NEWS & VIEWS CHRONIC KIDNEY DISEASE

Should sodium intake be restricted in patients with CKD? Michel Burnier and Gregoire Wuerzner

A reduction of salt intake to 300 mmol) is associated with increased risks of coronary heart disease, stroke, cardiovascular mortal­ ity and all-cause mortality,1 the minimum level of dietary sodium that should be rec­ ommended in the general population and in patients with specific medical conditions (including nephro­pathies) is controversial. Some data suggest that low sodium intake might be associated with increased rather than reduced mortality in the general popu­ lation, individuals at high risk of cardio­ vascular disease and patients with dia­betes.2,3 A new analysis of data from the Modification of Diet in Renal Disease (MDRD) Study in nondiabetic patients with chronic kidney disease (CKD) supports these findings.4 Current Kidney Disease: Improving Global Outcomes (KDIGO) guidelines recommend that patients with CKD limit their daily dietary sodium intake to

Chronic kidney disease: Should sodium intake be restricted in patients with CKD?

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