh, S. P. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14248917 · Cited by 2
Progressionsverlangsamung – Rolle von Ernährung und Flüssigkeitszufuhr
Kuhlmann, M. K., Fleig, S. V., Radermacher, J., & Contzen, B. (2021) · Der Nephrologe · doi:10.1007/s11560-021-00539-6 · Cited by 2
Palma, P. L., Sessa, A. D., Passaro, A. P., Palladino, E., Furcolo, G., Barlabà, A., Rivetti, G., Lucia, M. D., del Giudice, E. M., Guarino, S., et al. (2023) · Children · doi:10.3390/children10010123 · Cited by 2
Epidemiologia, alterações metabólicas e recomendações nutricionais na Doença Renal Crônica (DRC)
Fernandes, H. M. A., Duarte, H. A., de Lima, A. K. Q., Barbosa, E. D. S., Rodrigues, F. D. O., Lopes, G. C. B., da Rocha, Y. M., & de Oliveira, R. G. (2023) · doi:10.58203/licuri.202735 · Cited by 2
Cesur, F. (2024) · İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi · doi:10.38079/igusabder.1344041 · Cited by 2
Pan, W., & Feng, J. (2025) · BMC Nephrology · doi:10.1186/s12882-025-04052-z · Cited by 2
Nutritional management of chronic kidney disease in children: a best evidence summary
Luo, D., Liu, L., Zhang, S., Guan, Y., & He, J. (2025) · International Urology and Nephrology · doi:10.1007/s11255-025-04802-w · Cited by 2
Vasconcelos, M. I. L., Fernandes, H. M. A., Barbosa, E. D. S., Grangeiro, R. F. D. O., de Sena, D. B. G., Lopes, V. C. B., Sandes, M. D. O., de Sousa, L. S., de Oliveira, R. G., Tabosa, V. L., et al. (2021) · Research Society and Development · doi:10.33448/rsd-v10i6.15891 · Cited by 2
Effects of nutritional status and changes in nutrient intake on renal function
Narasaki, Y., & Rhee, C. M. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-818540-7.00025-2 · Cited by 2
Huang, L., Luo, X., & Chen, M. (2022) · Medicine · doi:10.1097/md.0000000000028847 · Cited by 2
Mise à jour des recommandations nutritionnelles dans la maladie rénale chronique
Prezelin‐Reydit, M., Chauveau, P., Pfirmann, P., Combe, C., Lasseur, C., & Fouque, D. P. (2022) · Cahiers de Nutrition et de Diététique · doi:10.1016/j.cnd.2022.06.001 · Cited by 3
Self-citationMini-review: dietary influency and nutritional treatment in nephrolithiasis
Oliveira, M. C. L., & de Góes, C. R. (2022) · Nutrire · doi:10.1186/s41110-022-00165-9 · Cited by 1
Estimating glycemic index in a specific dataset: The case of Moroccan cuisine
Mansouri, M., Chaouni, S. B., Andaloussi, S. J., Ouchetto, O., & Azbeg, K. (2025) · Journal of Intelligent Systems · doi:10.1515/jisys-2024-0122 · Cited by 1
Indicators of Nutritional Health of Patients on Haemodialysis
Raggo, R. V., Morley, S., & Utter, J. (2025) · Journal of Renal Care · doi:10.1111/jorc.70034 · Cited by 1
Antioxidants and kidney diseases
Jorge, R. J. B., Marinho, A. D., Silveira, J. A. D. M., Ramos, M. M. V., Braga, J. R. M., Alves, R. D. S., Júnior, F. A. N., Vasconcelos, M. D. S., Sanches-Silva, A. T., Nabavi, S. M., et al. (2022) · Elsevier eBooks · doi:10.1016/b978-0-12-819096-8.00059-8 · Cited by 1
Adherence to Mediterranean Diet in Individuals on Renal Replacement Therapy
Falbo, E., Porchetti, G., Conte, C., & Tarsitano, M. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20054040 · Cited by 1
Emperor’s syndrome in the COVID-19 era: Time for patient-centered nephrology?
Bacharaki, D., & Diamandopoulos, A. A. (2021) · World Journal of Nephrology · doi:10.5527/wjn.v10.i1.1 · Cited by 1
Metabolic and nutritional responses to acidemia and alkalemia
Apata, I. W., Bailey, J. L., & Franch, H. A. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-818540-7.00014-8 · Cited by 1
Physical Activity and Nutrition in Chronic Kidney Disease
Waters, H., & Werstuck, M. M. (2022) · Springer eBooks · doi:10.1007/978-3-030-84740-1_19 · Cited by 2
Alimentation végétarienne, méditerranéenne et maladies rénales chroniques
Bakis, H., Lasseur, C., Pfirmann, P., Combe, C., & Chauveau, P. (2022) · Cahiers de Nutrition et de Diététique · doi:10.1016/j.cnd.2022.02.005 · Cited by 1
Self-citationAlteration of Glycaemic Balance due to Chronic Kidney Disease
Mácsai, E. (2019) · EMJ Nephrology · doi:10.33590/emjnephrol/10313615 · Cited by 1
Engel, B., & Pugh, P. (2024) · doi:10.1002/9781394178797.ch12 · Cited by 1
Nutrition in the Elderly with Renal Disease
Bellizzi, V., Aucella, F., Calella, P., Chauveau, P., Johansson, L., & Teta, D. (2019) · Springer eBooks · doi:10.1007/978-3-030-18711-8_15
Self-citationVerminderung des kardiovaskulären Risikos an der Hämo- und Peritonealdialyse
Braunisch, M. C., Contzen, B., & Küchle, C. (2019) · Dialyse aktuell · doi:10.1055/a-0969-0477
Harvey, K. S. (2020) · Springer eBooks · doi:10.1007/978-3-030-44858-5_14
Diabetische Nephropathie und Ernährung: Professionelle Beratung und Begleitung sind unerlässlich
von Herz, U. (2018) · Deutsches Ärzteblatt · doi:10.3238/persdia.2018.10.12.05
Biruete, A., & Kistler, B. M. (2020) · Springer eBooks · doi:10.1007/978-3-030-44858-5_10
Dietary management of electrolytes in chronic kidney disease
Gowda, N., Swamy, S., & Hynes, M. (2021) · Journal of Kidney Care · doi:10.12968/jokc.2021.6.6.266
Salim, A. N., Chan, Y. M., Chin, Y. S., Ahmad, N., Yusof, B. N. M., & Waly, M. I. (2022) · Malaysian Journal of Medicine and Health Sciences · doi:10.47836//mjmhs18.4.27
Restoring Eubiosis in Intestinal Microbiota as a Therapeutic Strategy for Chronic Kidney Disease
Tiburcio, Á. Z. (2022) · Gastroenterology Medicine & Research · doi:10.31031/gmr.2022.06.000644
Redefying the therapeutic strategies against cardiorenal morbidity and mortality: Patient phenotypes
Bacharaki, D., Petrakis, I., & Stylianou, K. (2023) · World Journal of Cardiology · doi:10.4330/wjc.v15.i3.76
Estudos multidisciplinares em Ciências da Saúde
de Oliveira, H. C. (2023) · doi:10.58203/licuri.20273
Zhai, Y., Hu, F., Yuan, L., Cao, Y., Ye, X., Xue, C., & Xu, F. (2025) · Nutrition · doi:10.1016/j.nut.2025.112766
Lifestyle Medicine Research and Implementation in Chronic Kidney Disease
Alexander, S., Gollie, J. M., Gillespie, B. W., & Vassalotti, J. A. (2025) · Springer eBooks · doi:10.1007/978-3-031-82888-1_9
Manisha, M., Elamurugan, A., Nishvanth, F., Pavithra, N., Nivetha, S., Singh, A., Harikrishnan, N., & Ankul Singh, S. (2025) · Obesity Medicine · doi:10.1016/j.obmed.2025.100636
Rahman, M., Karim, M. A., & Mahmud, H. (2023) · Interdisciplinary Research in Medical Sciences Specialty · doi:10.51847/t1gcnyfcq3
Approach to Hyperkalemia: The Role of Diet and Pharmacological Therapies
Biruete, A., & Fried, L. F. (2026) · American Journal of Kidney Diseases · doi:10.1053/j.ajkd.2026.03.048 · Cited by 1
Cinar, D., Altınöz, E., Başak, F., Kuşat, T., Biçer, Y., & Üğe, M. (2026) · Tissue and Cell · doi:10.1016/j.tice.2026.103796
Wang, W.-R., Tu, I.-T., Lin, W.-R., Wang, M., Liu, K.-H., Chen, H.-L., & Su, H.-J. (2026) · Journal of Hazardous Materials Advances · doi:10.1016/j.hazadv.2026.101509
Mediterranean diet and its relationship with oral pathology
Cousiñoa, D. S., Egido‐Moreno, S., González-Navarro, B., López‐Sánchez, A. F., Fernández-Farhall, J., Rodríguez-Molinero, J., & López‐López, J. (2026) · Acta Odontologica Scandinavica · doi:10.2340/aos.v85.46815
Zhang, F., & Huang, L. (2026) · Journal of Renal Nutrition · doi:10.1053/j.jrn.2026.08.011
Mercurio, G., Giacco, A., Scopigno, N., Vigliotti, M., Petito, G., Moreno, M., Cioffi, F., & Silvestri, E. (2026) · The journal of nutrition health & aging · doi:10.1016/j.jnha.2026.100987
Nutritional strategies in kidney transplantation: optimising outcomes beyond surgery
Caldiroli, L., Molinari, P., Vettoretti, S., Regalia, A. L., Verdesca, S., Castellano, G., Gallieni, M. A., & Alfieri, C. (2026) · Transplant International · doi:10.3389/ti.2026.16322
Wang, A. Y.-M., Avesani, C. M., Kariyawasam, D., Lambert, K., Nash, C., Nerbass, F. B., Sabatino, A., Alobaidi, A., Naraine, S. D., Chan, M., et al. (2026) · Journal of Renal Nutrition · doi:10.1053/j.jrn.2026.08.002
Wang, A. Y.-M., Avesani, C. M., Kariyawasam, D., Lambert, K., Nash, C., Nerbass, F. B., Sabatino, A., Alobaidi, A., Naraine, S. D., Chan, M., et al. (2026) · Peritoneal Dialysis International · doi:10.1177/08968608261458140
Dhiman, C., Kumar, A., & Narayan, K. P. (2026) · Comprehensive physiology · doi:10.1002/cph4.70273
Metadata
- Authors
- Chauveau, P., Aparicio, M., Bellizzi, V., Campbell, K., Hong, X., Johansson, L., Kolko, A., Molina, P., Sezer, S., Wanner, C., ter Wee, P. M., Teta, D., Fouque, D., Carrero, J. J., & European Renal Nutrition (ERN) Working Group of the European Renal Association–European Dialysis Transplant Association (ERA-EDTA)
- Affiliations
- Centre Hospitalier Universitaire de Bordeaux (FR)
- AOU San Giovanni di Dio e Ruggi d'Aragona (IT)
- Bond University (AU)
- Division of Renal Medicine, CLINTEC and Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
- Imperial College Healthcare NHS Trust (GB)
- Association pour l'Utilisation du Rein Artificiel (FR)
- Hospital Universitario Doctor Peset (ES)
- Başkent University Hospital (TR)
- Universitätsklinikum Würzburg (DE)
- Department of Nephrology, VUmc, Amsterdam, The Netherlands
- Centre Hospitalier Universitaire Vaudois (CH)
- Lyon 1 Université (FR)
- Karolinska Institutet (SE)
- Corresponding author
- Chauveau, Philippe
- ORCID
- Venue
- Nephrology Dialysis Transplantation
- Publisher
- Oxford University Press (OUP)
- Published
- 2017-07-02
- Volume
- 33
- Issue
- 5
- Pages
- 725-735
- ISSN
- 0931-0509 (ISSN-L)
- 1460-2385
- OpenAlex
- W2731177409
- Cited by
- 165
- References
- 95
- Citations by year
- 2026: 13 · 2025: 16 · 2024: 16 · 2023: 22 · 2022: 31 · 2021: 33 · 2020: 15 · 2019: 15 · 2018: 4
- FWCI
- 1.51
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Nephrology Dialysis Transplantation (publishedVersion)
- PubMed (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion, other-oa)
- Bond University Research Portal (Bond University) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- HAL (submittedVersion)
- IRIS (submittedVersion)
- Pure Amsterdam UMC (submittedVersion, cc-by)
- Griffith Research Online (submittedVersion)
- SERVAL (Université de Lausanne) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Nephrology › Dialysis and Renal Disease Management
- Health Sciences › Medicine › Nephrology › Chronic Kidney Disease and Diabetes
- Keywords
- Mediterranean diet, chronic kidney disease, diet quality, plant-based diet, dietary fiber, metabolic acidosis, hyperkalemia, fruit and vegetable intake, cardiovascular disease, endothelial function, inflammation, blood pressure, renal function decline, protein intake
- MeSH terms
- Cardiovascular Diseases, Humans, Prognosis, Diet, Mediterranean, Renal Insufficiency, Chronic
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
