Evidence map›Paper›PMID 32963366›Full record

ReviewNature reviews. Nephrology2021

Food as medicine: targeting the uraemic phenotype in chronic kidney disease.

Denise Mafra, Natalia A Borges, Bengt Lindholm, Paul G Shiels, Pieter Evenepoel, Peter Stenvinkel

Open access · greenAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 106 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
106citing papers in PubMed, 1 pooled it
15.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

106 citing papers in PubMed, 1 synthesis or guideline pooled it, 218 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Review
  8. Chronic Kidney Disease and Cellular Senescence.International journal of molecular sciences · 2026
    Review
  9. Article
  10. Review
  11. Review
  12. A guide to uraemic toxicity.Nature reviews. Nephrology · 2026
    Review
  13. Review
  14. Review
  15. Article
  16. Effects of the Brazilian Native Fruit Jaboticaba (Foods (Basel, Switzerland) · 2025
    Article
  17. Review
  18. Food science & nutrition · 2025
    Article
  19. Article
  20. Review

46 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 4 countries.

Denise MafraPost Graduation Program in Medical Sciences and Post-Graduation Program in Cardiovascular Sciences, (UFF), Federal Fluminense University Niterói-Rio de Janeiro (RJ), Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0000-0001-6752-6056
Natalia A BorgesInstitute of Nutrition, Rio de Janeiro State University (UERJ), Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0000-0003-0898-5118
Bengt LindholmDivision of Renal Medicine and Baxter Novum, Department of Clinical Science, Technology and Intervention, Karolinska Instituted, Stockholm, Sweden.ORCID http://orcid.org/0000-0003-4269-4293
Paul G ShielsWolfson Wohl Translational Research Centre, University of Glasgow, Glasgow, UK.
Pieter EvenepoelKU Leuven Department of Microbiology and Immunology, Laboratory of Nephrology; University Hospitals Leuven, Department of Nephrology, Leuven, Belgium.ORCID http://orcid.org/0000-0002-0797-4321
Peter StenvinkelDivision of Renal Medicine and Baxter Novum, Department of Clinical Science, Technology and Intervention, Karolinska Instituted, Stockholm, Sweden. peter.stenvinkel@ki.se.ORCID http://orcid.org/0000-0002-8785-4820
Karolinska Institutet · SEKU Leuven · BEUniversidade do Estado do Rio de Janeiro · BRUniversidade Federal Fluminense · BRUniversity of Glasgow · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The observation that unhealthy diets (those that are low in whole grains, fruits and vegetables, and high in sugar, salt, saturated fat and ultra-processed foods) are a major risk factor for poor health outcomes has boosted interest in the concept of 'food as medicine'. This concept is especially relevant to metabolic diseases, such as chronic kidney disease (CKD), in which dietary approaches are already used to ameliorate metabolic and nutritional complications. Increased awareness that toxic uraemic metabolites originate not only from intermediary metabolism but also from gut microbial metabolism, which is directly influenced by diet, has fuelled interest in the potential of 'food as medicine' approaches in CKD beyond the current strategies of protein, sodium and phosphate restriction. Bioactive nutrients can alter the composition and metabolism of the microbiota, act as modulators of transcription factors involved in inflammation and oxidative stress, mitigate mitochondrial dysfunction, act as senolytics and impact the epigenome by altering one-carbon metabolism. As gut dysbiosis, inflammation, oxidative stress, mitochondrial dysfunction, premature ageing and epigenetic changes are common features of CKD, these findings suggest that tailored, healthy diets that include bioactive nutrients as part of the foodome could potentially be used to prevent and treat CKD and its complications.

Indexed as

Diet, HealthyDisease ProgressionHumansPhenotypeRenal Insufficiency, ChronicUremia

Identifiers

PMID32963366
OpenAlexW3088426205

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.