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The low AGE diet: a neglected aspect of clinical nephrology practice?

Nephron
January 1, 2015
Jaime Uribarri et al. (2 authors)
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to determine the role of advanced glycation end products (AGEs) in oxidative stress and chronic inflammation, and the effects of an AGE-restricted diet on systemic AGE levels and inflammatory markers.

Results Summary

The study found that AGEs contribute to oxidative stress and chronic inflammation, and an AGE-restricted diet reduces systemic AGE levels and markers of inflammation, particularly in chronic kidney disease (CKD) patients, with or without diabetes.

Population

CKD patients before and after dialysis initiation, with or without coexistent diabetes.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (12)
InterventionDirectionEndpointPopulationDosageImpactClaim #
AGE-restricted diet
decrease
systemic levels of AGEs
a variety of conditions
-
reduces
#1
AGE-restricted diet
decrease
levels of markers of oxidative stress
a variety of conditions
-
reduces
#2
AGE-restricted diet
decrease
levels of markers of inflammation
a variety of conditions
-
reduces
#3
AGE-restricted diet
decrease
systemic levels of AGEs
CKD patients before the initiation of dialysis
-
reduces
#4
AGE-restricted diet
decrease
levels of markers of oxidative stress
CKD patients before the initiation of dialysis
-
reduces
#5
AGE-restricted diet
decrease
levels of markers of inflammation
CKD patients before the initiation of dialysis
-
reduces
#6
AGE-restricted diet
decrease
systemic levels of AGEs
CKD patients after the initiation of dialysis
-
reduces
#7
AGE-restricted diet
decrease
levels of markers of oxidative stress
CKD patients after the initiation of dialysis
-
reduces
#8
AGE-restricted diet
decrease
levels of markers of inflammation
CKD patients after the initiation of dialysis
-
reduces
#9
reduction of the AGE content in food
neutral
feasible
advanced CKD patients
-
appears to be
#10
reduction of the AGE content in food
neutral
easily applicable
advanced CKD patients
-
appears to be
#11
reduction of the AGE content in food
neutral
safe
advanced CKD patients
-
appears to be
#12
Abstract

Increasing evidence in the literature suggests an important role for advanced glycation end products (AGEs) in the generation of a state of increased oxidative stress and chronic subclinical inflammation, which underlies most modern chronic diseases, including diabetes, cardiovascular disease and chronic kidney disease (CKD). Although AGEs were originally thought to form only endogenously, primarily as the result of the hyperglycemia of diabetes, it is now clear that exogenous AGEs, specially incorporated in foods, are an important contributor to the body pool of AGEs. Over the past decade, several clinical trials have been performed in a variety of conditions demonstrating that the application of an AGE-restricted diet reduces not only the systemic levels of AGEs but also the levels of markers of oxidative stress and inflammation. This has been shown in CKD patients before and after the initiation of dialysis and either in the presence or absence of coexistent diabetes. Reduction of the AGE content in food is obtained by simple changes in culinary techniques and appears to be a feasible, easily applicable and safe intervention, even in advanced CKD patients.

Medical Subject Headings (MeSH)
AnimalsCookingGlycation End Products, AdvancedHumansInflammationKidney DiseasesNephrology
Study Links
Quality Scores
Safety80
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations15
Citations/Year1.5
Relative Citation Ratio0.72
NIH Percentile38.2%
Research Impact Scores
APT Score0.25
Weight Score0.82
Normalized Score0.81
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