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Acceptability of Plant-Based Diets for People with Chronic Kidney Disease: Perspectives of Renal Dietitians

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 st...

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Autores principales: Stanford, Jordan, Zuck, Mikaela, Stefoska-Needham, Anita, Charlton, Karen, Lambert, Kelly
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8747619/
https://www.ncbi.nlm.nih.gov/pubmed/35011091
http://dx.doi.org/10.3390/nu14010216
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author Stanford, Jordan
Zuck, Mikaela
Stefoska-Needham, Anita
Charlton, Karen
Lambert, Kelly
author_facet Stanford, Jordan
Zuck, Mikaela
Stefoska-Needham, Anita
Charlton, Karen
Lambert, Kelly
author_sort Stanford, Jordan
collection PubMed
description 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 (n = 35) or an in-depth interview (n = 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.
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spelling pubmed-87476192022-01-11 Acceptability of Plant-Based Diets for People with Chronic Kidney Disease: Perspectives of Renal Dietitians Stanford, Jordan Zuck, Mikaela Stefoska-Needham, Anita Charlton, Karen Lambert, Kelly Nutrients Article 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 (n = 35) or an in-depth interview (n = 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. MDPI 2022-01-04 /pmc/articles/PMC8747619/ /pubmed/35011091 http://dx.doi.org/10.3390/nu14010216 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Stanford, Jordan
Zuck, Mikaela
Stefoska-Needham, Anita
Charlton, Karen
Lambert, Kelly
Acceptability of Plant-Based Diets for People with Chronic Kidney Disease: Perspectives of Renal Dietitians
title Acceptability of Plant-Based Diets for People with Chronic Kidney Disease: Perspectives of Renal Dietitians
title_full Acceptability of Plant-Based Diets for People with Chronic Kidney Disease: Perspectives of Renal Dietitians
title_fullStr Acceptability of Plant-Based Diets for People with Chronic Kidney Disease: Perspectives of Renal Dietitians
title_full_unstemmed Acceptability of Plant-Based Diets for People with Chronic Kidney Disease: Perspectives of Renal Dietitians
title_short Acceptability of Plant-Based Diets for People with Chronic Kidney Disease: Perspectives of Renal Dietitians
title_sort acceptability of plant-based diets for people with chronic kidney disease: perspectives of renal dietitians
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8747619/
https://www.ncbi.nlm.nih.gov/pubmed/35011091
http://dx.doi.org/10.3390/nu14010216
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