Why the DASH and Mediterranean diets do not work for patients on dialysis

[Healio, 12/3/18] Patients on hemodialysis experience a high mortality risk of 10% to 20%. This is at least 10-times higher than in the general population. There have been decades of research, but no high-quality evidence that specific treatments or preventative strategies can reduce mortality in this setting.1-4

There are multitudes of weight loss diets and programs emerging all the time. On Jan. 3, 2018, the dietary approaches to stop hypertension, or DASH diet, was ranked the best diet for the eighth year in a row by U.S. News & World Report. It looks easy to follow. It is designed to lower blood pressure, promotes weight loss, lowers cholesterol and helps manage and/or prevent diabetes. However, is it a good diet for patients on dialysis?

Interestingly, the National Kidney Foundation tells us that the DASH diet is a recognized treatment for hypertension, heart disease and kidney disease. It can slow the progression of both heart disease and kidney disease. However, the NKF warns the DASH diet should not be used by people on dialysis because individuals on dialysis have special dietary needs that should be discussed with a registered dietitian (preferably a renal dietitian)…….

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