Prof. K.Sampathkumar MD DM FRCP [Glas] FASNÂ working in Department of Nephrology, Meenakshi Mission Hospital and Research Centre
Abstract
Chronic Kidney Disease [ CKD ] afflicts approximately 7-10% of Adult Population. The manifestations of CKD are varied and can mimic a variety of medical and surgical conditions. It is a silent killer due to its far reaching ill effects on the cardiovascular system. Early recognition is of paramount importance since preventive strategies are successful only if applied before irreversible renal fibrosis sets in. This talk will provide an overview of Paradigm shift in our focus on various risk factors.
 The old fashioned recommendation of  blanket dietary Protein restriction now applies more  to meat based diets and not for vegetable proteins. Multiple lines of evidences are in favour of  Plant Based dietary   Protein intake  with reno protective benefits  due to their  alkaline nature and fibre content. In addition, Plant Based Protein intrake results in reduced Phosphate absorption which is advantageous in curtailing release of FGF-23 and PTH.Â