Consumption of Fish in Chronic Kidney Disease - A Matter of Depth

被引:6
作者
Mafra, Denise [1 ,2 ,3 ]
Kemp, Julie A. [2 ]
Leal, Viviane de O. [4 ]
Cardozo, Ludmila [2 ,5 ]
Borges, Natalia A. [5 ,6 ]
Alvarenga, Livia [1 ,2 ]
Teixeira, Karla T. R. [1 ]
Stenvinkel, Peter [7 ]
机构
[1] Fed Fluminense Univ, Grad Program Med Sci, Niteroi, RJ, Brazil
[2] Fluminense Fed Univ UFF, Grad Program Nutr Sci, Niteroi, RJ, Brazil
[3] Fed Univ Rio de Janeiro UFRJ, Grad Program Biol Sci Physiol, Rio De Janeiro, Brazil
[4] State Rio de Janeiro Univ UERJ, Pedro Ernesto Univ Hosp, Div Nutr, Rio De Janeiro, Brazil
[5] Fluminense Fed Univ UFF, Grad Program Cardiovasc Sci, Niteroi, RJ, Brazil
[6] State Rio de Janeiro Univ UERJ, Inst Nutr, Rio De Janeiro, Brazil
[7] Karolinska Inst, Dept Clin Sci Technol & Intervent, Div Renal Med & Baxter Novum, Stockholm, Sweden
关键词
chronic kidney disease; fish; gut microbiota; trimethylamine N-oxide; TRIMETHYLAMINE-N-OXIDE; POLYUNSATURATED FATTY-ACIDS; GUT MICROBIOTA; CARDIOVASCULAR-DISEASE; RISK; TMAO; METAANALYSIS; ACCUMULATION; PLASMA; CONTRIBUTES;
D O I
10.1002/mnfr.202200859
中图分类号
TS2 [食品工业];
学科分类号
0832 ;
摘要
Fish is an excellent source of omega-3 polyunsaturated fatty acids (PUFAs), amino acids, collagen, vitamins, and iodine and its intake is associated with health benefits, mainly reduces risk of cardiovascular mortality. However, recent studies have shown that fish is also an important source of trimethylamine N-oxide (TMAO), a uremic toxin produced by the gut microbiota that promotes an increased risk of cardiovascular diseases. In patients with chronic kidney disease (CKD), TMAO levels are markedly increased due to gut dysbiosis and reduced kidney function. No study has yet evaluated the effects of a fish-rich diet on TMAO plasma levels and cardiovascular outcomes. This review discusses the pros and cons of a fish-rich diet in patients with CKD - a matter of depth.
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页数:12
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