Skip to main content
SpringerLink
Log in

Dietary fiber in conservative management of chronic renal failure

  • Editorial Commentary
  • Published:
Pediatric Nephrology Aims and scope Submit manuscript

Abstract

Conservative management of chronic renal failure has included a variety of dietary manipulations. Supplementation of dietary fiber to reduce adverse symptoms is a novel approach, but whether it can make an effective clinical impact is yet undetermined. This commentary accompanies a brief report of improved well-being during fiber supplementation. It explains some of the background thinking and early trials of fiber supplementation in chronic renal failure patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

References

  1. Stephen AM, Cummings JH (1980) Mechanism of action of dietary fiber in the human colon. Nature 284:283–284

    CAS  PubMed  Google Scholar 

  2. Stephen AM, Haddad AC, Phillips SF (1983) The effect of lactulose and dietary fibre on colonic metabolism of nitrogen. Gastroenterology 84:1323

    Google Scholar 

  3. Weber FL, Minco D, Fresard KM, Banwell JG (1985) Effects of vegetable diets on nitrogen metabolism in cirrhotic subjects. Gastroenterology 89:538–544

    CAS  PubMed  Google Scholar 

  4. Weber FL (1979) The effect of lactulose on urea metabolism and nitrogen excretion in cirrhotic patients. Gastroenterology 77:518–523

    PubMed  Google Scholar 

  5. Yatzidis H, Koutsicos D, Digenis P (1980) Oral locust bean gum therapy of uremia: favorable effect on biological abnormalities and hypertension. Dial Transplant 9:313–317

    Google Scholar 

  6. Rampton DS, Cohen SL, Crammond V, Gibbons J, Lilburn MF, Rabet JY, Vince AJ, Wager JD, Wrong OM (1984) Treatment of chronic renal failure with dietary fiber. Clin Nephrol 21:159–163

    CAS  PubMed  Google Scholar 

  7. Bliss DZ, Stein TP, Schleifer C, Settle RG (1996) Supplementation with Gum arabic fiber increases fecal nitrogen excretion and lowers serum urea nitrogen concentration in chronic renal failure patients on a low protein diet. Am J Clin Nutr 63:392–398

    CAS  PubMed  Google Scholar 

  8. Weber FL, Veach GL (1979) The importance of the small intestine in gut ammonium production in the fasting dog. Gastroenterology 77:235–240

    PubMed  Google Scholar 

  9. Hansen BA, Vilstrup H (1985) Increased intestinal hydrolysis of urea in patients with alcoholic cirrhosis. Scand J Gastroenterol 20:346–350

    CAS  PubMed  Google Scholar 

  10. Demigne C, Remesy C (1985) Stimulation of absorption of volatile fatty acids and minerals in the cecum of rats adapted to a very high fiber diet. J Nutr 115:53–60

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. University of Minnesota School of Nursing, 5-160 Weaver-Densford Hall, 308 Harvard Street, Minneapolis, MN 55455, USA

    Donna Zimmaro Bliss

Authors
  1. Donna Zimmaro Bliss
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Donna Zimmaro Bliss.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bliss, D.Z. Dietary fiber in conservative management of chronic renal failure. Pediatr Nephrol 19, 1069–1070 (2004). https://doi.org/10.1007/s00467-004-1561-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00467-004-1561-6

Keywords

Search

Navigation