Evidence map›Paper›PMID 41526893›Full record

ArticleBMC nephrology2026

Plant-based low-protein diet for preventing malnutrition‒inflammation complex syndrome in adults with CKD: a single-centre preliminary experience.

Maria Amicone, Mariastella Di Lauro, Manuela Rizzo, Tonia Di Lorenzo, Giuseppe Gigliotti, Antonio Pisani, Ivana Capuano, Nunzia Cacciapuoti, Bruna Guida, Maria Serena Lonardo

Abstract read
In one paragraph

Article in BMC nephrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
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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

10 authors.

Maria Amicone *Department of Public Health, Chair of Nephrology, Federico II University of Naples, Naples, Italy.
Mariastella Di Lauro *Physiology Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University of Naples, Naples, Italy.
Manuela RizzoAsst Ovest Milanese - Nephrology Unit, Legnano Hospital, Milan, Italy.
Tonia Di LorenzoDepartment of Public Health, Chair of Nephrology, Federico II University of Naples, Naples, Italy.
Giuseppe GigliottiDepartment Nephrology and Dialysis, Eboli Hospital, Eboli, Italy.
Antonio PisaniDepartment of Public Health, Chair of Nephrology, Federico II University of Naples, Naples, Italy.
Ivana CapuanoDepartment of Public Health, Chair of Nephrology, Federico II University of Naples, Naples, Italy.
Nunzia CacciapuotiPhysiology Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University of Naples, Naples, Italy.
Bruna GuidaPhysiology Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University of Naples, Naples, Italy.
Maria Serena LonardoPhysiology Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University of Naples, Naples, Italy. mariaserena.lonardo@unina.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic kidney disease (CKD) is a rising public health concern. Low protein intake reduces uremic toxin generation and improves the hemodynamic profile of the kidneys, postponing the need for eventual dialysis. Vegetarian diets have been shown to positively influence cardiovascular health and reduce uremic toxin levels and inflammation in CKD patients. The so-called “Malnutrition-Inflammation Complex Syndrome” (MICS) is a nontraditional cardiovascular risk factor that is associated with poor overall outcomes in CKD patients. The type of protein, not only the amount, may be relevant in the prevention of MICS, but at present no studies are published in the literature addressing this topic. The aim of our study was to evaluate the feasibility and efficacy of a plant-based diet in reducing CKD-related complications and preventing MICS.

methodsAdult subjects with CKD (3–5 stages) were retrospectively recruited. Each patient was evaluated for biochemical parameters, anthropometric measurements, body composition, and pharmacological treatments at baseline and after 6 months of dietary intervention.

resultsAfter six months of treatment, significant improvements (p < 0.05) were observed in indices of kidney function, lipid and glycemic profiles, vitamin D levels, plasma fibrinogen, anthropometric and body composition parameters, as well as muscle strength, whereas no significant changes were detected in plasma albumin levels or in the other parameters assessed. As observed in recent literature, the risk of hyperkalaemia associated with plant-based regimens in CKD patients has been set aside.

conclusionsOur preliminary study confirms the feasibility and efficacy of a plant-based diet in reducing CKD-related complications and preventing MICS.

Indexed as

Diet, Protein-RestrictedDiet, VegetarianInflammationMalnutritionRenal Insufficiency, ChronicAdultAgedDiet, Plant-BasedFemaleHumansMaleMiddle AgedRetrospective StudiesChronic kidney diseaseLow-protein dietMalnutritionMICSPEWPlant-based diet

Identifiers

PMID41526893
PMCPMC12888280

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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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.