3.8 Review

Renal health benefits of sustainable diets in Japan: a review

Journal

RENAL REPLACEMENT THERAPY
Volume 8, Issue 1, Pages -

Publisher

BMC
DOI: 10.1186/s41100-022-00415-6

Keywords

Chronic kidney disease; Sustainability; Life cycle assessment

Funding

  1. Japan Society for the Promotion of Science [18KK0431, 19K17729]
  2. Japanese Association of Dialysis Physicians [2019-1]
  3. Grants-in-Aid for Scientific Research [19K17729, 18KK0431] Funding Source: KAKEN

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Global warming may lead to reduced food production and unhealthy dietary habits, which could contribute to the development of chronic kidney disease. Adopting diets such as plant-based and low-protein diets can not only prevent the progression of kidney disease, but also have environmental benefits. Traditional Japanese diets, such as washoku and the Okinawa diet, have been proposed as potential solutions, but modifications are needed to suit modern lifestyles.
Global warming may reduce food production and force people to adopt dietary habits of inadequate quantity or quality. Such dietary habits could trigger chronic kidney disease through inappropriate nutrition or lifestyle diseases. Livestock farming and other types of food production are responsible for many greenhouse gases. These problems are being emphasized as a diet-environment-health trilemma to be addressed on a global scale, with various methods being proposed toward its resolution. Diets like plant-based and low-protein diets not only potentially prevent the progression of chronic kidney disease, but are also rational from an environmental preservation perspective. Evidence from Japan on resolutions for this trilemma is sparse, but one concrete proposal is the use of traditional Japanese diets like washoku, the Okinawa diet, and the traditional Buddhist diet. However, traditional Japanese diets also have several problems, such as excessive salt content and caloric deficiencies, and need to be modified and incorporated into the current lifestyle. The progression of chronic kidney disease needs to be prevented with appropriate dietary treatment and environmental friendly manner.

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